Metering - Survey - Installation - Customer Refusal v1.0

• Document No.

• Audit Title

• Customer Name

Customer Refusal

• Work order number.

• Full Address Details
  Address

• Customer Contact Details

• Work order type

  UMP

  Optant

• Have you gained access?

  Select Yes No N/A Form & Prepaid envelope posted through letter box Consent form & prepaid envelope left to sign Customer Refused

  • Yes
  • No
  • N/A
  • Form & Prepaid envelope posted through letter box
  • Consent form & prepaid envelope left to sign
  • Customer Refused

• Customer refusal comments

• No access, Photo property front door - proof of attendance

  Media

• Can the property be Metered internally?

  Yes

  No

  N / A

  Customer altering Pipework

  With major pipe rework

• Reasons for Unmeterable Internally.

  Select IU11- internal Pipework material / condition IU12 more than 1 meter required UMP IU13 More than 2 meters required (Opt) IU14 ISV not located IU15 no main ISV for property IU16 ISV boxed in IU17 ISV behind kitchen units / appliances IU18 ISV inaccessible IU19 Pipework tees off directly after ISV IU20 Shared ISV IU21 No room at ISV location

  • IU11- internal Pipework material / condition
  • IU12 more than 1 meter required UMP
  • IU13 More than 2 meters required (Opt)
  • IU14 ISV not located
  • IU15 no main ISV for property
  • IU16 ISV boxed in
  • IU17 ISV behind kitchen units / appliances
  • IU18 ISV inaccessible
  • IU19 Pipework tees off directly after ISV
  • IU20 Shared ISV
  • IU21 No room at ISV location

• Photo ISV

  Media

• Number of Bedrooms.

• Number of Occupants.

• Can the property be Metered Externally?

  Yes

  No

  N / A

  Customer altering Pipework

  With major pipe rework

• Primary Proposed Fit type.

  Select Internal External Public External Private Exchange Read & Verify Melco Screwin Prove supply at dig Possibly

  • Internal
  • External Public
  • External Private
  • Exchange
  • Read & Verify
  • Melco
  • Screwin
  • Prove supply at dig
  • Possibly

• Secondary Proposed Fit type.

  Select Internal External Public External Private Exchange Read & Verify Melco Screwin Prove supply at dig Possibly

  • Internal
  • External Public
  • External Private
  • Exchange
  • Read & Verify
  • Melco
  • Screwin
  • Prove supply at dig
  • Possibly

• Date of Survey.

  Date

OSV Details

• OSV Public / Private

  Public

  Private

• Consent Form Obtained?

  Select Yes No N/A Form & Prepaid envelope posted through letter box Consent form & prepaid envelope left to sign Customer Refused

  • Yes
  • No
  • N/A
  • Form & Prepaid envelope posted through letter box
  • Consent form & prepaid envelope left to sign
  • Customer Refused

• Photo obtained consent form

  Media

• OSV Depth?

• OSV Location

• Photo OSV Location

  Media

• Photo Street view

  Media

• Surface Material Type

  Select DBM HRA Concrete Red slabs Grey slabs Buff slabs Unmade Verge Turf Topsoil Block paving Crazy Paving

  • DBM
  • HRA
  • Concrete
  • Red slabs
  • Grey slabs
  • Buff slabs
  • Unmade
  • Verge
  • Turf
  • Topsoil
  • Block paving
  • Crazy Paving

• Install Comments

• Traffic Management Comments

Signatures

• Signee Name & Signature

  Sign

• Surveyor Name & Signature

  Sign