First Visit Technicians Report

• Policyholder name- Post code - Claim reference

• Office Handler

  Select Louise Carson Jean Sherry Kerinda Edwards Jas Leitch Emma Key Fran Lausi Elaine Conyers

  • Louise Carson
  • Jean Sherry
  • Kerinda Edwards
  • Jas Leitch
  • Emma Key
  • Fran Lausi
  • Elaine Conyers

• Prepared by

  Select Aneudys Sanchez Cameron Hewitt Craig Edge Carl Gibson Chris Dudgeon Daniel Limon Dean Barker Jack Waterman Lee Wilkinson Mark Bond Mark Gascoine Mark Lees Mark Pearce Matt Percival Mia Argyle Neil Barlow Paul Harris Richard Harris Sarah Bowen Sue Brown Tayla Dench Tony Froggatt

  • Aneudys Sanchez
  • Cameron Hewitt
  • Craig Edge
  • Carl Gibson
  • Chris Dudgeon
  • Daniel Limon
  • Dean Barker
  • Jack Waterman
  • Lee Wilkinson
  • Mark Bond
  • Mark Gascoine
  • Mark Lees
  • Mark Pearce
  • Matt Percival
  • Mia Argyle
  • Neil Barlow
  • Paul Harris
  • Richard Harris
  • Sarah Bowen
  • Sue Brown
  • Tayla Dench
  • Tony Froggatt

• If other advise name

Property Type

• Provide a brief Property Description

• Provide photos of the front side and rear of the property

  Media

• Age of property

  Post 2000

  1980-2000

  1945-1979

  1900-1944

  Pre 1900

• TYPE OF PROPERTY

  Select BUNGALOW COTTAGE DETACHED END TERRACE FLAT / APARTMENT MID TERRACE SEMI DETACHED COMMERCIAL SCHOOL OTHER

  • BUNGALOW
  • COTTAGE
  • DETACHED
  • END TERRACE
  • FLAT / APARTMENT
  • MID TERRACE
  • SEMI DETACHED
  • COMMERCIAL
  • SCHOOL
  • OTHER

• Explain 'Other'

• No of Bedrooms

• Is property listed

  Yes

  No

• Provide info on listing

• Has Property been extended

  Yes

  No

• Provide information on extension (age, what area etc)

• Is there an ACM risk at the property?

  Yes

  No

• What is required next?

  Select Test has been taken today (provide photo of kit paperwork) Testing needed at a later date No testing currently needed ACM stable

  • Test has been taken today (provide photo of kit paperwork)
  • Testing needed at a later date
  • No testing currently needed ACM stable

• Where and what material has / is to be sampled

• Is heating on?

  Yes

  No

• Provide further info

• Are electrics on?

  Select Yes- unaffected by peril Yes - but electrical check recommended Yes -electrician has attended and made safe already No - electrics off remedial works required

  • Yes- unaffected by peril
  • Yes - but electrical check recommended
  • Yes -electrician has attended and made safe already
  • No - electrics off remedial works required

• Condition of airbricks

  Select No airbricks Airbricks clean and clear Airbricks present but blocked

  • No airbricks
  • Airbricks clean and clear
  • Airbricks present but blocked

• Type of roof

  Select Pitched Thatched Flat

  • Pitched
  • Thatched
  • Flat

• External wall construction

  Select Cavity brick Cavity stone Cavity Rendered Solid Stone Solid Rendered Solid Brick Timber frame

  • Cavity brick
  • Cavity stone
  • Cavity Rendered
  • Solid Stone
  • Solid Rendered
  • Solid Brick
  • Timber frame

• Does the property have CWI

  Yes

  No

• Has it been affected by the peril?

  Yes

  No

• Works needed to CWI

• Internal wall construction

  Select Stud Solid Plaster Solid Plasterboard

  • Stud
  • Solid Plaster
  • Solid Plasterboard

• What is the DPC

  Select Slate Bitumen Polythene No DPC

  • Slate
  • Bitumen
  • Polythene
  • No DPC

• What is the DPM

  Select Polythene Thermoplastic tiles /bitumen Parquet / bitumen Unknown No DPM

  • Polythene
  • Thermoplastic tiles /bitumen
  • Parquet / bitumen
  • Unknown
  • No DPM

• Floor construction

  Select Block and Beam Solid Insulated Suspended timber

  • Block and Beam
  • Solid
  • Insulated
  • Suspended timber

• Does the property have pre existing defects?

