Title Page

  • Conducted on

  • Prepared by

  • Location

Untitled Page

  • Material to be removed

  • Reason for extraction

  • Extraction equipment used

  • time to complete extraction

  • Dpc photos

  • Cavity width photos

  • Ventilation photos (sleeved or require sleeving)

  • Front elevation pre work photos

  • Front elevation mid work photos

  • Front elevation completion photos

  • Front elevation damage repairs and reason why? (necessary to complete extraction)

  • Rear elevation pre work photos

  • Rear elevation mid work photos

  • Rear elevation completion photos

  • Rear elevation damage repairs and reason why? (Necessary to complete extraction)

  • Left elevation pre work photos

  • Left elevation mid work photos

  • Left elevation completion photos

  • Left elevation damage repairs and reason why? (Necessary to complete extraction)

  • Right elevation pre work photos

  • Right elevation mid work photos

  • Right elevation completion photos

  • Right elevation damage repairs and reason why? (Necessary to complete extraction)

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.