NGHA - Stock Condition Survey - MMR

• Site conducted

• Conducted on

  Date

• Prepared by

  Fraser Irving

• Development site is situated

• Number of dwellings at the address/block?

• Number of storeys at the address block?

• Is the dwelling occupied?

  Yes

  No

• Extent of the survey

  Internal Survey only

  External survey only

  Internal and external survey

  Other - See notes

  No survey required

• Is a specialist survey inspection required?

  Structural Survey

  Rot Survey

  Other Survey - See notes

  N/A

• Form of dwelling

  House

  Flat

  Other

• House type

  Select Flat within block Semi-Detached End terrace/gable Mid terrace/gable Other - See notes N/A

  • Flat within block
  • Semi-Detached
  • End terrace/gable
  • Mid terrace/gable
  • Other - See notes
  • N/A

• Flat type

  Select Tenement Flat over shops Maisonette Main Door Other - See Notes Flat within block N/A

  • Tenement
  • Flat over shops
  • Maisonette
  • Main Door
  • Other - See Notes
  • Flat within block
  • N/A

• Quality assessment of building

  Poor

  Fair

  Good

• Approximate age of construction

  Select Pre-1919 1919-1939 1940-1960 1960-1980 1980-2000 Post 2000 Other

  • Pre-1919
  • 1919-1939
  • 1940-1960
  • 1960-1980
  • 1980-2000
  • Post 2000
  • Other

• Has the building been refurbished and if so what is the approximate year.

• What is the main construction type?

  Select Brick and block Sandstone Traditional No fines concrete Tower block steal frame and pre fabricated panels and concrete

  • Brick and block
  • Sandstone
  • Traditional
  • No fines concrete
  • Tower block steal frame and pre fabricated panels and concrete

• Is the building a traditional stone tenement type?

  Yes

  No

• What is the approximate thickness of the walls

• Is the roof pitched or flat

  Pitched

  Flat

  Other - see notes

• What is the percentage of pitched roof

• What is the percentage of flat roof

• Are there any specific notes regarding the external cladding?

• Approximate area of the dwelling

  Below 50m2

  50m2-69m2

  70m2 -89m2

  above 90m2

• Hallway - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Hallway - Is rising damp present

  Yes

  No

  N/A

• Hallway - Is condensation present

  Yes

  No

  N/A

• Hall - What action should be taken

  action required by tenant

  Action required by NGHA

• Hall - Works to be undertaken

• Hallway - Is rot present

  Yes

  No

  N/A

• Hallway - What is the total number of radiators in this room

• Hallway - What is the number of storage / electrical heater in this room

• Hallway - What is the number of boilers in this room

• Hallway - What is the number of focal fires in this room

• Hallway - Is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Hallway - Are there windows in this room

  Yes

  No

  N/A

• Hallway - Do the windows provide sufficient natural light

  Yes

  No

  N/A

• Hallway - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Hallway - Room dimensions

• Hallway - Room dimension M2

• Hallway - Flooring covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Hallway - Flooring material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Hallway - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Hallway - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Hallway - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Kitchen - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Kitchen - Is rising damp present

  Yes

  No

  N/A

• Kitchen - Are there signs of condensation present

  Yes

  No

  N/A

• Kitchen - What action should be taken

  action required by tenant

  Action required by NGHA

• Kitchen - Works to be undertaken

• Kitchen - Is rot present

  Yes

  No

  N/A

• Kitchen - What is the total number of radiators in this room

• Kitchen - What is the number of storage / electrical heater in this room

• Kitchen - What is the number of boilers in this room

• Kitchen - What is the number of focal fires in this room

• Kitchen - Is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Kitchen - Are there windows in this room

  Yes

  No

  N/A

• Kitchen - Do the windows provide sufficient natural light

  Yes

  No

  N/A

• Kitchen - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Kitchen - Room dimensions

• Kitchen - Room dimension M2

• Kitchen - Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Kitchen - Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Kitchen - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Kitchen - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Kitchen - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Kitchen - Fridge/ Freezer

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Kitchen - Washing machine

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Kitchen - Cooker/ oven

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Living Room - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Living Room - Is rising damp Present

