ICE RM - residential insurance survey

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Premise details

• What does the building operate as.

• What is the location of the building.

• Front elevation

  Media

• Side elevation

  Media

• Side elevation

  Media

• Rear elevation

  Media

• Risk improvements

  Yes

  No

  N/A

Building construction

• Construction details

• Floor Details

• Roof Construction details

• Site exposures

• Occupancy Hazards

• Age of the building

• Risk improvements

  Yes

  No

  N/A

• Risk improvements

  Yes

  No

  N/A

• Risk improvements

  Yes

  No

  N/A

Site operations, staff etc.

• Are there staff operations.

• What are staff numbers and detail breakdown of levels.

• What are operating hours and details of any shutdown periods.

• Risk improvements

  Yes

  No

  N/A

Management Systems

• Electrical testing with certificates?

  Yes

  No

  N/A

• Programme of machinery maintenance (lifts, HVAC systems etc)

  Yes

  No

  N/A

• Housekeeping

  Safe

  At Risk

  N/A

• Contractor controls and permits to work

  Yes

  No

  N/A

• Fire risk assessment

  Yes

  No

  N/A

• Legionella assessment

  Yes

  No

  N/A

• Risk improvements

  Yes

  No

  N/A

• Risk improvements

  Yes

  No

  N/A

Fire detection

• Fire detection system fitted.

  Yes

  No

  N/A

• Sprinkler system fitted.

  Yes

  No

  N/A

• Fire brigade location and response?

  Yes

  No

  N/A

• Risk improvements

  Yes

  No

  N/A

Security

• Intruder Alarm and system.

  Yes

  No

  N/A

• Door locks and other security measures.

  Yes

  No

  N/A

• Risk improvements

  Yes

  No

  N/A

Site specific risks

• Flood risks

  Safe

  At Risk

  N/A

• Windstorm risk.

  Safe

  At Risk

  N/A

• Subsidence risk.

  Yes

  No

  N/A

• Asbestos

  Yes

  No

  N/A

• Risk improvements

  Yes

  No

  N/A

Loss history

• Have there been any losses or claims noted?

  Yes

  No

  N/A

Utilities

• Mains Gas

  Yes

  No

  N/A

• Mains ELectricity Lv

  Yes

  No

  N/A

• Mains ELectricity HV

  Yes

  No

  N/A

• LPG Tanks.

  Yes

  No

  N/A

• Mains Water.

  Yes

  No

  N/A

• Transformer units.

  Yes

  No

  N/A

• Risk improvements

  Yes

  No

  N/A

Public Liability.

• Site specific - fencing etc.

  Yes

  No

  N/A

• Control of visitors and Contractors.

  Yes

  No

  N/A

• Maintenance of Public areas.

  Yes

  No

  N/A

• Neighbouring eLxposures deemed sensitive.

  Yes

  No

  N/A

• Tresspass.

  Yes

  No

  N/A

• Risk improvements

  Yes

  No

  N/A

Location risks

• Distance to the neighbouring property left

• Distance to the neighbouring property right

• Distance to the neighbouring property rear

• Any specific risks relations to neighbour properties

Signatures

• Risk surveyor

  Sign

• Insured or Broker

  Sign