Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Site Address
  • Time and Date of survey

  • Name of inspecor

  • Survey type

  • Any Additional Comments

KITCHEN

  • kitchen

LOUNGE

  • Lounge

DiNING ROOM

  • Dining room

HALL AND STAIRS

  • Hall and stairs

BATHROOM

  • Bathroom

SEPARATE TOILET

  • Toilet

BEDROOM1

  • Bedroom1

BEDROOM2

  • Bedroom2

BEDROOM3

  • Bedroom3

BEDROOM4

  • Bedroom4

BEDROOM5

  • Bedroom5

OUTBUILDINGS

  • Outbuildings

EXTERNAL REAR

  • External Rear

EXTERNAL FRONT

  • External Front

ANY FURTHER WORK REQUIRED

  • Reconmendations/Repairs

  • list Repairs required/recommendations

  • Has the resident/Leaseholder been informed that alterations must have written permission from the owner/landlord Medway Council before alterations are carried out. All alterations should comply with current building regulation approved documentations and guidelines. Building control notices, and/or planning permission and any copies of Certification must be provided upon request

  • Inspectors Signature

  • Residents/Leaseholders signature

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.