Information

  • Conducted on

  • Prepared by

  • Location
  • Current Contact Number and Email address

  • Household occupancy

  • Number of Bedrooms?

Hallway

  • Is there signs of damp or mould?

  • Description of works?

  • Photos

Additional repairs required?

Kitchen

  • Is there an extractor fan installed and working?

  • Is there signs of damp or mould

  • Description of works

  • Photos of defective areas

Additional repairs required?

Bathroom / WC

  • Is there an extraction fan installed and working?

  • Is there signs of damp or mould

  • Description of works

  • Photos of defective areas

Additional repairs required?

Lounge

  • Is there signs of damp or mould

  • Description of works?

  • Photos of defective areas

Additional repairs required?

Dining room

  • Is there signs of damp or mould?

  • Description of works?

  • Photos of defective areas?

Additional repairs required?

Bedroom 1

  • Is there signs of damp or mould

  • Description of works

  • Photos of defective areas?

Additional repairs required?

Bedroom 2

  • Is there signs of damp or mould?

  • Description of works?

  • Photos of defective areas?

Additional repairs required?

Bedroom 3

  • Is there signs of damp or mould?

  • Description of works?

  • Photos of defective areas

Additional repairs required?

Bedroom 4

  • Is there signs of damp or mould?

  • Description of works?

  • Photos of defective areas

Additional repairs required?

Other areas

  • Area?

  • Is there damp or mould?

  • Description of works?

  • Photos of defective areas

Tenants conformation of understanding

  • I confirm the Stevenage Brough representative has given me an overview of any planned works, supportive advise or documentation serving as a written record of today’s Inspection. It provides a clear and concise summary of any discussions taken place to avoid any misunderstandings in the future.

  • Add signature

Sign off

  • Add signature

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.