Customer Refusal

Work order number.

Full Address Details

Customer Contact Details

Work order type

Have you gained access?

Customer refusal comments

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?

Primary Proposed Fit type.
Secondary Proposed Fit type.
Date of Survey.
OSV Details

OSV Public / Private

Consent Form Obtained?
Photo obtained consent form

OSV Depth?

OSV Location

Photo OSV Location
Photo Street view
Surface Material Type

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.