  Yes

  No

• Provide more information on what and where

• Photograph pre existing defects

  Media

• Record internal temp

• Record external temp

• Record internal RH

• Record external RH

• Are further works required following this visit

  Yes

  No

• Select peril type

  Water

  Fire

• Has the leak been repaired?

  Yes

  No

• Would you recommend a T & A is undertaken is cover is in place?

  Yes

  No

• Provide a brief description of the peril

• Provide a brief overview of the damage

Rooms

Add more rooms

• Room / Area

  Select Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom Conservatory Cupboard Ensuite Hall H/S/L Kitchen Kitchen/Diner Utility Loft Landing 1 Landing 2 Dining Room Lounge Lounge / Diner Nursery / Playroom Office/ Study Other Porch Sitting Room Stairs Snug WC

  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • Conservatory
  • Cupboard
  • Ensuite
  • Hall
  • H/S/L
  • Kitchen
  • Kitchen/Diner
  • Utility
  • Loft
  • Landing 1
  • Landing 2
  • Dining Room
  • Lounge
  • Lounge / Diner
  • Nursery / Playroom
  • Office/ Study
  • Other
  • Porch
  • Sitting Room
  • Stairs
  • Snug
  • WC

• Provide room sizes (L x W x H)

• Ceiling construction

  Select Paint Finish Wallpaper Finish Artex Finish Solid Lath and Plaster Plasterboard Cement Render

  • Paint Finish
  • Wallpaper Finish
  • Artex Finish
  • Solid
  • Lath and Plaster
  • Plasterboard
  • Cement Render

• Walll construction

  Select Paint Finish Wallpaper Finish Artex Finish Solid Lath and Plaster Plasterboard Cement Render

  • Paint Finish
  • Wallpaper Finish
  • Artex Finish
  • Solid
  • Lath and Plaster
  • Plasterboard
  • Cement Render

• Floor construction

  Select Floor Board Solid Insulated Laminate Solid Wood LVT Carpet Lino

  • Floor Board
  • Solid
  • Insulated
  • Laminate
  • Solid Wood
  • LVT
  • Carpet
  • Lino

• Are further investigations needed to floor insulated layers

  Yes

  No

• Please consider if you can undertake this today

• How many hrs required to investigate floor construction

• Will pressure drying be required in this room subject to investigations

  Yes

  No

• Mould remediation required?

  Yes

  No

• Provide addional info on scope for mould remediation?

• Underfloor heating present?

  Yes

  No

• Type of underfloor heating

  Electric

  Wet

• What areas of the room are we drying?

  Select Floor Ceiling Subfloor Wall 1 Wall 2 Wall 3 Wall 4

  • Floor
  • Ceiling
  • Subfloor
  • Wall 1
  • Wall 2
  • Wall 3
  • Wall 4

• Add moisture readings

• Provide Photos of Room

  Media

• Does the buildings require decontamination

  Yes

  No
Fire Rooms

• Add room requiring buildings decontamination

  Select Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom Conservatory Cupboard Ensuite Hall H/S/L Kitchen Kitchen/Diner Utility Loft Landing 1 Landing 2 Dining Room Lounge Lounge / Diner Nursery / Playroom Office/ Study Other Porch Sitting Room Stairs Snug WC

  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • Conservatory
  • Cupboard
  • Ensuite
  • Hall
  • H/S/L
  • Kitchen
  • Kitchen/Diner
  • Utility
  • Loft
  • Landing 1
  • Landing 2
  • Dining Room
  • Lounge
  • Lounge / Diner
  • Nursery / Playroom
  • Office/ Study
  • Other
  • Porch
  • Sitting Room
  • Stairs
  • Snug
  • WC

• Size of room L x W x H

• Area of room to be worked on

  Select Sponge ceiling Sponge wall Strip ceiling paper Strip wallpaper Decontaminate sanitary ware Deconaminate Kitchen units Decontaminate hard flooring Remove BER hard flooring Remove BER carpet

  • Sponge ceiling
  • Sponge wall
  • Strip ceiling paper
  • Strip wallpaper
  • Decontaminate sanitary ware
  • Deconaminate Kitchen units
  • Decontaminate hard flooring
  • Remove BER hard flooring
  • Remove BER carpet

• Provide total man hours for buildings decontamination

• How many chemical sponges required?

