Title Page
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Site conducted
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Document Number
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H&S Health and Safety Inspections & Inventory
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Date Conducted
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Prepared by
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Location
Inventory and Safety Inspection Date
- Date of Inspection
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Inspection Date
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Next Inspection Date
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Date Condition at Move-In
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Date Condition at Move-Out
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1# Inventory Description
- Inspection Date
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Select date
A-Kitchen & Living Room
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Kitchen: Condition at Move-In
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Kitchen: Condition at Move-Out
B-Bedroom 1
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Condition at Move-In
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Condition at Move-Out
C-Bedroom 2
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Condition at Move-In
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Condition at Move-Out
D-Bathroom 1
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Condition at Move-In
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Condition at Move-Out
E-Bathroom 2
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Condition at Move-In
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Condition at Move-Out
F-Stairway
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Condition at Move-In
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Condition at Move-Out
G-Porch Entrance In and Out and Hallway
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Condition at Move-In
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Condition at Move-Out
H-Keys Door
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Condition at Move-In
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Condition at Move-Out
I- Other Comments
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Inspection Date
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2# Health and Safety Inspections
- A- Equipment Inspections
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Inspection Date
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Smoke Alarm: I have installed a smoke alarm on every floor used as living accommodation and <br>a carbon monoxide detector in any room with a solid fuel burning appliance, again <br>used as living accommodation.I have checked the above alarms are in working order on the first day of the <br>tenancy
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Carbon Monoxide Detector: I have checked the above alarms are in working order on the first day of the <br>tenancy
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Fire Extinguisher
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Fire Exit
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Windows
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Damp
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Doors
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Ligths
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Sockets
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Switches
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Floor
Other Equipment Inspections
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Description
Pictures Equipment Inspections
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Inspection Date
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Inspection Date
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Refrigerator with freezer.
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Electric Cooker with Ceramic Hob
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Cooker Hoods & Extractor Fans
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Microwave oven
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Freezer, chest or upright
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Washing machine
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Kitchen & Bathroom taps & Shower Mixer
Other Appliances Inspections
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Description
Pictures Health and Safety Inspections
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Inspection Date
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3# Certificates Safety Equipment
- 1. Part P electrical certificate
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Inspection Date
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Next Inspection Date
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Condition at Move-In
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Condition at Move-Out
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For all new tenancies after 1st July 2020 and for all existing tenancies after 1st <br>April 2021): I have had the property's electrical installations inspected and tested by <br>a qualified and competent person completed any necessary remedial work and <br>supplied a copy of the report from the person conducting the inspection and test to <br>the new tenant before they occupied the premises, or the existing tenant within 28 <br>days
2. Gas safe certificate
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Inspection Date
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Next Inspection Date
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Condition at Move-In
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Condition at Move-Out
3. EPC certificate-Energy Performance Certificate
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Inspection Date
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Next Inspection Date
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Condition at Move-In
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Condition at Move-Out
4. Gas Boiler Vaillant ecoFIT pure 825, Services system and its controls are in working order. Instruction manuals
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Inspection Date
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Next Inspection Date
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Condition at Move-In
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Condition at Move-Out
5. Instruction manuals
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Inspection Date
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Next Inspection Date
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Condition at Move-In
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Condition at Move-Out
6. Building & Home Insurance
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Inspection Date
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Next Inspection Date
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Condition at Move-In
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Description
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Inspection Date
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Next Inspection Date
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Inspection Date
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4# Bills
- The following Bills are paid by the Tennants
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The following Bills are paid by the Tennants
1. Council Tax
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Bill Evidence by Tenant
2. Energy : Gas & Electricity
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Bill Evidence Tenant
3. Affinity Water
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Bill Evidence Tenant
4.Television licence
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Bill Evidence Tenant
5. Broadband:
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Bill Evidence Tenant
6. Other Bills or Comments
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Select date
5# Landlord’s checklist and key dates to remember
- Key dates to remember
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Select date
Comments
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6# Signature
- HS Health and Safety Inspection
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Add signature
Tenants Name and Signature
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Lead Tenant
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Tenant 2
Emailed HS Health and Safety Inspections Report
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