NP INSPECTIONS L

• Conducted on

  Date

• Prepared by

• Select date

  Date

• Property address

• Provider

• Occupant name

• Occupant ID verified (type)

• Client signature

  Sign

• Self contained or shared

Kitchen

• Cooker with 4 burners, oven grill

  Yes

  No

  N/A

• Sink and drainer set on a base unit

  Yes

  No

  N/A

• Worktop

  Yes

  No

  N/A

• Storage cupboard

  Yes

  No

  N/A

• Refrigerator

  Yes

  No

  N/A

• Two double amp electrical power sockets

  Yes

  No

  N/A

• Comments

• Add media

  Media

Bathroom

• Bath

  Yes

  No

  N/A

• Shower unit

  Yes

  No

  N/A

• Wash hand basin

  Yes

  No

  N/A

• Sufficient ventilation

  Yes

  No

  N/A

• Minimum of WC 1 (for every 5 residents)

  Yes

  No

  N/A

• Comments

• Add media

  Media

Living room

• Furniture and fittings (acceptable standard and well maintained

  Yes

  No

  N/A

• Good standard of repair, cleanliness and decoration

  Yes

  No

  N/A

• Comments

• Add media

  Media

Hallway, stairs an landing

• Good standard of repair, cleanliness and decoration

  Yes

  No

  N/A

• Comments

• Add media

  Media

Bedroom 1-4

• Good standard, cleanliness and decoration

  Yes

  No

  N/A

• Furniture and fittings - acceptable standard and well maintained

  Yes

  No

  N/A

• Comments

• Add media

  Media

Fire safety - check that in working order

• Smoke alarm - mains wired

  Yes

  No

  N/A

• Carbon monoxide detector

  Yes

  No

  N/A

General

• Sufficient refuse storage facilities

  Yes

  No

  N/A

• Free from pest infestation throughout

  Yes

  No

  N/A

• Windows (including frames, catches, hinges and opening limiters)

  Yes

  No

  N/A

• Comments

• Level of disrepairs identified?

  Extreme

  Minor

  None

• Additional information

• Officer signature

  Sign