Title Page
-
Survey Address
-
Full Address
-
Conducted on
-
Prepared by Rik Henebury
Property & Tenant Details
Property & Tenant Details
-
Tenant Name:
-
Contact Number:
-
Property Type:
- 1 Bed Bungalow
- 2 Bed Bungalow
- 3 Bed Bungalow
- 4 Bed Bungalow
- 1 Bed House
- 2 Bed House
- 3 Bed House
- 4 Bed House
- 5 Bed House
- 1 Bed GFF
- 2 Bed GFF
- 3 Bed GFF
- 1 Bed FFF
- 2 Bed FFF
- 3 Bed FFF
- 1 Bed Tower Block
- 2 Bed Tower Block
- 3 Bed Tower Block
- 1 Bed Maisonette
- 2 Bed Maisonette
- 3 Bed Maisonette
- Commercial Property
-
Electrical Work Ordered
- Full Rewire
- Partial Rewire
- Kitchen Upgrade
- Electrical Upgrade
- Heat Detector Upgrade
- Main Earthing Upgrade
- Partial + Cooker
- S/A Rewire
-
Socket & Switch height
- 450mm Sockets 1070mm Kitchen Sockets 1200mm Switches
- 1000mm Sockets 1200mm Switches
-
Photo's/General Appliances/Any Damages/Anything of interest
Rewire Details
Additional Kitchen Information
-
Tiles To Be Removed In Kitchen
-
Kitchen Units To Be Removed
-
Does the property have a gas cooker
-
Extrator Hood To Wire For
-
Kitchen Extractor Fan
-
Does the property have kitchen spotlights
-
Does the property have any outhouses
Bathroom
-
Spotlights<br>
-
Bathroom Extractor Fan
-
Does the property have an electric shower
Tenants Property
-
Does the property have Laminated flooring
-
Does the property have the loft boarded
-
Are there any additional electrics that need reconnecting
Tenants Signature
Tenant Agreement & Disclaimer
-
Disclaimer: a) I fully Understand What Information I Have Been Given Today With Regards To The Rewire And What It Entails. b) I Also Agree to Move Items I Have Been Asked , For Safe Keeping, to include (Laptops/PCs/Tablets/Consoles/Mobile Devices/Furniture/White Goods) Where Applicable c) I Am Fully Aware That The Walls Will Be Chased Out And Damage Will Occur To Decoration Where Unavoidable d) I Am Aware There Will Be Residue Dust In the Air After The Rewire Is Completed, And After Dust Sheets Have Been Removed And Property Vacuum Cleaned e) I am aware pictures and a digital Information package as been collated during the survey f) I fully understand the Health & Safety risks that maybe present if i remain in the property whilst the works are undertaken. I accept that I have been advised of the dangers but would still like to stay at my own risk.
- Yes I Accept The Disclaimer
- No
- Somebody Else Will Move It On My Behalf
- I Am Refusing To Move Any Items
- I Am The House Occupier Registered With New Charter
- I Am A Family Member
- I Am A Neighbour
- I Am The Partner
-
Date:
-
Signature:
Access On Rewire Day
-
Access Information:
Exit On Rewire Day
-
Exit Information:
-
Rewire date agreed:
Rewire Follow Up
Tenants Rewire Experience
-
Tenants Experience Of Electricians & Plasterers Working In Property
- Helpful
- Unhelpful
- Treated My Property With Respect
- Treated My Property Without Any Respect
- Tidy
- Left My Home Without Cleaning Up Properly
- Left Items Not Working
- Left My Garden With Rewire Debris
- Plasterer Was Polite And Helpful
- Unhelpful
- Tidy
- Plasterer Left My Home Without Cleaning Up Properly
- Plasterer Left Debris In My Garden
-
Score Out Of 10 (10 Being The Highest Score)
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
-
Any Addition Comments By Tenant?
Claim For Damage
-
Without Predudice
I accept the amount above as full and final settlement for my alledged claim for damage during the electrical works in my home.
I accept the goodwill gesture offered by MRES LTD without acceptance of liability for the alleged damage during the works. -
-
Name
-
Signature
-
Date
-
Witnessed By MRES Supervisor
-
Signature