Title Page
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Form
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Site Conducted
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Conducted on
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Prepared by
External evidence.
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Area of damage.
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Area of survey.
- Approaching road
- Entrance road
- Entrance gates
- Fencing.
- Grass areas
- Existing cables/Services
- Internal carpark
- Internal pathways
- Internal paving areas
- Internal road ways
- Other
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Damaged gates/post
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Damaged electrics/arm
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Closing clasp or drop bars
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Insert photos.
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Railings or posts.
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School signage - planted areas?
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Insert photos
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Damaged areas/sunken or wheel damage
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Insert photos
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Cable condition.
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Cable restraints/brackets.
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Insert photos
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Select area with defect.
- Poor surface
- Potholes
- Manholes damaged
- Kerb damage
- Surface damage.
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Insert photos
Internal evidence
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Area with damage
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Area of Survey
- Ceiling condition
- Internal Walls
- Doors
- Flooring
- Entry points
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Ceiling grid
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Ceiling tiles
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Trap doors/service hatches.
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Existing fire stopping
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Insert photos
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Marks or scrapes
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Damage to plasterwork.
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Condition of existing containment.
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Existing clipped services.
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Existing fire stopping
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Insert photos
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Marks or scraps
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Ironmongery
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Closing/opening issue
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Insert photos
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Marks or scraps on flooring
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Stains or tears on carpets of vinyls
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Any existing damage to trims/cover slips?
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Insert photos
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Existing damage at entry points (internal/external)
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Existing fire stopping
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Insert photos
Miscellaneous items.
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Item with damage.
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Description of item.
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Photo evidence.
Procon Sign off
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Signature
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Premises manager or care taker.