  Yes

  No

  N/A

• Living Room - Are there signs of condensation present

  Yes

  No

  N/A

• Living Room - What action should be taken

  action required by tenant

  Action required by NGHA

• Living Room - Works to be undertaken

• Living Room - Is rot present

  Yes

  No

  N/A

• Living Room - What is the total number of radiators in this room

• Living Room - What is the number of storage / electrical heater in this room

• Living Room - What is the number of boilers in this room

• Living Room - What is the number of Focal Fires in this room

• Living Room - Is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Living Room - Are there windows in this room

  Yes

  No

  N/A

• Living Room - Do the windows provide sufficient natural light

  Yes

  No

  N/A

• Living Room - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Living Room - Room dimensions

• Living Room - Room dimension M2

• Living Room - Flooring covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Living Room - Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Living Room- Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Living Room- Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Living Room - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Dining Room - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Dining Room - Is rising damp present

  Yes

  No

  N/A

• Dining Room - Are there signs of condensation present

  Yes

  No

  N/A

• Dining Room - What action should be taken

  action required by tenant

  Action required by NGHA

• Dining Room - Works to be undertaken

• Dining Room - Is rot present

  Yes

  No

  N/A

• Dining Room- What is the total number of radiators in this room

• Dining Room- What is the number of storage / electrical heater in this room

• Dining Room - What is the number of boilers in this room

• Dining Room - What is the number of Focal Fires in this room

• Dining Room - Is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Dining Room - Are there windows in this room

  Yes

  No

  N/A

• Dining Room - Do the windows provide sufficient natural light

  Yes

  No

  N/A

• Dining Room - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Dining Room - Room dimensions

• Dining room - Room dimension M2

• Dining room - Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Dining room - Flooring material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Dining room - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Dining room - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Dining room - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom One - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Bedroom One- Is rising damp present

  Yes

  No

  N/A

• Bedroom One - Are there signs of condensation present

  Yes

  No

  N/A

• Bedroom One - What action should be taken

  action required by tenant

  Action required by NGHA

• Bedroom One - Works to be undertaken

• Bedroom One - Is rot present

  Yes

  No

  N/A

• Bedroom One - What is the total number of radiators in this room

• Bedroom One - What is the number of storage / electrical heater in this room

• Bedroom One - What is the number of boilers in this room

• Bedroom One - What is the number of Focal Fires in this room

• Bedroom One - Is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Bedroom One - Are there windows in this room

  Yes

  No

  N/A

• Bedroom One - Do the windows provide sufficient natural light

  Yes

  No

  N/A

• Bedroom One - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Bedroom One - Room dimensions

• Bedroom One - Room dimension M2

• Bedroom One - Flooring condition

  Good

  Fair

  Poor

  N/A

• Bedroom One- Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom One - Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Bedroom One - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom One - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom One - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Two - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Bedroom Two - Is rising damp present

  Yes

  No

  N/A

• Bedroom Two - Is condensation present

  Yes

  No

  N/A

• Bedroom Two - Are there signs of condensation present

  Yes

  No

  N/A

• Bedroom Two - What action should be taken

  action required by tenant

  Action required by NGHA

• Bedroom Two - Works to be undertaken

• Bedroom Two - Is rot present

  Yes

  No

  N/A

• Bedroom Two - What is the total number of radiators in this room

• Bedroom Two - What is the number of storage / electrical heater in this room

• Bedroom Two - What is the number of boilers in this room

• Bedroom Two - What is the number of Focal Fires in this room

• Bedroom Two - Is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Bedroom Two - Are there windows in this room

  Yes

  No

  N/A

• Bedroom Two - Do the windows provide sufficient natural light

  Yes

  No

  N/A

• Bedroom Two - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Bedroom Two - Room dimensions

• Bedroom Two - Room dimension M2

• Bedroom Two - Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Two - Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Bedroom Two - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Two - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Two - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Three - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Bedroom Three - Is rising damp present

