Work order number.

Full Address Details

Customer Contact Details

General Comment box

Work order type

Have you gained access?

No access, Photo property front door - proof of attendance

Can the property be Metered internally?

Reasons for Unmeterable Internally.
Photo ISV

Number of Bedrooms.

Number of Occupants.

Can the property be Metered Externally?

Proposed Fit type.
Date and Time of Survey.
OSV Details

OSV Public / Private

Consent Form Obtained?

Photo obtained consent form

OSV pit Depth?

OSV pit Location

Photo OSV Location
Photo Street view

Install Comments

Traffic Management Comments

Signee Name & Signature
Surveyor Name & Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.