• Air scrubber required?

  Yes

  No

• Is soot sealing required?

  Yes

  No

• Select rooms which require soot sealing

  Select Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom Conservatory Cupboard Ensuite Hall H/S/L Kitchen Kitchen/Diner Utility Loft Landing 1 Landing 2 Dining Room Lounge Lounge / Diner Nursery / Playroom Office/ Study Other Porch Sitting Room Stairs Snug WC

  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • Conservatory
  • Cupboard
  • Ensuite
  • Hall
  • H/S/L
  • Kitchen
  • Kitchen/Diner
  • Utility
  • Loft
  • Landing 1
  • Landing 2
  • Dining Room
  • Lounge
  • Lounge / Diner
  • Nursery / Playroom
  • Office/ Study
  • Other
  • Porch
  • Sitting Room
  • Stairs
  • Snug
  • WC

• Provide man hours for soot sealing

• Is fogging required following fire clean?

  Yes

  No

• Select all rooms which require fogging

  Select Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom Conservatory Cupboard Ensuite Hall H/S/L Kitchen Kitchen/Diner Utility Loft Landing 1 Landing 2 Dining Room Lounge Lounge / Diner Nursery / Playroom Office/ Study Other Porch Sitting Room Stairs Snug WC

  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • Conservatory
  • Cupboard
  • Ensuite
  • Hall
  • H/S/L
  • Kitchen
  • Kitchen/Diner
  • Utility
  • Loft
  • Landing 1
  • Landing 2
  • Dining Room
  • Lounge
  • Lounge / Diner
  • Nursery / Playroom
  • Office/ Study
  • Other
  • Porch
  • Sitting Room
  • Stairs
  • Snug
  • WC

• Is drying required as a result of the fire?

  Yes

  No

• Provide a summary of the drying requirements include equipment hire, location and time required:

• Final restoration comments / clause / reinstatement recommendations

• e.g: All areas dry, NO DPC/DPM due to age of property. Chipboards flooring and kitchen units to be assessed at reinstatement.

Drying Equipment

• What drying equipment has been installed today

  Select No drying equipment required Other Refrigerant Dehumidifier - K3, K5,1200 Desiccant Dehumidifier - A4, L4, CTR150, CTR300, CTR400, CTR500 DBK Air mover Air Scrubber Boost Box DAD Mat LGR Revolution / LGR7000 /Drieaz 2400 ADS Pressure Drying Equipment

  • No drying equipment required
  • Other
  • Refrigerant Dehumidifier - K3, K5,1200
  • Desiccant Dehumidifier - A4, L4, CTR150, CTR300, CTR400, CTR500
  • DBK
  • Air mover
  • Air Scrubber
  • Boost Box
  • DAD Mat
  • LGR Revolution / LGR7000 /Drieaz 2400
  • ADS
  • Pressure Drying Equipment

• Other - Equipment type + how many installed?

• Provide machine no for equipment installed today

• Photograph metre reading

  Media

• How many desiccant dehumidifiers installed?

• How many days do we estimate Dessicant Dehumdifiers equipment onsite?

• DBK can be charged with other equipment ie dehums & heaters

• How many days do we estimate DBK's equipment onsite?

• How many air mover's installed?

• How many days do we estimate Air Mover's equipment onsite?

• How many days do we estimate Air Scrubber's equipment onsite?

• Air Scrubber to be installed on each Fire claim.

• How many DAD Mat's installed?

• How many days do we estimate DAD Mat's equipment onsite?

• How many boost boxes installed?

• How many days do we estimate Boost Boxes equipment onsite?

