Internals Assessment

• Client

  Select Hackney Homes

  • Hackney Homes

• Document No.

• Audit type

  Select Decency

  • Decency

• Prepared by

• Prepared for

  Select Hackney Homes

  • Hackney Homes
• Location
  Address

• Personnel

Property details

• Add location
  Address

• Select date

  Date

• Did we gain access today?

  Yes

  No

  N/A

• Tenant declined all work

  Yes

  No

  N/A

• Add signature

  Sign

Kitchen

• Kitchen less than 20 years old

  Yes

  No

  N/A

• Kitchen less than 30 years old

  Yes

  No

  N/A

• Is the work space and layout sufficient

  Yes

  No

  N/A

• Is the storage space sufficient

  Yes

  No

  N/A

• Will the kitchen last another 10 years?

  Yes

  No

  N/A

• Does the kitchen require refit

  Yes

  No

  N/A

• Concrete floor construction

  Yes

  No

  N/A

Bathroom

• Bathroom less than 40 years old

  Yes

  No

  N/A

• Bathroom less than 30 years old

  Yes

  No

  N/A

• Will the fittings last another 10 years

  Yes

  No

  N/A

• Does the bathroom require refit

  Yes

  No

  N/A

• Is an O.T. Assessment required before refit

  Yes

  No

  N/A

• Name of person requiring OT?

• Do they have a current OT assesment?

  Yes

  No

  N/A

• Describe OT requirement.

• Concrete floor construction

  Yes

  No

  N/A

W.C.

• Separate W.C.

  Yes

  No

  N/A

• Is W.C. Less then 40 years old

  Yes

  No

  N/A

• Does W.C. Require refit

  Yes

  No

  N/A

• Is an O.T. Assessment required

  Yes

  No

  N/A

• Describe OT requirement.

• Concrete floor construction

  Yes

  No

  N/A

Cloakroom

• Separate cloakroom

  Yes

  No

  N/A

• Cloakroom less than 40 years

  Yes

  No

  N/A

• Cloakroom less than 30 years

  Yes

  No

  N/A

• Does Cloakroom require refit

  Yes

  No

  N/A

• Is an additional hand basin possible?

  Yes

  No

  N/A

• Is an OT assessment required

  Yes

  No

  N/A

Summary

• Further comment

• Sketch required?

  Drawing

• Assessor

  Sign