Title Page
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Survey Address
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Full Address
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Conducted on
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Prepared by
Property & Tenant Details
Property & Tenant Details
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Property Type:
- 1 Bed Bungalow
- 2 Bed Bungalow
- 3 Bed Bungalow
- 4 Bed Bungalow
- 1 Bed House
- 2 Bed House
- 3 Bed House
- 4 Bed House
- 5 Bed House
- 1 Bed GFF
- 2 Bed GFF
- 3 Bed GFF
- 1 Bed FFF
- 2 Bed FFF
- 3 Bed FFF
- 1 Bed Tower Block
- 2 Bed Tower Block
- 3 Bed Tower Block
- 1 Bed Maisonette
- 2 Bed Maisonette
- 3 Bed Maisonette
- Commercial Property
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Tenant Name
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Contact Number
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Rewire Date
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Electrical Work Ordered
- Full Rewire
- Partial Rewire
- Kitchen Upgrade
- Electrical Upgrade
- Heat Detector Upgrade
- Main Earthing Upgrade
- Partial + Cooker
- S/A Rewire
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Socket & Switch height
- 450mm Sockets 1070mm Kitchen Sockets 1200mm Switches
- 1000mm Sockets 1200mm Switches
Additional Electrical Information About Property
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Does Property Have Laminated Flooring?
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Does Property Have Loft Boarded?
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Instructions If Laminated Or Loft Boarded
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Are There Additional Electrics That Need Reconnecting?
- N/A
- Garage
- Shed
- Pond
- Outside Dryer
- Outside Fridge
- Outside Socket
- Outside Security Lights
- Door Bell
- Security Alarm
- Wall Lights
- Tenants Own Sockets
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Further Information
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Details About Shower Circuit
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Does the property have a Gas cooker
Rewire Details
Coving Or Trunking (Leave Blank Unless Required)
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Items Required
- N/A
- 1 Pack Of Coving
- 2 Packs Of Coving
- 3 Packs Of Coving
- 1 Length YT2
- 2 Lengths YT2
- 3 Lengths YT2
- 7 Lengths YT2
- 10 Lengths YT2
- 1 Pack YT2
- 1 Length Mains Trunking
- 2 Lengths Mains Trunking
- 3 Lengths Mains Trunking
- 4 Lengths Mains Trunking
- 1 Pack Of Mains Trunking
- 20 External Bends
- 20 Internal Bends
- s
- 1 Box Coving Adaptors
Cable (Leave Blank Unless Required)
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Is Extra Cable Required?
- N/A
- 100 1.5mm Brown/Blue
- 1.5mm Brown/Brown
- 2.5mm Brown/Blue
- 6mm Brown/Blue
- 10mm Brown/Blue
- 10mm Earth
- 1.5mm Three Core Brown/Black/Grey
- 3 Core Flex For Central Heating
- 3 CoreHeat Resistant Flex For Immersion Heater
- 3 Core heat Resistant Flex For Storage Heaters
- 3 Core Flex For Extractor Fans
Additional Kitchen Information
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Tiles To Be Removed In Kitchen?
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Kitchen Units To Be Removed?
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Extrator Hood To Wire For?
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Kitchen Extractor Fan
Additional Notes If Required
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Add media
Bathroom
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Spotlights<br>
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Bathroom Extractor Fan
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Add media
Tenants Property
White Goods
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Photos
Additional Information If Required
Photos Of Damaged Floors/Furniture/Electrical Items
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Photos
Additional Information If Required
Tenants Signature
Tenant Agreement & Disclaimer
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Disclaimer: a) I fully Understand What Information I Have Been Given Today With Regards To The Rewire And What It Entails. b) I Also Agree to Move Items I Have Been Asked , For Safe Keeping, to include (Laptops/PC's/Tablets/Consoles/Mobile Devices/Furniture/White Goods) Where Applicable c) I Am Fully Aware That The Walls Will Be Chased Out And Damage Will Occur To Decoration Where Unavoidable d) I Am Aware There Will Be Residue Dust In the Air After The Rewire Is Completed, And After Dust Sheets Have Been Removed And Property Vacuum Cleaned e) I am aware pictures and a digital Information package as been collated during the survey f) I fully understand the Health & Safety risks that maybe present if i remain in the property whilst the works are undertaken. I accept that I have been advised of the dangers but would still like to stay at my own risk.
- Yes I Accept The Disclaimer
- No
- Somebody Else Will Move It On My Behalf
- I Am Refusing To Move Any Items
- I Am The House Occupier Registered With New Charter
- I Am A Family Member
- I Am A Neighbour
- I Am The Partner
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Date
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Signature
Access On Rewire Day
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Access Information
Exit On Rewire Day
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Exit Information
Rewire Follow Up
Tenants Rewire Experience
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Tenants Experience Of Electricians & Plasterers Working In Property
- Helpful
- Unhelpful
- Treated My Property With Respect
- Treated My Property Without Any Respect
- Tidy
- Left My Home Without Cleaning Up Properly
- Left Items Not Working
- Left My Garden With Rewire Debris
- Plasterer Was Polite And Helpful
- Unhelpful
- Tidy
- Plasterer Left My Home Without Cleaning Up Properly
- Plasterer Left Debris In My Garden
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Score Out Of 10 (10 Being The Highest Score)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
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Any Addition Comments By Tenant?
Claim For Damage
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Without Predudice
I accept the amount above as full and final settlement for my alledged claim for damage during the electrical works in my home.
I accept the goodwill gesture offered by MRES LTD without acceptance of liability for the alleged damage during the works. -
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Name
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Signature
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Date
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Witnessed By MRES Supervisor
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Signature
Access Issues To Complete Work
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Failed Access Attempt Carry Out Works
- Electrical Snags
- Plastering
- Plastering Snags
- Remove Yoozy Boxes
- Deal With Claims Of Damage
- Carry Out Planned Electrical Works
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Select date
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Failed Access Attempt Carry Out Works
- Electrical Snags
- Plastering
- Plastering Snags
- Remove Yoozy Boxes
- Deal With Claims Of Damage
- Carry Out Planned Electrical Works
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Select date
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Failed Access Attempt Carry Out Works
- Electrical Snags
- Plastering
- Plastering Snags
- Remove Yoozy Boxes
- Deal With Claims Of Damage
- Carry Out Planned Electrical Works
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Select date
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Failed Access Attempt Carry Out Works
- Electrical Snags
- Plastering
- Plastering Snags
- Remove Yoozy Boxes
- Deal With Claims Of Damage
- Carry Out Planned Electrical Works
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Select date
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Failed Access Attempt Carry Out Works
- Electrical Snags
- Plastering
- Plastering Snags
- Remove Yoozy Boxes
- Deal With Claims Of Damage
- Carry Out Planned Electrical Works
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Select date
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Failed Access Attempt Carry Out Works
- Electrical Snags
- Plastering
- Plastering Snags
- Remove Yoozy Boxes
- Deal With Claims Of Damage
- Carry Out Planned Electrical Works
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Select date
Photos
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Add media