  Yes

  No

  N/A

• Bedroom Three - Is condensation present

  Yes

  No

  N/A

• Bedroom Three - Are there signs of condensation present

  Yes

  No

  N/A

• Bedroom Three - What action should be taken

  action required by tenant

  Action required by NGHA

• Bedroom Three - Works to be undertaken

• Bedroom Three - Is rot present

  Yes

  No

  N/A

• Bedroom Three - What is the total number of radiators in this room

• Bedroom Three - What is the number of storage / electrical heater in this room

• Bedroom Three - What is the number of boilers in this room

• Bedroom Three - What is the number of Focal Fires in this room

• Bedroom Three - Is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Bedroom Three - Are there windows in this room

  Yes

  No

  N/A

• Bedroom Three - Do the windows provide sufficient natural light

  Yes

  No

  N/A

• Bedroom Three - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Bedroom Three - Room dimensions

• Bedroom Three - Room dimension M2

• Bedroom Three - Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Three - Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Bedroom Three - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Three - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Three - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Four - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Bedroom Four - Is rising damp present

  Yes

  No

  N/A

• Bedroom Four - Is condensation present

  Yes

  No

  N/A

• Bedroom Four - Are there signs of condensation present

  Yes

  No

  N/A

• Bedroom Four - What action should be taken

  action required by tenant

  Action required by NGHA

• Bedroom Four - Works to be undertaken

• Bedroom Four - Is rot present

  Yes

  No

  N/A

• Bedroom Four - What is the total number of radiators in this room

• Bedroom Four - What is the number of storage / electrical heater in this room

• Bedroom Four - What is the number of boilers in this room

• Bedroom Four - What is the number of focal fires in this room

• Bedroom Four - Is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Bedroom Four - Are there windows in this room

  Yes

  No

  N/A

• Bedroom Four - Do the windows provide sufficient natural light

  Yes

  No

  N/A

• Bedroom Four - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Bedroom Four - Room dimensions

• Bedroom Four - Room dimension M2

• Bedroom Two - Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Four - Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Bedroom Four - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Four - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Four - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Five - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Bedroom Five - Is rising damp present

  Yes

  No

  N/A

• Bedroom Five - Is condensation present

  Yes

  No

  N/A

• Bedroom Five - Are there signs of condensation present

  Yes

  No

  N/A

• Bedroom Five - What action should be taken

  action required by tenant

  Action required by NGHA

• Bedroom Five - Works to be undertaken

• Bedroom Five - Is rot present

  Yes

  No

  N/A

• Bedroom Five - What is the total number of radiators in this room

• Bedroom Five - What is the number of storage / electrical heater in this room

• Bedroom Five - What is the number of boilers in this room

• Bedroom Five - What is the number of focal fires in this room

• Bedroom Five - Is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Bedroom Five - Are there windows in this room

  Yes

  No

  N/A

• Bedroom Five - Do the windows provide sufficient natural light

  Yes

  No

  N/A

• Bedroom Five - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Bedroom Five - Room dimensions

• Bedroom Five - Room dimension M2

• Bedroom Five - Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Five - Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Bedroom Five - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Five - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bedroom Five - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bathroom - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Bathroom - Is rising damp present

  Yes

  No

  N/A

• Bathroom - Is condensation present

  Yes

  No

  N/A

• Bathroom - Are there signs of condensation present

  Yes

  No

  N/A

• Bathroom - What action should be taken

  action required by tenant

  Action required by NGHA

• Bathroom - Works to be undertaken

• Bathroom - Is rot present

  Yes

  No

  N/A

• Bathroom - What is the total number of radiators in this room

• Bathroom - What is the number of storage / electrical heater in this room

• Bathroom - What is the number of boilers in this room

• Bathroom - What is the number of focal fires in this room

• Bathroom - is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Bathroom - Are there windows in this room

  Yes

  No

  N/A

• Bathroom - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Bathroom- Room dimensions

• Bathroom - Room dimension M2

• Bathroom - Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bathroom- Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Bathroom - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bathroom - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Bathroom - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Separate WC - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Separate WC - Is rising damp present

