Pre-Inspection report - GM

• Conducted on

  Date

• Reference Number

• Title

• Name

• Address
  Address

• Email address

• Mobile number

• Are you named on the tenancy agreement?

  Yes

  No

• National Insurance number

• Date of birth

The people in the home

• Is it a joint tenancy?

  Yes

  No

• Who else is named on the tenancy agreement?

Additional people on the tenancy agreement

• Full Legal Name

• Date of birth

• Email address

• National Insurance number

• How many occupants are there in the property?

  Select One Two Family of 3 Family of 4 Family of 5 Family of 6 More than 6

  • One
  • Two
  • Family of 3
  • Family of 4
  • Family of 5
  • Family of 6
  • More than 6

• What date did the tenancy agreement start?

• When does the tenancy end?

• Have you reported this matter to any other company to investigate?

  Yes

  No

• What is the present position?

• Are you in temporary accommodation?

  Yes

  No

• How much is the rent monthly?

• Do you have any arrears?

  Yes

  No

• How much are the arrears?

• Do you have an arrangement to pay?

  Yes

  No

• How much are you repaying per month?

• Is there anything else such as a dispute or potential court appearance that may affect your relationship with your landlord?

  Yes

  No

• Please give details

• Do you currently contribute to your rent?

  Yes

  No

• How much do you contribute monthly?

• Is anyone in your home considered to be vulnerable because of their health of other issues?

  Yes

  No

• Is there a support worker?

  Yes

  No

About the problems in your home

• Briefly, what is the problem in your home?

• When did you first notice this problem?

• When did you first report it?

• Has the landlord been out to assess the situation?

  Yes

  No

• What was the outcome / their assessment?

• Has the landlord made any arrangements to make good the repairs?

  No

  Yes

  Claimed they would but didn't

  Has arranged to do so

• What repairs did they make?

• When did they do this?

• Did this solve the problem?

  Yes

  No

• Have you made any repairs?

  Yes

  No

• What repairs have you done and what was the cost?

• Do you have any receipts?

Damp

• Is there damp or mould in the property?

  Yes

  No

• Which of these has the landlord supplied you with?

  Select Dehumidifier Ventilation / extractor Documentation on controlling damp Advice on reducing condensation

  • Dehumidifier
  • Ventilation / extractor
  • Documentation on controlling damp
  • Advice on reducing condensation

• In what room is any clothes dryer regularly used?

• Are you able to keep the house warm when it is cold?

  Yes

  No

  Sometimes

• Have you moved any loft insulation during your occupation of the premises

  Yes

  No

  Not sure/ Need to check

• Are there any pipes leaking

  Yes

  No

• How long for?

• Are there any tiles missing from the roof?

  Yes

  No

• Are there any gutters leaking?

  Yes

  No

• Is there mould on internal walls

  Yes

  No

• Is there mould on internal ceilings?

  Yes

  No

Summary of damage

• What issues do you have within the home?

  Select Mould in the home Walls / ceilings damp to the touch Staining to walls Staining to ceilings Cracks to walls / ceilings Gaps around external door(s) Soft / water damaged floors Hole(s) in ceiling (s) Leak from a neighbouring property Leak from within your property N/A

  • Mould in the home
  • Walls / ceilings damp to the touch
  • Staining to walls
  • Staining to ceilings
  • Cracks to walls / ceilings
  • Gaps around external door(s)
  • Soft / water damaged floors
  • Hole(s) in ceiling (s)
  • Leak from a neighbouring property
  • Leak from within your property
  • N/A

• What issues are you aware of outside your home?

  Select Cracked / damaged render Cracked / pitted bricks Holes and cracks in mortar Broken or damaged guttering Broken or damaged pipes N/A Broken/Damaged soffits or roofline

  • Cracked / damaged render
  • Cracked / pitted bricks
  • Holes and cracks in mortar
  • Broken or damaged guttering
  • Broken or damaged pipes
  • N/A
  • Broken/Damaged soffits or roofline

• Do your windows or doors have any of the following issues

  Select Cracks in panes Broken / cracked seals inside Broken / cracked seals outside Stiff / broken opening mechanism Broken lock Visible gaps to surrounds N/A

  • Cracks in panes
  • Broken / cracked seals inside
  • Broken / cracked seals outside
  • Stiff / broken opening mechanism
  • Broken lock
  • Visible gaps to surrounds
  • N/A

• Which rooms have windows / external doors affected by these issues

  Select Living room Hallway Kitchen Bathroom Toilet Bedrooms

  • Living room
  • Hallway
  • Kitchen
  • Bathroom
  • Toilet
  • Bedrooms

• Have you reported all of these issues to your landlord?

  Yes

  No

• What items have you not reported?

• Which of these is of greatest concern? (You can choose more than one)

Reporting

• Name of landlord

• Address of landlord
  Address

• How many times have you reported this problem to the landlord?

• Do you have any records of your complaints? Letters, records of phone calls, texts or emails?

The building

• Type of property

  Select Semi-detached bungalow Detached bungalow End of terrace Mid terrace Semi-detached house Detached house Townhouse Maisonette Flat (basement) Flat (ground floor) Top floor flat Flat (other)

  • Semi-detached bungalow
  • Detached bungalow
  • End of terrace
  • Mid terrace
  • Semi-detached house
  • Detached house
  • Townhouse
  • Maisonette
  • Flat (basement)
  • Flat (ground floor)
  • Top floor flat
  • Flat (other)

• What floor are you on?

• How many bedrooms?

  Select 1 2 3 4 5 6 or more

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6 or more

• How many bathrooms / toilets?

