Title Page
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Conducted on
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Building Consultancy Reference
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Surveyor
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Property Address
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Customer Name
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Contact Number (for access to property)
Key Details
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Contractor
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Contractor Contact Name
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Contractor Contact Number
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Initial Net Reinstatement Cost Estimate (excludes fees, asbestos testing and removal, investigation costs etc)
- £0 to £10,000
- £10,001 to £20,000
- £20,001 to £30,000
- £30,001 to £40,000
- £40,001 to £50,000
- £50,001 to £75,000
- £75,001 to £100,000
- £100,001 to £125,000
- £125,001 to £150,000
- £150,001 to £200,000
- £200,001 to £250,000
- £250,001 to £300,000
- Above £300,000
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Earliest Start Repair Date (subject to completion of investigations, approvals and formal appointment)
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Date for delivery of Repair Planning Report and Cost Certain Schedule
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CDM Client Status?
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The Construction (Design & Management) Regulations 2015, require the appointment of a Principal Designer and Principal Contractor to manage health and safety during the design and construction stages. As per our discussion Sedgwick will carry out the Principal Designer duties, the cost of which is covered under your insurance policy. A leaflet can be provided if you require further information.
We will investigate and advise on the need for necessary statutory approvals. -
The Construction (Design & Management) Regulations 2015, require the appointment of a Principal Designer and Principal Contractor to manage health and safety during the design and construction stages of your repair respectively. Sedgwick can carry out the Principal Designer duties subject to your formal instructions, the cost of which is covered under your insurance policy. A leaflet can be provided if you require further information.
We will investigate and advise on the need for necessary statutory approvals. -
Is there anything that the loss adjuster needs to clarify? (if yes add notes)
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Is there any other key information which you wish to detail? (unique construction, site challenges etc)
Investigations/Opening Up Works
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Will the investigation works require the contractor to provide a Construction Phase Plan? (for reference, electrical and heating testing will not, unless you are aware of opening up works required to complete the testing)
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Key Safe required?
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Who is to install the key safe?
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Date due
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Electrical test required (if Yes define extent of test)
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Define the extent of test and if costs are required for works.
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Date due
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Add photos as appropriate
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Heating/Plumbing Test required? (if Yes define extent and location/areas to be tested)
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Define extent of test and location areas to be tested.
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Date due
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Add photos as appropriate
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Do windows need replacing (if yes define date for return of quote on like for like basis)
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Should a test clean be completed first before confirming that the windows need replaced?
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confirm which windows require a quotation for replacement
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date required
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Add photos as appropriate
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Is a like for like kitchen quote required?
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Are any items to be excluded from the quote (wall units, appliances etc)?
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Date required
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Add photos as appropriate
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Is a like for like bathroom suite quote required?
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Are any items to be excluded from the quote?
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Date required
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Add photos as appropriate
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Is a R&D Asbetos test required
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If an R&D survey is required then the surveyor must complete the Oriel instruction form to enable SCI to complete the necessary works
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Are any opening up works required
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Location and extent of opening up works
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Date due
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Additional investigations/opening up works?
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Location and extent of opening up works
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Date due
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Additional investigations/opening up works?
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Location and extent of opening up works
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Date due
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Additional investigations/opening up works?
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Location and extent of opening up works
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Date due
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Additional investigations/opening up works?
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Location and extent of opening up works
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Date due
Decoration Schedule
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Date that customer should provide choices to avoid delaying start on site
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Room 1
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Name of Room:
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Floor
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Walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 2
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Name of Room
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Floor
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Walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 3
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Name of room:
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Floor
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Walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 4
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Name of room:
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Floor
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Walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 5
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 6
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 7
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 8
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 9
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 10
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 11
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 12
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 13
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 14
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 15
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 16
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 17
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate
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Room 18
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Room Name:
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Floor
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walls
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Ceiling
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Woodwork
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Add photos as appropriate