  Yes

  No

  N/A

• Separate WC - Is condensation present

  Yes

  No

  N/A

• Separate WC- Are there signs of condensation present

  Yes

  No

  N/A

• Separate WC- What Action Should be Taken

  action required by tenant

  Action required by NGHA

• Separate WC - Works to be Undertaken

• Separate WC - Is Rot present

  Yes

  No

  N/A

• Separate WC - What is the total number of radiators in this room

• Separate WC - What is the number of storage / electrical heater in this room

• Separate WC - What is the number of boilers in this room

• Separate WC - What is the number of focal Fires in this room

• Separate WC - is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Separate WC - Are their windows in this room

  Yes

  No

  N/A

• Separate WC - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Separate WC - Room dimensions

• Separate WC - Room dimension M2

• Separate WC - Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Separate WC - Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Separate WC - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Separate WC - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Separate WC - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Storerooms - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Storerooms - Is rising damp present

  Yes

  No

  N/A

• Storerooms - Is condensation present

  Yes

  No

  N/A

• Storerooms - Are there signs of condensation present

  Yes

  No

  N/A

• Storerooms - What action should be taken

  action required by tenant

  Action required by NGHA

• Storerooms - Works to be undertaken

• Storerooms - Is rot present

  Yes

  No

  N/A

• Storerooms - What is the total number of radiators in this room

• Storerooms - What is the number of storage / electrical heater in this room

• Storerooms - What is the number of boilers in this room

• Storerooms - What is the number of focal fires in this room

• Storerooms - is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Storerooms - is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Storerooms - Are there windows in this room

  Yes

  No

  N/A

• Storerooms - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Storerooms - Room dimensions

• Storerooms - Room dimension M2

• Storerooms - Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Storerooms - Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Storerooms - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Storerooms - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Storerooms - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Other - Location

  Select Ground Floor First Floor Second Floor Third Floor All rooms on same level N/A

  • Ground Floor
  • First Floor
  • Second Floor
  • Third Floor
  • All rooms on same level
  • N/A

• Other - Name of room

• Other - Is rising damp present

  Yes

  No

  N/A

• Other - Is condensation present

  Yes

  No

  N/A

• Other - Are there signs of condensation present

  Yes

  No

  N/A

• Other - What action should be taken

  action required by tenant

  Action required by NGHA

• Other - Works to be undertaken

• Other - Is rot present

  Yes

  No

  N/A

• Other - What is the total number of radiators in this room

• Other - What is the number of storage / electrical heater in this room

• Other - What is the number of boilers in this room

• Other - What is the number of focal fires in this room

• Other - is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Other - is there mechanical extraction for ventilation in this room

  Yes

  No

  N/A

• Other - Are their windows in this room

  Yes

  No

  N/A

• Other - Are the windows double/ triple glazed

  Double glazing

  Triple glazing

  Single glazing

  N/A

• Other - Room dimensions

• Other - Room dimension M2

• Other - Floor covering condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Other - Floor covering material

  Select Laminate Vinyl Tiles Wood (engineered or solid) Carpet No coverings

  • Laminate
  • Vinyl
  • Tiles
  • Wood (engineered or solid)
  • Carpet
  • No coverings

• Flooring Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Other - Decoration condition?

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Other - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Other - Curtains condition

  Good

  Fair

  Poor

  N/A

• Asset Replacement Year - Windows ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

  Yes

  No

  N/A

• Other - Window blinds condition

  Good

  Fair

  Poor

  N/A

• Is the drinking water lead free

  Yes

  No

  N/A

• Are there smoke alarms fitted in the property

  Yes

  No

  N/A

• What rooms are they in (please select all that apply)

  Select Hallway Kitchen Living room Dining room Bedroom 0ne Bedroom two Bedroom three Bedroom four Bedroom five Bathroom Separate WC Storerooms Other

  • Hallway
  • Kitchen
  • Living room
  • Dining room
  • Bedroom 0ne
  • Bedroom two
  • Bedroom three
  • Bedroom four
  • Bedroom five
  • Bathroom
  • Separate WC
  • Storerooms
  • Other