  1

  2

  3

  4 or more

• Known insulation

  Select Loft Cavity wall insulation External wall insulation Internal wall insulation Uncertain Not known

  • Loft
  • Cavity wall insulation
  • External wall insulation
  • Internal wall insulation
  • Uncertain
  • Not known

• What type of glazing does the property have?

  Select Triple glazing Double glazing Single glazing A combination of different styles

  • Triple glazing
  • Double glazing
  • Single glazing
  • A combination of different styles

Room detail

• Is there an extractor fan in your kitchen?

  Yes

  No

• Does it work?

  Yes

  No

• Photo of extractor fan

  Media

• Is there an extractor fan in your main (or affected) bathroom / shower room?

  Yes

  No

• Does it work?

  Yes

  No

• Photo of extractor fan

  Media

Affected areas

• Living Room

• Images of Living Room

  Media

• What damage / disrepair is evidenced in the above photos?

• The external photo that shows this room

  Media

• Kitchen

• Images

  Media

• What damage / disrepair is evidenced in the above photos?

• The external photo which shows this room

  Media

• Bathroom

• Images

  Media

• What damage / disrepair is evidenced in the above photos?

• The external photo which shows this room

  Media

• Hallway

• Images of Hallway

  Media

• What damage / disrepair is evidenced in the above photos?

• The external photo that shows this room

  Media

• Bedrooms

Bedroom

• Images

  Media

• What damage / disrepair is evidenced in these photographs

• External photo of this room

  Media

• Additional areas

• Images

  Media

• What damage / disrepair is evidenced in the above photos?

• External photos of this room

  Media

The impact on you and your family

• Has any damage been caused to personal property by the issues complained of? (For example clothing, linen, soft furnishings)

  Yes

  No

  Not sure/ Need to check

• Please list items damaged with a description original cost price, age, replacement price

• Have the issues complained about affected your ability to use and enjoy the property?

  Yes

  No

  Unsure

• Have the issues prevented you from having visitors?

  Yes

  No

• Have the issues complained about affected your, or other occupants permanently residing at the property, physical or mental health?

  Yes

  No

• Please provide detail of who and the problems suffered?

• What out of pocket expenses have been suffered that are directly attributed to the issues complained of?

The heating system in your home

• Is there a boiler?

  Yes

  No

• Where is it located?

  Select Wall mounted in kitchen Floor standing in kitchen Wall mounted in a first floor room In the airing cupboard Wall mounted in room

  • Wall mounted in kitchen
  • Floor standing in kitchen
  • Wall mounted in a first floor room
  • In the airing cupboard
  • Wall mounted in room

• What type of room heating is in the property?

  Select Gas central heating with radiators throughout Gas central heating with radiators in ground floor only Gas central heating with radiators in upstairs rooms only Oil storage heaters to ground floor only Oil storage heaters to upstairs rooms only Electric storage heaters Open coal fire Underfloor heating Warm air/heat pumps Combination of styles Not sure

  • Gas central heating with radiators throughout
  • Gas central heating with radiators in ground floor only
  • Gas central heating with radiators in upstairs rooms only
  • Oil storage heaters to ground floor only
  • Oil storage heaters to upstairs rooms only
  • Electric storage heaters
  • Open coal fire
  • Underfloor heating
  • Warm air/heat pumps
  • Combination of styles
  • Not sure

• Is the heating system and all the components in full working order?

  Yes

  No

  Sometimes

• Do you have an up to date gas safety inspection certificate?

  Yes

  No

• When was the last time your boiler had a service from landlord?

Declaration

• PLEASE READ TO CLIENT:
  WE ARE ABOUT TO COMPLETE A DECLARATION CONFIRMING OUR CONVERSATION, A SUMMARY OF DAMAGE TO YOUR PROPERTY AND YOUR CONFIRMATION OF ACCURACY AND TRUTH.
  TO REMIND YOU - ALL CALLS ARE RECORDED FOR TRAINING AND QUALITY PURPOSES

• Do you confirm that everything that you have told me today has been true and accurate?

  Yes

  No

• In summary you have reported to us the following issues inside your property that you have reported to your landlord more than 12 weeks ago and they have failed to resolve?

  Select Mould in the home Walls / ceilings damp to the touch Staining to walls Staining to ceilings Cracks to walls / ceilings Gaps around external door(s) Soft / water damaged floors Hole(s) in ceiling (s) Leak from a neighbouring property Leak from within your property N/A

  • Mould in the home
  • Walls / ceilings damp to the touch
  • Staining to walls
  • Staining to ceilings
  • Cracks to walls / ceilings
  • Gaps around external door(s)
  • Soft / water damaged floors
  • Hole(s) in ceiling (s)
  • Leak from a neighbouring property
  • Leak from within your property
  • N/A

• In summary you have reported the following issues to us outside your property that you have reported to your landlord more than 12 weeks ago and they have failed to resolve?

  Select Cracked / damaged render Cracked / pitted bricks Holes and cracks in mortar Broken or damaged guttering Broken or damaged pipes N/A Broken/Damaged soffits or roofline

  • Cracked / damaged render
  • Cracked / pitted bricks
  • Holes and cracks in mortar
  • Broken or damaged guttering
  • Broken or damaged pipes
  • N/A
  • Broken/Damaged soffits or roofline

• Of these issues, which, in your mind, has the biggest impact on your ability to enjoy your property?

• You can confirm that we have discussed your whole home including areas which you may not have initially had in mind when you contacted us

  Yes

  No

• You are happy that the damage we have discussed is a true and fair reflection of the condition of your home and the repairs that are necessary to restore your home to a habitable condition?

  Yes

  No