Title Page

  • Scheme name

  • Scheme number

  • Conducted on

  • Prepared by


  • Type of building ?

  • Number of floors ?

  • Number of lifts?

  • Number of stairwells ?

  • Number of entrances ?

  • Floor covering ?

Internal doors

  • Number of doors with glass ?

  • Number of doors without glass ?

Communal Windows

  • Number of small windows ?

  • Number of medium Windows ?

  • Number of large windows ?

Foot fall

  • Does it need cleaning more than once a week ?

  • Does it need cleaning less than once a week ?

Additional Rooms

  • Number of laundry rooms

  • If so, what block ?

  • Customer external lockable area ?

  • Customer internal lockable area ?

  • If so, what block ?

  • Communal lounges ?

  • If so, what block ?

  • Communal kitchens ?

  • If so, what block ?

  • No of workshop and / or caretaker stores ?

  • If so, what block ?

  • Additional communal space ?

  • If so, what block ?

  • Additional communal space description:


  • Number of bin chute rooms ?

  • Number of bin stores ?

  • Are we responsible for taking out the bins ?

Additional questions

  • Number of taps requiring legionella flush ?

  • Number of showers requiring legionella flush ?

  • Fire alarm require testing ?

  • Car park ?

  • Playground ?

  • How well does the customers look after the block ?

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