SPC Damp and Mould Inspection Form

• Document No.

DAMP AND MOULD INSPECTION REPORT

• Date of Inspection

  Date

• Surveyor

• TotalRepairs Job Number

• Resident's name

• Resident's contact number

• Address
  Address

• Photos

  Media

• Reported defect

• Heating Type

  Select Gas Central Heating with TRVs Electric Oil

  • Gas Central Heating with TRVs
  • Electric
  • Oil

• Ventilation present?

  Yes

  No

  N/A

• Type?

• Insulation?

  Yes

  No

  N/A

• Windows

  Select Double Glazed Single Glazed uPVC Timber Aluminium

  • Double Glazed
  • Single Glazed
  • uPVC
  • Timber
  • Aluminium

• Inspection findings:

• Summary Conclusion / Outcome

• Actions

• Surveyor

  Sign

IA-04-25