Title Page
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Site conducted
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Conducted on
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Prepared by
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Property Address
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Key Number
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Tenant Name
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Tenancy Start Date
Property Info
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Gas Safety Certificate Date Due
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Legionella Risk Assessment
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Legionella Leaflet Received
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Fuel System
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Carbon Monoxide Detector
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Detector Working
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Detector Expiry Date
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Smoke Alarms
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Alarm locations
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Tenant Present
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Central Heating Working
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Electricity Supplier
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Gas Supplier
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EPC Rating
- A
- B
- C
- D
- E
- F
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EPC Expiry Date
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Environmental Rating
Tenants
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Other People Living There
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Details
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Approved By Landlord
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Pets
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Details
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Approved By Landlord
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Internal Changes
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Details
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Approved By Landlord
Internal Maintenance
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Carpets/Flooring
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Walls
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Windows
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Doors
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Ceiling
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Sealant Kitchen
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Sealant Bathroom
External Maintenance
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Garden Front
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Garden Rear
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Gutters
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Windows
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Roof
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Rendering
Other Info
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Tenancy Renewal
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Tenancy Term in Months
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Periodic Tenancy
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Other Comments
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Tenant Signature
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Inspector Signature