• What drying equipment will be needed at a later phase

  Select No drying equipment required Other Refrigerant Dehumidifier - K3, K5,1200 Desiccant Dehumidifier - A4, L4, CTR150, CTR300, CTR400, CTR500 DBK Air mover Air Scrubber Boost Box DAD Mat LGR Revolution / LGR7000 /Drieaz 2400 ADS Pressure Drying Equipment

  • No drying equipment required
  • Other
  • Refrigerant Dehumidifier - K3, K5,1200
  • Desiccant Dehumidifier - A4, L4, CTR150, CTR300, CTR400, CTR500
  • DBK
  • Air mover
  • Air Scrubber
  • Boost Box
  • DAD Mat
  • LGR Revolution / LGR7000 /Drieaz 2400
  • ADS
  • Pressure Drying Equipment

• Quantity of equipment to be installed at a later phase

• How many days drying is likely to be required

• Any other buildings restoration works required?

  Select Not Required Sanitise 429 Wet Fogging Swab Testing Salts Testing Thermal Fog Soot Seal Jetwashing / Extternals Tenting

  • Not Required
  • Sanitise 429
  • Wet Fogging
  • Swab Testing
  • Salts Testing
  • Thermal Fog
  • Soot Seal
  • Jetwashing / Extternals
  • Tenting

• Quantity of swab tests and to what location

• How many salts tests and to what location?

• Has sanitisiting been done today?

  Yes

  No

• How many m2

• If sanitising wasnt required explain why

• How many hours needed for jetwashing / what areas / total m2

• How many man hrs and m2 for tenting and to what rooms

Strip out works

• Are strip out works required?

  Yes

  No

• Who is to deal with required strip out works?

  Own Techs

  Strip out Techs
Strip out Rooms

• Add room requiring strip out

  Select All affected rooms Other Bathroom Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Conservatory Cupboard Dining Room Games Room Hall H/S/L Kitchen Kitchen/Diner Landing 1 Landing 2 Lounge/Diner Lounge Sitting Room Office / Study Nursery / Playroom Porch Snug TV Room Utility WC

  • All affected rooms
  • Other
  • Bathroom
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Conservatory
  • Cupboard
  • Dining Room
  • Games Room
  • Hall
  • H/S/L
  • Kitchen
  • Kitchen/Diner
  • Landing 1
  • Landing 2
  • Lounge/Diner
  • Lounge
  • Sitting Room
  • Office / Study
  • Nursery / Playroom
  • Porch
  • Snug
  • TV Room
  • Utility
  • WC

• Details of strip out

  Select Ceiling Walls Floor Other

  • Ceiling
  • Walls
  • Floor
  • Other

• Provide ceiling area in m2 + material type to be stripped:

• Provide photo of required strip out in this room

  Media

• Provide wall area in m2 + material type to be stripped:

• Provide photo of required strip out in this room

  Media

• Provide floor area in m2 + material type to be stripped:

• E.g. 15m2 of engineered oak to be removed up to entrance of dining roo

• Provide photo of required strip out in this room

  Media

• Provide total m2 + material type to be stripped:

• Provide photo of required strip out in this room

  Media

• Name other room

• Do any items require third party disconnection (electric or gas appliances)

  Yes

  No

• Provide details

• Estimated man hrs for strip out

• Further instructions for strip out

Contents Restoration / Removal

• Is there contents works required?

  Yes

  No

• Is list & dispose required?

  Yes

  No

• Select rooms which have contents required to be listed & disposed of.

  Select Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom Conservatory Cupboard Ensuite Hall H/S/L Kitchen Kitchen/Diner Utility Loft Landing 1 Landing 2 Dining Room Lounge Lounge / Diner Nursery / Playroom Office/ Study Other Porch Sitting Room Stairs Snug WC

  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • Conservatory
  • Cupboard
  • Ensuite
  • Hall
  • H/S/L
  • Kitchen
  • Kitchen/Diner
  • Utility
  • Loft
  • Landing 1
  • Landing 2
  • Dining Room
  • Lounge
  • Lounge / Diner
  • Nursery / Playroom
  • Office/ Study
  • Other
  • Porch
  • Sitting Room
  • Stairs
  • Snug
  • WC

• If other provide name of room

• Total hours to list and dispose?

• Is carpet cleaning required?

