HDR Inspection Template - Master

• Site conducted

  Select

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• Yes

  No

  N/A

• Conducted on

  Date

• Prepared by

• Location
  Address

• Customer Title and Full Name (including any middle names)

• Customer Home Phone Number

• Customer Mobile Phone Number

• Customer Work Phone Number

• Customer Email

• Customer Address (incl post code)
  Address

• Customer Date of Birth

• Tenancy

  Single

  Joint

• Tenancy Type

  Housing Association

  Council

  Private

• Date Tenancy Started

• Can you provide a copy of your tenancy agreement?

  Yes

  No

• Please add photo of Tenancy Agreement

  Media

• How much is your rent? (amount and frequency)

• Are you in arrears with your rent?

• Value of arrears (£)

• Name of Landlord

• Landlord phone number

• Landlord Email

• Landlord Address

• Type of Property

  Select Bungalow Cottage Detached End terrace Flat Semi-Detached Other

  • Bungalow
  • Cottage
  • Detached
  • End terrace
  • Flat
  • Semi-Detached
  • Other

• Please describe the property defects in detail

• Upload photo evidence of all defects described

  Media

• When did you notice the defect?

• How many rooms does the defect affect?

• Have you reported this to the landlord?

  Yes

  No

• When did you report this to your landlord?

• Did your landlord respond? If so provide dates and details of what was communicated.

• Provide photo evidence of the landlord correspondence if possible

  Media

• How many times have you contacted the landlord regarding the defects?

• Provide a list of dates and correspondence details sent to the landlord if possible

• Describe in detail how the defects are affecting you and your family's daily routine.

• Has your health been affected by the defects?

  Yes

  No

• Have any of your family members' health been affected by the defects

  Yes

  No

• Please provide names and dates of birth of those affected

• Please detail the symptoms each of those affected are suffering

• Have you sought medical attention regarding the heath issues experienced?

  Yes

  No

• Have any of your belongings been damaged by the defect/s to the property

  Yes

  No

• If yes, please provide details of the items, how they have been damaged and the cost of the item.

• Provide photo evidence of the damaged goods where possible.

  Media

• Upload full photographic evidence of the defects to the property

  Media

• Upload video of property damage

  Media

• Assessors Signature

  Sign