Inspection Report

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

• Date of Visit

  Date

• Meeting Attendees

• Care Provider

Tenant

• Name Of Tenant

• Room Number

• Incidents

• Absent from Home?

  YES

  NO

• Date of absence

  Date

• Intention to Return?

  Yes

  No

  N/A

• Warnings?

  YES

  NO

• Forthcoming Void?

  YES

  NO

• Void Date

• Windows

  Good

  Fair

  Poor

  N/A

• Gardens

  Good

  Fair

  Poor

  N/A

• Cleaning

  Good

  Fair

  Poor

  N/A

• Bedrooms

  Good

  Fair

  Poor

  N/A

• Kitchen

  Good

  Fair

  Poor

  N/A

• Bathroom

  Good

  Fair

  Poor

  N/A

• Lounge

  Good

  Fair

  Poor

  N/A

• Hallway

  Good

  Fair

  Poor

  N/A

• Conservatory

  Good

  Fair

  Poor

  N/A

• White Goods

  Good

  Fair

  Poor

  N/A

• (please list white goods to be PAT tested)

• Communal Furnishing

  Good

  Fair

  Poor

  N/A

• (please list all communal furniture)

• Maintenance

• Any other business

  YES

  NO

Meters

• Meter Number

• Reading

• Photos of the meters

  Media

• Gas Supplier

• Electric Supplier

• Water Supplier

Monthly checks

• Fire Alarm Check – CP should have records on site and they test a different point each week

  Yes

  No

  N/A

• Legionella – CP should have records that they run outlets and voids each week for 3-5 minutes

  Yes

  No

  N/A

• Emergency Lighting – CP should have records that a visual on/off check monthly

  Yes

  No

  N/A

• FRA – CP should have and maintain a PEEP and should be stored in a fire box near the front door

  Yes

  No

  N/A

• Fire Doors – No doors have had the door closure/perko broken or removed

  Yes

  No

  N/A

• Carbon Monoxide Alarms – CP should check monthly

  Yes

  No

  N/A

• FRA Actions completed by CP?

  Yes

  No

  N/A

• Details Agreed on visit with Housing Officer and CP

  Yes

  No

  N/A

• Housing Officer Signature:

  Sign

• Care Provider signature:

  Sign