  Yes

  No

• Select rooms for carpet cleaning

  Select Lounge Kitchen Dining Room Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Landing Landing 2 Hall Hall/Stairs/Landing Stairs Top Hall Porch Loft TV Room Play Room Nursery Utility Bathroom Ensuite Office Front Room Games Room Other

  • Lounge
  • Kitchen
  • Dining Room
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Landing
  • Landing 2
  • Hall
  • Hall/Stairs/Landing
  • Stairs
  • Top Hall
  • Porch
  • Loft
  • TV Room
  • Play Room
  • Nursery
  • Utility
  • Bathroom
  • Ensuite
  • Office
  • Front Room
  • Games Room
  • Other

• Name other rooms where carpet cleaning is required.

• Take photos of all carpets for cleaning

  Media

• Is off site storage required?

  Yes

  No

• How will contents removal be facilitated?

  Select Removal Company inhouse (small moves / boxes only)

  • Removal Company
  • inhouse (small moves / boxes only)

• Removal Co do not remove fitted tems from walls, hanging curtains or disconnect gas or electric appliances

• How many crates to be packed and moved to store? Note - upholstery counts as 1 x crate

• Contents to be removed from which rooms?

  Select Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom Conservatory Cupboard Ensuite Hall H/S/L Kitchen Kitchen/Diner Utility Loft Landing 1 Landing 2 Dining Room Lounge Lounge / Diner Nursery / Playroom Office/ Study Other Porch Sitting Room Stairs Snug WC

  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • Conservatory
  • Cupboard
  • Ensuite
  • Hall
  • H/S/L
  • Kitchen
  • Kitchen/Diner
  • Utility
  • Loft
  • Landing 1
  • Landing 2
  • Dining Room
  • Lounge
  • Lounge / Diner
  • Nursery / Playroom
  • Office/ Study
  • Other
  • Porch
  • Sitting Room
  • Stairs
  • Snug
  • WC

• Are kitchen unit/cupboard contents to be packed also?

  Yes

  No

• Are utility unit/cupboard contents to be packed also?

  Yes

  No

• Are kitchen unit/cupboard contents to be packed also?

  Yes

  No

• Are there any parking or vehicle restrictions for the Removal Co at this property?

  Yes

  No

• Are there any property access restrictions?

  Select Lift access No lift access 1 flight of stairs 2 flights of stairs 3+ flights of stairs Basement flat Penthouse Back entrance Narrow walk way None Other

  • Lift access
  • No lift access
  • 1 flight of stairs
  • 2 flights of stairs
  • 3+ flights of stairs
  • Basement flat
  • Penthouse
  • Back entrance
  • Narrow walk way
  • None
  • Other

• Detail 'other' property access restrictions

• Add pictures of entry/parking for Removal Co

  Media

• Are there any items which require dismantling?

  Yes

  No

• List items which require dismantling

• How many Suite covers? e.g 2x covers for 3+2seater

• Mattress Covers + Sizes

  Select Single Double King Queen Super King Other None

  • Single
  • Double
  • King
  • Queen
  • Super King
  • Other
  • None

• How many single mattress covers are required?

• How many double mattress covers are required?

• How many king mattress covers are required?

• How many queen mattress covers are required?

• How many super king mattress covers are required?

• Description of 'Other' + How many 'Other' covers required?

• Approximately how many Wardrobe Cartons?

• How many containers to be packed and moved to store?

• Is pack out to the contents required to the removal of contents to store?

  Yes

  No

• Total hours required for pack out?

• Boxes

• Bubblewrap

• Tape

• Any other packing materials required (please list)

• Are there appliances which require to be disconnected?

  Yes

  No

• List items + location of item in property

• Are there items to be removed from walls?

  Yes

  No

• List items + location of item in property

• If off site storage is not required, are items to be packed and stored on site?

  Yes

  No

• If so in which room

• How many man hours for packing

• No of boxes

• M2 of Bubblewrap

• Other packing materials required (please list)

• Are contents to be cleaned in store or on site?

