Title Page

  • Branch Number

  • Store Name

  • Conducted on

  • Surveyor

  • Location
  • Weather at time of survey

  • Number of floors within premises

  • Listed building

  • Are there signs of damp within the premises

  • Are the roofs free from leaks

  • Is fire separation in place to premises demise

Building Fabric & External Areas

External Appearance

  • Signage

  • Include any photos

  • Window Frames and Glazing<br>

  • Include any photos

  • Window Graphics

  • Include any photos

  • Entrance Doors

  • Include any photos

  • Shutters

  • Include any photos

  • Front Elevation

  • Include any photos

  • Side Elevation A

  • Include any photos

  • Side Elevation B

  • Include any photos

  • Rear Elevation

  • Include any photos

Roofs and Gutters

  • Roofs

  • Include any photos

  • Flat Roofs

  • Include any photos

  • Gutters and Rainwater Goods

  • Include any photos

External Paved Areas to the front and sides

  • Store Entrance Approach

  • Include any photos

  • External Drainage

  • Include any photos

Rear Yard/Delivery Areas

  • Goods Delivery Area Hardstanding

  • Include any photos

  • External Drainage

  • Include any photos

Internal Fabric

Shopfloor General Fabric

  • Walls

  • Include any photos

  • Flooring

  • Include any photos

  • Ceiling

  • Include any photos

  • Ceiling Voids

  • Include any photos

  • Sales Desks and Joinery

  • Include any photos

  • Foreign Exchange Bureau

  • Include any photos

  • Doors

  • Include any photos

Back of House Areas

    Room
  • Name of Room

  • Floor Location

  • Walls

  • Include any photos

  • Flooring

  • Include any photos

  • Ceiling

  • Include any photos

  • Ceiling Voids

  • Include any photos

  • Windows

  • Include any photos

  • Doors

  • Include any photos

  • Fixtures and Fittings

  • Include any photos

Services Water

  • Water Isolating Valve

  • Water Isolating Valve Location

  • Include any photos

Electrical services

  • Distribution Boards<br>

  • Include any photos

Gas Services

  • Gas Isolating Valve <br>

  • Include any photos

Observations & Other Actions for Follow Up

Use this Section for further observations

    Observation
  • Observation Details

  • General Condition

  • Include photos

Further investigative works to instruct

    Enter further specialist or access requirements on the back of the visit
  • Description of further investigation required

Sign-off Section

Sign-off

  • Signature of Surveyor

  • Add signature

  • This report has been prepared by a surveyor ('the Employee') on behalf of a firm or company of surveyors ('the Employer'). The statements and opinions expressed in this report are expressed on behalf of the Employer who accepts full responsibility for these. Without prejudice and separately to the above, the Employee will have no personal liability in respect of any statements and opinions contained in this report, which shall at all times remain the sole responsibility of the Employer to the exclusion of the Employee.

  • Inspection Complete

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.