Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Development site is situated

Block Details

  • Number of dwellings at the address/block?

  • Number of storeys at the address block?

  • Is the dwelling occupied?

Survey Details

  • Extent of the survey

  • Is a specialist survey inspection required?

Common/Close Inspection

  • Has the close been inspected on a previous inspection

  • Element Specification/Materials - Close windows material

  • Element Condition - Close windows condition

  • Element Replacement Year - Close windows condition ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - Close windows painting

  • Element Condition - Close windows painting

  • Element Replacement Year - Close windows painting ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - Close windows pointing

  • Element Condition - Close windows pointing

  • Element Replacement Year - close windows pointing ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - External doors

  • Element Condition - External doors

  • Element Replacement Year - External doors ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - External doors painting

  • Element Condition - External doors painting

  • Element Replacement Year - External doors painting ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - External doors pointing

  • Element Condition - External doors pointing

  • Element Replacement Year - External doors pointing ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - Door access steps

  • Element Condition - Door access steps

  • Element Replacement Year - Door access steps ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - Staircases - Floors

  • Element Condition - Staircases - Floors

  • Element Replacement Year - Staircases - Floors ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - Staircases - Décor

  • Element Condition - Staircases - Décor

  • Element Replacement Year - Staircases - Décor ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - Staircases - Handrails

  • Element Condition - Staircases - Handrails

  • Element Replacement Year - Staircases - Handrails ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - Door entry system

  • Element Condition - Door entry system

  • Element Replacement Year - Door entry system ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - Stair lighting

  • Element Condition - Stair lighting

  • Element Replacement Year - Stair lighting ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Element Specification/Materials - External lighting

  • Element Condition - External lighting

  • Element Replacement Year - External lighting ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  • Communal close loft hatch condition

  • Signs of pests in loft

  • What evidence or signs of pests

  • What works are required

Close electrical cupboard

  • Electrical cupboard door - Locking

  • Electrical cupboard door - Condition

  • Electrical cupboard door - Does it have a Scottish Power master lock?

  • Electrical cupboard - Is the cupboard tidy and clear of bulk?

  • Electrical cupboard - Are cable secure and clipped?

  • Electrical cupboard - Are enclosures secure and locked?

  • Electrical cupboard - Are there any holes in enclosures?

  • Electrical cupboard - Are the lights working inside the cupboard

  • Electrical cupboard - Are there any ACM's present inside the cupboard?

  • Electrical cupboard - Is there fire stopping missing round cables?

  • Element Specification/Materials - Close walls material

  • Element Condition - Close walls condition

  • Element Replacement Year - Close wall condition ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.