Extraction Works Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Property Information

• Client Name

• Address
  Address

• Installation Crew No.

  Select EVO1 EVO2 EVO3 EVO4 EVO5 EVO6 EVO7 EVO8

  • EVO1
  • EVO2
  • EVO3
  • EVO4
  • EVO5
  • EVO6
  • EVO7
  • EVO8

• Crew Leader Name

• Installation Completed Date

  Date

Pre Commencement of Works

• Photo of front of property before works commence

  Media

• Customer advised of the method of works

  Yes

  No

  N/A

• Are all vehicles and stored items removed from work areas?

  Yes

  No

  N/A

• Note position of DPC's and cavity trays to prevent drilling into them

  Yes

  No

  N/A

• Is there evidence or is the customer aware of any electrical cables within the cavity?

  Yes

  No

  N/A

• Is the customer aware of any potential material ingress?

  Yes

  No

  N/A

• All windows closed to prevent dust ingress?

  Yes

  No

  N/A

• Are all air ventilators closed/temporary sealed to prevent ingress?

  Yes

  No

  N/A

• Cavity heads closed/sealed within the loft space to prevent ingress?

  Yes

  No

  N/A

• Items removed from window sills?

  Yes

  No

  N/A

Post Works Completion Checks

• Photos of all elevations and walkways after work is completed and washed down.

  Media

• Loft ventilation clear/unobstructed?

  Yes

  No

  N/A

• Suspended/timber floor air ventilators clear/unobstructed?

  Yes

  No

  N/A

• Kitchen, bathroom, room ventilators clear/unobstructed?

  Yes

  No

  N/A

• Cupboards etc clear of dust/material ingress

  Yes

  No

  N/A

• Making good of all drilling/extraction points complete and satisfactory?

  Yes

  No

  N/A

• All windows, doors, drive and pathways cleaned down fully?

  Yes

  No

  N/A

• All debris and waste materials removed from site for disposal?

  Yes

  No

  N/A

• Photos of variations (if applicable)

  Media

• Photos of all elevations indicating extraction completed

  Media

• General Comments

• Signature of Crew Leader

  Sign

• Signature of client to declare that I am happy with processes explained to me and the standard of the work carried out.

  Sign