Information
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Address
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Conducted on
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Location
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Personnel
External front
External Front
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Any water marks on the walls that could mean to a leak?
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Is the front of the house in good condition, decor wise?
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Any Extra Comments?
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Add media
Entrance Hall
Entrance Hall
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Does the doorbell work?
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Does the front door unlock, open, close and lock easily?
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Is the fire equipment obvious and operational (with the pin intact)?
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Is emergency information clearly displayed?
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Has the under stairs cupboard been plasterboarded?
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Is there an overhead fire door closer above the door into the Common Room? If old type, put in a job for it to be replaced.
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Any Extra Comments?
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General Cleanliness<br>
Common Room
Common Room
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Is there a Common Room or just a Kitchen?
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Ceiling. Any cracks, stains, big lines?
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Check the windows. Any of the panes 'misted'?
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Is the floor covering in good condition?
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How many sofas?
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How many grey armchairs?
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Is Furniture in Good Condition?
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Dining
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If no dining area, would a table and enough stools fit in?
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Any Extra Comments?
Kitchen
Kitchen
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Ceiling. Any cracks, stains, big lines?
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Check the windows. Any of the panes 'misted'?
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Blinds or Nets?
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Cooker Hood<br>
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Worktop in good condition? Poke behind sinks to check that area.
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Floor covering in good condition?
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Extractor Fan in good working order?
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Any Extra Comments?
Downstairs services
Downstairs Services
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Is there a downstairs toilet?
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Toilet in good condition?
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Is there a radiator in the toilet?
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Is there a wash hand basin in the toilet?
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Is there a downstairs shower?
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Is there a downstairs utility room?
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Ceiling. Any cracks, stains, big lines?
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Check the windows. Any of the panes 'misted'?
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Floor covering in good condition?
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General Cleanliness<br>
External rear
External Rear
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Is the back door in good condition?
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Any water marks on the walls that could mean a leak?
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Is the rear of the house in good condition, decor wise?
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If you can get a look at the roof, is it in good condition?
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Any Extra Comments?
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General Cleanliness<br>
Bedroom 1
Bedroom 1
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Bed
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Is there a wash hand basin?
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Is the fire door closer the correct type, attached and working?
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Any sign of smoking in the room? Take photo.
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Ceiling. Any cracks, stains, big lines?
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Check the walls. Are there any big lines, mould, stains or cracks?
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Check the windows. Any of the panes 'misted'?
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Is the floor covering in good condition?
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Is all the furniture present and in good condition? Should have bed, wardrobe, desk, chest of drawers, shelves.
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Is there a wheeled operator chair in good condition?
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Is there an 'Easy Chair' in the room in good condition?
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General Cleanliness<br>
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Any Extra Comments?
Stairs & Landing
Stairs & Landing
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Any loose floorboards or stair treads?
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Any cracks to the ceiling or walls?
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Is the escape route unobstructed? No bikes, ironing boards or shoes blocking the way?
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Are handrails secure and intact?
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Are the gaps between the top bannister too far apart? 5 inches is ok but over that is too wide. How far up does your leg fit through?
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Is the bannister 900ml along the top landing?
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General Cleanliness<br>
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Any Extra Comments?
Upstairs Toilet
Upstairs Toilet
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Is there a separate upstairs toilet?
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Check the ceiling. Any big lines, mould, stains, cracks, paint peeling?
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Check the windows. Are any of the panes misted?
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Is the flooring in good condition?
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Is the toilet in good condition?
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Is there a radiator in the toilet?
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Is there a wash hand basin in the toilet?
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Is there a working extractor fan?
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General Cleanliness<br>
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Any Extra Notes?
Upstairs Bathroom
Upstairs Bathroom
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Is there a toilet in the bathroom?
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Is the toilet in good condition?
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Bath or Shower?
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Check the ceiling. Any big lines, mould, cracks, paint peeling?
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Check the windows. Are any of the panes misted?
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Is the flooring in good condition?
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Is the bath/shower in good condition?
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Is there a working extractor fan?
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Is there a towel rail?
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Is there a radiator?
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General Cleanliness<br>
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Any Extra Notes?
Bedroom 2
Bedroom 2
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Bed
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Is there a wash hand basin?
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Is the fire door closer the correct type, attached and working?
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Any sign of smoking in the room? Take photo.
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Ceiling. Any cracks, stains, big lines?
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Check the walls. Are there any big lines, mould, stains or cracks?
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Check the windows. Any of the panes 'misted'?
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Is the floor covering in good condition?
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Is all the furniture present and in good condition? Should have bed, wardrobe, desk, chest of drawers, shelves.
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Is there a wheeled operator chair in good condition?
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Is there an 'Easy Chair' in the room in good condition?
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General Cleanliness<br>
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Any Extra Comments?
Bedroom 3
Bedroom 3
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Bed
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Is there a wash hand basin?
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Is the fire door closer the correct type, attached and working?
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Any sign of smoking in the room? Take photo.
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Ceiling. Any cracks, stains, big lines?
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Check the walls. Are there any big lines, mould, stains or cracks?
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Check the windows. Any of the panes 'misted'?
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Is the floor covering in good condition?
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Is all the furniture present and in good condition? Should have bed, wardrobe, desk, chest of drawers, shelves.
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Is there a wheeled operator chair in good condition?
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Is there an 'Easy Chair' in the room in good condition?
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General Cleanliness<br>
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Any Extra Comments?
Bedroom 4
Bedroom 4
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Bed
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Is there a wash hand basin?
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Is the fire door closer the correct type, attached and working?
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Any sign of smoking in the room? Take photo.
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Ceiling. Any cracks, stains, big lines?
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Check the walls. Are there any big lines, mould, stains or cracks?
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Check the windows. Any of the panes 'misted'?
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Is the floor covering in good condition?
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Is all the furniture present and in good condition? Should have bed, wardrobe, desk, chest of drawers, shelves.
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Is there a wheeled operator chair in good condition?
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Is there an 'Easy Chair' in the room in good condition?
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General Cleanliness<br>
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Any Extra Comments?
Sign Off
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Signature