• Is the alarm mains or battery powered - Hallway

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Kitchen

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Living Room

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Dining Room

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Bedroom One

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Bedroom Two

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Bedroom Three

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Bedroom Four

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Bedroom Five

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Bathroom

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Separate WC

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Storerooms

  Mains

  Battery

• Is the Alarm Mains or Battery powered - Other

  Mains

  Battery

• Is the roof space satisfactorily insulated

  Yes

  No

  No Access

  N/A

• Element Specification/Materials - Windows

  Select Timer window double glazed Timer window triple glazed PVC window double glazed PVC window triple glazed Timber - Alu clad double glazed Timber - Alu clad double glazed Metal framed windows Timber Nordan double glazed Timber Nordan triple glazed Timber Nordan double glazed alu clad Timber Nordan triple glazed alu clad Skaala timber alu clad double glazed Skaala timber alu clad triple glazed Skaala timber double glazed Skaala timber triple glazed Janex triple glazed windows alu clad

  • Timer window double glazed
  • Timer window triple glazed
  • PVC window double glazed
  • PVC window triple glazed
  • Timber - Alu clad double glazed
  • Timber - Alu clad double glazed
  • Metal framed windows
  • Timber Nordan double glazed
  • Timber Nordan triple glazed
  • Timber Nordan double glazed alu clad
  • Timber Nordan triple glazed alu clad
  • Skaala timber alu clad double glazed
  • Skaala timber alu clad triple glazed
  • Skaala timber double glazed
  • Skaala timber triple glazed
  • Janex triple glazed windows alu clad

• Element Condition - Windows

  Good

  Fair

  Poor

  New

  N/A

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

• Kitchen - are the windows functioning with ease and all seals intact?

  Yes

  No

  N/A

• Element Specification/Materials - External doors

  Select Solid core FD30 flush ply Solid core FD60 flush ply Solid core FD30 paneled door Solid core FD60 paneled door Hollow core 4 panel door Hollow core 5 panel door Hollow core 6 panel door Hollow core flush ply door Timber door paneled Timber door paneled and glazed Metal frame door glazed Metal framed door not glazed external timber door glazed External timber door not glazed solid core FD30 Koto doors solid core FD30 Koto doors - glazed Steel/aluminium external door Timber glazed

  • Solid core FD30 flush ply
  • Solid core FD60 flush ply
  • Solid core FD30 paneled door
  • Solid core FD60 paneled door
  • Hollow core 4 panel door
  • Hollow core 5 panel door
  • Hollow core 6 panel door
  • Hollow core flush ply door
  • Timber door paneled
  • Timber door paneled and glazed
  • Metal frame door glazed
  • Metal framed door not glazed
  • external timber door glazed
  • External timber door not glazed
  • solid core FD30 Koto doors
  • solid core FD30 Koto doors - glazed
  • Steel/aluminium external door
  • Timber glazed

• Element Condition - External doors

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - External wall finish

  Select Roughcast Render Brickwork Plasterboard, plaster and painted finish Timber cladding Cladding with insulation Roughcast with insulation Concrete No fines Rendered insulation timber cladding Foam tiles Artex Asbestos panels/ cladding etc

  • Roughcast
  • Render
  • Brickwork
  • Plasterboard, plaster and painted finish
  • Timber cladding
  • Cladding with insulation
  • Roughcast with insulation
  • Concrete
  • No fines
  • Rendered insulation
  • timber cladding
  • Foam tiles
  • Artex
  • Asbestos panels/ cladding etc

• Element Condition - External wall finish

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - Internal walls

  Select Roughcast Render Brickwork Plasterboard, plaster and painted finish Timber cladding Cladding with insulation Roughcast with insulation Concrete No fines Rendered insulation timber cladding Foam tiles Artex Asbestos panels/ cladding etc

  • Roughcast
  • Render
  • Brickwork
  • Plasterboard, plaster and painted finish
  • Timber cladding
  • Cladding with insulation
  • Roughcast with insulation
  • Concrete
  • No fines
  • Rendered insulation
  • timber cladding
  • Foam tiles
  • Artex
  • Asbestos panels/ cladding etc

• Element Condition - Internal Walls

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Internal walls ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Wall tiling

