MIDLAND HEART MOULD REMEDIATION AND REPAIRS

• PROPERT /ADDRESS

• IMAGE OF PROPERTY

  Media

• DCUK SUPERVISOR

• Client Name: Midland Heart - Mould remediation and repairs

• DCUK JOB NUMBER

• MIDLAND HEART JOB REF

• MOULD REPORT AVAILABLE

  Yes

  No

  N/A

• ASBESTOS REPORT AVAILABLE

  Yes

  No

  N/A

• WORK SCHEDULE AVAILABLE

  Yes

  No

  N/A

• ACCESS ISSUES OR ANY OTHER ISSUES ( if yes add details in comments )

  Yes

  No

  N/A

• COMMENTS

• SIGNATURE

  Sign

Pre work images and comments

• REMEDIATION ITEM 1 - PRE WORKS

• REMEDIATION ITEM 2 - PRE WORKS

• REMEDIATION ITEM 3 - PRE WORKS

• REMEDIATION ITEM 4 - PRE WORKS

• REMEDIATION ITEM 5 - PRE WORKS

• REMEDIATION ITEM 6 - PRE WORKS

• REMEDIATION ITEM 7 - PRE WORKS

• REMEDIATION ITEM 8 - PRE WORKS

• REMEDIATION ITEM 9 - PRE WORKS

• REMEDIATION ITEM 10 - PRE WORKS

• REMEDIATION ITEM 11 - PRE WORKS

• REMEDIATION ITEM 12 - PRE WORKS

• REMEDIATION ITEM 13 - PRE WORKS

• REMEDIATION ITEM 14 - PRE WORKS

• REMEDIATION ITEM 15 - PRE WORKS

Post work images and comments

• REMEDIATION ITEM 1 - POST WORKS

• REMEDIATION ITEM 2 - POST WORKS

• REMEDIATION ITEM 3 - POST WORKS

• REMEDIATION ITEM 4 - POST WORKS

• REMEDIATION ITEM 5 - POST WORKS

• REMEDIATION ITEM 6 - POST WORKS

• REMEDIATION ITEM 7 - POST WORKS

• REMEDIATION ITEM 8 - POST WORKS

• REMEDIATION ITEM 9 - POST WORKS

• REMEDIATION ITEM 10 - POST WORKS

• REMEDIATION ITEM 11 - POST WORKS

• REMEDIATION ITEM 12 - POST WORKS

• REMEDIATION ITEM 13 - POST WORKS

• REMEDIATION ITEM 14 - POST WORKS

• REMEDIATION ITEM 15 - POST WORKS

supervisor summary and teneant feedback

• SUPERVISOR REPORT

• RETURN VISIT REQUIRED

  Yes

  No

  N/A

• RETURN VISIT COMMENTS

• TENANT FEEDBACK

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• TENANT COMMENTS

• TENANT SIGNATURE

  Sign

• DATE

  Date