Title Page

  • Location & Report Name

  • Client

COVID 19 Assessment

  • Have you or anyone that lives at the property been diagnosed with Coronavirus ?

  • Is anyone at the property currently self-isolating ? (in the vulnerable category)

  • Do you give consent for us to carry out works within your property ?

  • Reasoning?

General Details

  • Risk Assesment Completed By

  • Site Address
  • Date of Inspection

  • Residents Name

  • Residents contact details

  • Residents email address

Access Assessment

  • Are there any restrictions to the property i.e. Low bridge, neighbours access required ?

  • Comments

  • Photographic evidence

  • Is the property location a main pedestrian route and/or a public walkway ?

  • Comments

  • Photographic evidence

  • Is parking available, adequate for the size of vehicle and close to the property ?

  • Comments,

  • Photographic evidence

  • Do parking restrictions exist i.e. Residents parking ?

  • Comments

  • Photographic evidence

  • Will the proposed works affect neighbouring properties ?

  • Comments

  • Photographic evidence

  • Has the neighbouring property been notified of the immanent works?

  • Date of notification given-

Occupant Assessment

  • Is the property in a suitable condition for the proposed works to be carried out ?

  • Comments

  • Photographic evidence

  • Is the property highlighted as flagged or at risk ?

  • Comments

  • Do the occupants have any physical disabilities that pose any significant risks ?

  • Comments

  • Do the occupants have any learning difficulties where our activities may pose any significant risks ?

  • Comments

  • Are there any potential risks regarding minors in the property ?

  • Comments

  • Are there any potential risks regarding pets in the property ?

  • Comments

  • Is the property high risk of biological waste or vermin ?

  • Comments

  • Photographic evidence

  • Is the property at high risk of hypodermic needles ?

  • Comments

Asbestos Assessment

  • Are we in receipt of or have access to the asbestos survey or register for this property ?

  • Comments

  • Has asbestos been identified ?

  • Comments

  • Photographic evidence

Assessment Sign off

  • Surveyors Signature and Full name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.