• Element Condition - Wall tiling

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Wall tiling ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Ceiling

  Select Roughcast Render Brickwork Plasterboard, plaster and painted finish Timber cladding Cladding with insulation Roughcast with insulation Concrete No fines Rendered insulation timber cladding Foam tiles Artex Asbestos panels/ cladding etc

  • Roughcast
  • Render
  • Brickwork
  • Plasterboard, plaster and painted finish
  • Timber cladding
  • Cladding with insulation
  • Roughcast with insulation
  • Concrete
  • No fines
  • Rendered insulation
  • timber cladding
  • Foam tiles
  • Artex
  • Asbestos panels/ cladding etc

• Element Condition - Ceiling

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - Flooring

  Select Chipboard/ caber w/ timber batons Timber floor boards w/ timber batons Concrete

  • Chipboard/ caber w/ timber batons
  • Timber floor boards w/ timber batons
  • Concrete

• Element Condition - Flooring

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - Skirting

  Select MDF Timber Plastic (PVC) Concrete Pendock

  • MDF
  • Timber
  • Plastic (PVC)
  • Concrete
  • Pendock

• Element Condition - Skirting

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - Internal doors

  Select Solid core FD30 flush ply Solid core FD60 flush ply Solid core FD30 paneled door Solid core FD60 paneled door Hollow core 4 panel door Hollow core 5 panel door Hollow core 6 panel door Hollow core flush ply door Timber door paneled Timber door paneled and glazed Metal frame door glazed Metal framed door not glazed external timber door glazed External timber door not glazed solid core FD30 Koto doors solid core FD30 Koto doors - glazed Steel/aluminium external door Timber glazed

  • Solid core FD30 flush ply
  • Solid core FD60 flush ply
  • Solid core FD30 paneled door
  • Solid core FD60 paneled door
  • Hollow core 4 panel door
  • Hollow core 5 panel door
  • Hollow core 6 panel door
  • Hollow core flush ply door
  • Timber door paneled
  • Timber door paneled and glazed
  • Metal frame door glazed
  • Metal framed door not glazed
  • external timber door glazed
  • External timber door not glazed
  • solid core FD30 Koto doors
  • solid core FD30 Koto doors - glazed
  • Steel/aluminium external door
  • Timber glazed

• Element Condition - Internal doors

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - Internal door facings

  MDF

  Timber

  Plastic (PVC)

  Concrete

  Pendock

• Element Condition - Internal door facings

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Internal door facings ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Kitchen units

  Select Magnet Howdens Wren JTC Ikea Unable to confirm manufacturer

  • Magnet
  • Howdens
  • Wren
  • JTC
  • Ikea
  • Unable to confirm manufacturer

• Element Condition - Kitchen units

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Kitchen units ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Kitchen sink

  Select Stainless steel Bowl Bowl and half Hot and cold tap Mixer tap Deck mounted tap Under mounted sink Moulded sink Tenants own sink

  • Stainless steel
  • Bowl
  • Bowl and half
  • Hot and cold tap
  • Mixer tap
  • Deck mounted tap
  • Under mounted sink
  • Moulded sink
  • Tenants own sink

• Element Condition - Kitchen sink

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Kitchen sink ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Bath

  1700mm steel bath

  1700mm acrylic - plastic bath

  1500mm steel bath

  1500mm acrylic - plastic bath

  Medical adaption

• Element Condition - Bath

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - Shower

• Element Condition - Shower

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - WC

• Element Condition - WC

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - WHB

• Element Condition - WHB

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - Cold water storage

• Element Condition - Cold water storage

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Cold water storage ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Hot water storage

• Element Condition - Hot water storage

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Hot water storage ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Insulation to HWT

• Element Condition - Insulation to HWT

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Insulation to HWT ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Insulation to pipes

• Element Condition - Insulation to pipes

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Insulation to pipes ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Radiators

  Select Single panel Double panel Triple panel Vertical radiator Towel rail (bathroom) Towel rail (Kitchen) Column radiator LST low surface temp radiator/ cover External flush ply fire door External panelled fire door Tenants own radiator

