Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Untitled Page

  • Clients details mr mrs miss

  • Clients full name

  • Clients phone numbers

  • Clients email

  • Client’s date of birth

  • Clients address
  • Clients ni number

  • Proof of address

Tenancy

  • Tenancy

  • Property type

  • Who is on tenancy

  • Copy of tenancy

  • Date tenancy started

  • How much is the rent a month

  • Are you in areas with rent

  • Landlord name

  • Landlord phone number

  • Landlord email

  • Landlord address

Defect details

Location 1

  • Describe the property’s defects

  • Have you reported ( date)

  • Response from landlord

  • How many times reported to landlord

  • How has this effected your daily life

  • Describe how it has effected your health and family members

  • Have you sort medical attention

  • Describe how it has effected your health

  • Has any of your belongings been effected (cost)

Location 2

  • Location 2

  • Describe property defects

  • Have you reported (date)

  • Response from landlord

  • How many times reported to landlord

  • How has the defects effected your daily life

  • Describe how it has effected your health and family members

  • Have you sort medical attention

  • Describe how it has effected your health

  • Has any of your belongings been effected (cost)

Location 3

  • Describe property defects

  • Have you reported ( date)

  • Response from landlord

  • How many times reported to landlord

  • How has this effected your daily life

  • Describe how it has effected your health and family members

  • Have you sort medical attention

  • Describe how it has effected your health

  • Has any of your belongings been effected (cost)

Location 4

  • Describe property defects

  • Have you reported (date)

  • Response from landlord

  • How many times reported to landlord

  • How has this effected your daily life

  • Describe how it has effected your health and family members

  • Have you sort medical attention

  • Describe how it has effected your health

  • Has any of your belongings been effected (cost)

Location 5

  • Describe property defects

  • Have you reported ( date)

  • Response from landlord

  • How many times reported to landlord

  • How has this effected your daily life

  • Describe how it has effected your health and family members

  • Have you sort medical attention

  • Describe how it has effected your health

  • Have you sort medical attention

  • Has any of your belongings been effected (cost)

Location 6

  • Describe property defects

  • Have you reported ( date)

  • Response from landlord

  • How many times reported to landlord

  • How has this effected your daily life

  • Describe how it has effected your health and family members

  • Have you sort medical attention

  • Has any of your belongings been effected (cost)

Location 7

  • Describe property defects

  • Have you reported ( date)

  • Response from landlord

  • How many times reported to landlord

  • How has this effected your daily life

  • Describe how it has effected your health and family members

  • Have you sort medical attention

  • Has any of your belongings been effected (cost)

Location 8

  • Describe property defects

  • Have you reported ( date)

  • Response from landlord

  • How many times reported to landlord

  • How has this effected your daily life

  • Describe how it has effected your health and family members

  • Have you sort medical attention

  • Has any of your belongings been effected (cost)

Friends and family

  • Name

  • Phone number

  • Name

  • Phone number

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.