GBCL Survey Inspection Record

• Garrards Job Ref.

• Client

  Oriel

  BRICS

  CCx

  Other
• Location
  Address

• Customer name

• Date & time of visit

  Date

• Prepared by

• Other attendees

• Document Number

• Photo of the front elevation

  Media

Building fabric information

• Approximate date of construction

  Before 1900

  1900-1945

  1945-1970

  1970-2000

  After 2000

• Type of property

  Select Detached Semi-detached End-terrace Mid-terrace Bungalow Dormer bungalow Cottage Flat / apartment / tenement Listed

  • Detached
  • Semi-detached
  • End-terrace
  • Mid-terrace
  • Bungalow
  • Dormer bungalow
  • Cottage
  • Flat / apartment / tenement
  • Listed

• Main construction of EXTERNAL walls

  Select Solid - brick Solid - stone Solid - cob Cavity - brick:brick Cavity - brick:block Cavity - block:block Other

  • Solid - brick
  • Solid - stone
  • Solid - cob
  • Cavity - brick:brick
  • Cavity - brick:block
  • Cavity - block:block
  • Other

• Details

• Main construction of INTERNAL walls

  Solid - brick

  Solid - block

  Stud

  Other

• Details

• Main construction of floor (ground)

  Solid

  Suspended

  Combination / Other

• Details

Party Wall

• Will the party wall be affected by the repair work?

  Yes

  No

  N/A

• Details

Enabling Work

• Location of parking

  On street

  On driveway

  Other

• Is a permit required?

  Yes

  No

  N/A

• Is a skip required?

  Yes

  No

  N/A

• Location for the skip

  On street

  On driveway

  Other

• Are temporary electrics required?

  No

  Yes

• Is hoarding required?

  No

  Yes

• Will Temporary Works (e.g. propping, scaffolding, etc.) be required?

  No

  Yes

Welfare

• Location of welfare

  Within property

  Mobile unit

  Local amenities

• Location within property (floor and room)

• A signed occupant agreement must be received to confirm authorisation.

• Has a signed Occupant Agreement form been obtained?

  Yes

  No

  N/A

• Location details

Meeting conclusion

• Property to be occupied during the work?

  Yes

  No

• How will access be provided?

• Has requirement for room clearance been discussed with customer?

  Yes

  No

  N/A

• Does the Customer have a preferred start date?

  Yes

  No

  N/A

• Additional notes:

• Add in an area for each room or external elevation, where work is required

Area no.

• Room / Area

  Select Porch Hall Lounge Dining room Kitchen Conservatory Utility room Larder WC Under-stairs cupboard Study Other reception room Stairwell Garage Landing Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom En-suite Loft Other External - front elevation External - rear elevation External - left hand elevation External - right hand elevation

  • Porch
  • Hall
  • Lounge
  • Dining room
  • Kitchen
  • Conservatory
  • Utility room
  • Larder
  • WC
  • Under-stairs cupboard
  • Study
  • Other reception room
  • Stairwell
  • Garage
  • Landing
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • En-suite
  • Loft
  • Other
  • External - front elevation
  • External - rear elevation
  • External - left hand elevation
  • External - right hand elevation

• Sketch plan of room/area (include dimensions where possible)

  Drawing

• Photos: General photos of the room (2-4nr) and additional photos to show specific damage

  Media

• Damaged surfaces/items

  Select Ceiling Ceiling decorations Walls Wall decorations Joinery Flooring Electrics Plumbing Other

  • Ceiling
  • Ceiling decorations
  • Walls
  • Wall decorations
  • Joinery
  • Flooring
  • Electrics
  • Plumbing
  • Other

• Description of repairs required

• Asbestos test required?

  No

  Yes

• Identify use of surrounding buildings

  Select Residential Commercial School Park Other

  • Residential
  • Commercial
  • School
  • Park
  • Other

• Details

• Identify customers that may require special considerations

  Select Disabled Elderly Infirm Children Vulnerable None

  • Disabled
  • Elderly
  • Infirm
  • Children
  • Vulnerable
  • None

• Are there any pets (particularly dogs)?

  No

  Yes

• The customer must be able to keep the pets in a secure area away from the work.

• Any other personal considerations to be taken into account?

  No

  Yes

• Do work areas need to be accessed from neighbouring properties/land?

  No

  Yes

• Do pedestrians or school children pass the site entrance?

  No

  Yes

• Is the work site next to / on public access paths or roads?

  No

  Yes

• Is the work site next to/over waterways, railway lines or culverts?

  No

  Yes

• Is there limited/restricted space for deliveries and/or storage?

  No

  Yes

• Are there overhead cables, trees or other obstructions in the work areas?

  No

  Yes

• Is there possible building instability or any unsafe elements?

  No

  Yes

• Is the fuse board up to date and have an RCD?

  Yes

  No

• Photo of fuse board

  Media

• Is there likely to be any Utility services on/adjacent to the work site?

  No

  Yes

• Is there main services location information or drawings?

  Yes

  No

  N/A

• Other relevant hazards identified during visit

  Select Slips, trips & falls Electric shock Chemical handling Manual handling Falling debris Sharps / Knives / Needles Bio/toxic Working at height Lone working Confined spaces Excavations Deep water & concealed sumps, etc Transport of plant/goods Provision & use of work equipment Poor lighting Potential asbestos containing materials Other None identified

  • Slips, trips & falls
  • Electric shock
  • Chemical handling
  • Manual handling
  • Falling debris
  • Sharps / Knives / Needles
  • Bio/toxic
  • Working at height
  • Lone working
  • Confined spaces
  • Excavations
  • Deep water & concealed sumps, etc
  • Transport of plant/goods
  • Provision & use of work equipment
  • Poor lighting
  • Potential asbestos containing materials
  • Other
  • None identified

• Details of asbestos survey/testing requirements

• You have identified excavations as a hazard. Approximately how deep will these be?

• Details of other hazards