  • Single panel
  • Double panel
  • Triple panel
  • Vertical radiator
  • Towel rail (bathroom)
  • Towel rail (Kitchen)
  • Column radiator
  • LST low surface temp radiator/ cover
  • External flush ply fire door
  • External panelled fire door
  • Tenants own radiator

• Element Condition - Radiators

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - Boiler/Heat Source

  Select Vaillant boiler Worcester boiler Vokera boiler Sime boiler Ferroli boiler Ideal Boiler Potterton Baxi Danthos HIU District Heating

  • Vaillant boiler
  • Worcester boiler
  • Vokera boiler
  • Sime boiler
  • Ferroli boiler
  • Ideal Boiler
  • Potterton
  • Baxi
  • Danthos HIU District Heating

• Element Condition - Boiler/Heat Source

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Boiler/Heat Source ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Extractor fans

• Element Condition - Extractor fans

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Extractor fans ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Consumer unit

• Does the consumer unit have surge/ lightening protection?

  Yes

  No

  N/A

• Element Condition - Consumer unit

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Consumer unit ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Switches and sockets

  Select Metal face plates (chrome, satin, brass etc.) Plastic face plates Tenant own face plates and switches

  • Metal face plates (chrome, satin, brass etc.)
  • Plastic face plates
  • Tenant own face plates and switches

• Element Condition - Switches and sockets

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Switches and sockets ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Light fitting

  Select Concealed bathroom light Kitchen light LED strip Baton holder Ceiling pendant Spot lights LED Spot lights halogen Strip light kitchen florescent Tenant own fittings

  • Concealed bathroom light
  • Kitchen light LED strip
  • Baton holder
  • Ceiling pendant
  • Spot lights LED
  • Spot lights halogen
  • Strip light kitchen florescent
  • Tenant own fittings

• Element Condition - Light fitting

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Light fitting ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - TV aerial

• Element Condition - TV aerial

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - TV aerial ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Smoke detectors

• Element Condition - Smoke detectors

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Smoke detectors ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Element Specification/Materials - Door entry handset

• Element Condition - Door entry handset

  Good

  Fair

  Poor

  New

  N/A

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

• Element Specification/Materials - Telephone point

• Element Condition - Telephone point

  Good

  Fair

  Poor

  New

  N/A

• Element Replacement Year - Telephone point ( 0 is immediate, 1 is Year 1, 2 is Year 2 etc )

• Energy Efficiency Measures Current and improvements

What energy efficiency measures/ improvements are currently installed?

• undefined

  Select External walls render and insulation External cladding and Insulation Loft insulation Floating floor/ insulation Internal wall insulation Cavity wall insulation Solar panels PV panels Condensing boiler Thermostat Storage heaters Triple glazing LED lights in bathroom LED light in Kitchen Thermal breaks round windows Double glazing Low energy light bulbs

  • External walls render and insulation
  • External cladding and Insulation
  • Loft insulation
  • Floating floor/ insulation
  • Internal wall insulation
  • Cavity wall insulation
  • Solar panels
  • PV panels
  • Condensing boiler
  • Thermostat
  • Storage heaters
  • Triple glazing
  • LED lights in bathroom
  • LED light in Kitchen
  • Thermal breaks round windows
  • Double glazing
  • Low energy light bulbs

What energy efficiency measures/ improvements should be installed?

• undefined

  Select External walls render and insulation External cladding and Insulation Loft insulation Floating floor/ insulation Internal wall insulation Cavity wall insulation Solar panels PV panels Condensing boiler Thermostat Storage heaters Triple glazing LED lights in bathroom LED light in Kitchen Thermal breaks round windows Double glazing Low energy light bulbs

  • External walls render and insulation
  • External cladding and Insulation
  • Loft insulation
  • Floating floor/ insulation
  • Internal wall insulation
  • Cavity wall insulation
  • Solar panels
  • PV panels
  • Condensing boiler
  • Thermostat
  • Storage heaters
  • Triple glazing
  • LED lights in bathroom
  • LED light in Kitchen
  • Thermal breaks round windows
  • Double glazing
  • Low energy light bulbs