  Yes

  No

• Take photos of all items

  Media

• Hours for cleaning contents ? Recommend on average 20 hours per containers

• Soft furnishings requiring cleaning

  Select Not Required Other Fabric Suite Leather Suite Foot Stool Fabric Foot Stool Leather Fabric Cushions Scatter Cushions Rug/Rugs Curtains Dining Chair/Chairs Mattress - Single Mattress - Double Mattress - King Bedframe - Single Bedframe - Double Bedframe - King Bed base - Single Bed base - Double Bed base - King Headboard - Single Headboard - Double Headboard - King

  • Not Required
  • Other
  • Fabric Suite
  • Leather Suite
  • Foot Stool Fabric
  • Foot Stool Leather
  • Fabric Cushions
  • Scatter Cushions
  • Rug/Rugs
  • Curtains
  • Dining Chair/Chairs
  • Mattress - Single
  • Mattress - Double
  • Mattress - King
  • Bedframe - Single
  • Bedframe - Double
  • Bedframe - King
  • Bed base - Single
  • Bed base - Double
  • Bed base - King
  • Headboard - Single
  • Headboard - Double
  • Headboard - King

• Please name other items & how many?

• Take photos of general contents for cleaning

  Media

• Fabric - How many seats? E.g 3+1+1 seater

• Leather - How many seats? E.g 3+2 seater

• Hom many fabric foot stools?

• How many leather foot stools?

• How many scatter cushions?

• How many fabric cushions?

• Rug size? Note: if more than one rug this section will allow you to list rug & sizes. E.g Rug 1 = 2.5x1m

• How many pairs of curtains + sizes?

• How many dining chairs?

• Part for cleaning of dining chairs

  Seat & Back

  Seat only

  Back only

• How many single matresses?

• How many double matresses?

• How many king matresses?

• How many single bedframes?

• How many double bedframes?

• How many king bedframes?

• How many single bed bases?

• Part for cleaning of dining chairs

  Seat & Back

  Seat only

  Back only

• How many double bed bases?

• How many king bed bases?

• How many single headboards?

• How many double headboards?

• How many king headboards?

• Specialist contents restoration

  Select Not Required PAT Testing Laundry French Polishing Other

  • Not Required
  • PAT Testing
  • Laundry
  • French Polishing
  • Other

• List approx no PAT Testing + location of item in property

• Approximatley how any bags of laundry?

• Take photos of items for laundry

  Media

• List items for French Polishing

• Provide pictures of damaged French Polishing item including close up of the damage

  Media

• List items for 'other' sub contractor + location of each item in property

• Take photos of all items for other restoration

  Media

• Is there a requirement for a skip or skip contribution

  Yes

  No

• At what stage of the works is the skip/ part skip required

  Select Drying Strip out Contents L &D Mitigation (used on first visit)

  • Drying
  • Strip out
  • Contents L &D
  • Mitigation (used on first visit)

• Skip Onsite or Offsite?

  Select Onsite Offsite

  • Onsite
  • Offsite

• Size

  Select 4 yard 8 yard 12 yard Other (provide info)

  • 4 yard
  • 8 yard
  • 12 yard
  • Other (provide info)

• Provide info on no of skip exchanges and timings

• Placement of skip

  Select Driveway Other private land owned by insured Roadside (permit will be required)

  • Driveway
  • Other private land owned by insured
  • Roadside (permit will be required)

• Are there POP's item's to be disposed?

  Yes

  No

• List POP's items being disposed:

• Is there WEEE disposal?

  Yes

  No

• How many WEEE items for disposal? Approximate

• Size of skip contribution at unit

  Select 1 yard - minimum 2 yard 4 yard 8 yard Other

  • 1 yard - minimum
  • 2 yard
  • 4 yard
  • 8 yard
  • Other

• Please advise

• Are there POPs items being disposed of in unit skip

  Yes

  No

• List POP's items being disposed and how many

• Is there WEEE disposal? e.g Fridge Freezer

  Yes

  No

• Name WEEE item and how many?

Summary / Notes

• Provide a brief summary of your works completed on this visit

• Provide a brief summary of the works required during the claim

• Is next visit booked?

  Yes

  No

• Date and time

  Date

• Any additional comments

• Do you consider the PH or anyone to be living at the property to be vunerable

  Yes

  No

• Provide information on vunerabilities and how we can accomodate them in planning our works

• Is there adequate welfare at the property for the PH and for our technicians?

  Yes

  No

• Will this be affected by the works being completed on the clim

  Yes

  No

• Provide details of how and what is needed to rectify

• If no what welfare do we need to arrange and when?

• Is a key safe required at the property (please confirm PH is happy to have one fitted if Yes)

  Yes

  No

• Prior to leaving site complete a RAMS document leave on site and and upload a photograph

  Media