Kitchen Survey

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Replacement Detail

• When does the Kitchen require replacement? Aim to group replacement kitchens by Scheme, therefore if one or two need replacement but others do not decision is to keep all in or to delay all to future years.

  Select 2017 Programme 2018 Programme 2019 Programme 2020 Programme After 2020

  • 2017 Programme
  • 2018 Programme
  • 2019 Programme
  • 2020 Programme
  • After 2020

• If tenant requests that the kitchen is Not replaced have you gained a signed disclaimer from tenant at your survey?

  Select Yes No

  • Yes
  • No

• Disclaimer to be signed by tenant if they do not want kitchen replaced.

  Sign

Condition Status

• What is the condition of the Kitchen?

  Select Satisfactory - no repairs or only a few day to day repairs required, no Health & Safety concerns? Potentially Un-satisfactory - several day to day repairs required, and/or some potential Health & Safety concerns? Unsatisfactory - Lots of day to day repairs, some more major repairs and/or some Health & Safety concerns?

  • Satisfactory - no repairs or only a few day to day repairs required, no Health & Safety concerns?
  • Potentially Un-satisfactory - several day to day repairs required, and/or some potential Health & Safety concerns?
  • Unsatisfactory - Lots of day to day repairs, some more major repairs and/or some Health & Safety concerns?

Design & Layout

• Kitchen design to be like for like

  Select Yes No

  • Yes
  • No

• Vinyl floor area?

Base Units

• 1000

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 1000 corner

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 925 corner

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 800 corner

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 1000sink

  Select 0 1

  • 0
  • 1

• 800

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 600

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 500

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 400

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 300

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 500 drawer pack

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 600 drawer pack

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

Larder units

• 600

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 500

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 400

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

Wall units

• Height of units

  900

  735

  560

• 300

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 400

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 500

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 600

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 800

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 1000

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 600 corner

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• 625 corner

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

Worktop

• Measurement of Worktop?

• Hand of sink?

  Select Left hand Right hand

  • Left hand
  • Right hand

Electrics

• Do we need to chase in new sockets?

  Yes

  No

  N/A

• How many

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• Do the faceplates and light switch need replacement

  Yes

  No

  N/A

• How many

  Select 1 2 3 4 5 6 7 0

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 0

• Is there an extract fan?

  Yes

  No

  N/A

• Can we install extract fan

  Yes

  No

  N/A

Photo

• Take one or two photos to capture existing layout and view of floor covering and units.

  Media

Notes

• Write any additional information here