Information
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Job No.
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Client
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Site
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Location
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Conducted on
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Prepared by
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Add signature
Mechanical extract fans
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Extractor
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Location
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Is fan working correctly
Roof
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Roof coverage type
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Roof condition
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Recommendation
Rainwater, Gutters, Valleys & Downpipes
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Are all rainwater elements in good working order
Gully’s & Drain Clearance
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Are all gully's and drains in working order
Hot Water Temp Checks & Flushing
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Communal bathroom TMV check
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bath
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basin
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shower
En-suite TMV check
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bath
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basin
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shower
Kitchen TMV check
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Main sink
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Hand wash basin
Bedroom basin TMV check
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Hand wash basin
Emergency Lighting check
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Drop Test duration
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Pass or Fail
Fixed Electrical Test
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Test result
Additional Distribution Boards
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dis board
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Location
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Test Results
Mechanical extract fans
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Extractor
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Location
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Is fan working correctly
PAT testing
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appliance
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Door checks
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External door
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External
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Recommendation
Bedroom door
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Bedroom
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Recommendation
Bathroom/En-suite door
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Bathroom/En-suite
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Recommendation
Lounge door
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Lounge
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Recommendation
Kitchen door
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Kitchen
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Recommendation
Other door
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Other
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Recommendation
Windows
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Window
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Which room is the window in?
- porch
- bedroom
- lounge
- kitchen
- bathroom
- garage
- dining room
- other
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- bedroom 1
- bedroom 2
- bedroom 3
- bedroom 4
- bedroom 5
- bedroom 6
- bedroom 7
- bedroom 8
- bedroom 9
- bedroom 10
- bedroom 11
- bedroom 12
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Is the window working correctly
