Title Page
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Branch Number
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Store Name
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Conducted on
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Surveyor
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Location
Building Fabric & External Areas
External Appearance
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Signage-<br>Is the fascia and signage clean, presentable and free from defects?
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Describe any damage or remedial works required
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Include any photos
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Window Frames-<br>Are the window frames free from Defects?
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Describe any damage or remedial works required
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Include any photos
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Window Graphics-<br>Are window graphics clean and free from Defects?
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Describe any damage or remedial works required
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Include any photos
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Entrance Doors-<br>Are the entrance Doors frames free from Defects?
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Describe any damage or remedial works required
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Include any photos
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Shutters to the store ?<br>< Slide the indicator to the right if yes
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Are shutters operational and in good condition?
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Describe any damage or remedial works required
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Include any photos
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Glazing-<br>Is the Glazing free from Defects?
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Describe any damage or remedial works required
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Include any photos
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External decorations-<br>Are decorations in sound condition and free from flaking paint ?
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Describe any damage or remedial works required
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Include any photos
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Main Structure-<br>Is the main structure (walls etc.) free from visible defects?
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Describe any damage or remedial works required
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Include any photos
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Note :If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.
Roofs and Gutters
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Roofs-<br>Visually, do the roof areas look in good condition i.e. <br>If pitched No slipped tiles/slates, missing ridge tiles etc.?<br>If flat no cracks damaged felt or coatings ?
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Roof- What type of roof is it?
- Pitched - Slate/Tiles
- Pitched - Sheet
- Flat - Felt
- Flat - Membrane/ liquid coating
- Asphalt
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Describe any damage or remedial works required
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Roof- What type of roof is it?
- Pitched - Slate/Tiles
- Pitched - Sheet
- Flat - Felt
- Flat - Membrane/ liquid coating
- Asphalt
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Include any photos
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Gutters-<br>Are gutters free from defects and clear of debris?
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Describe any damage or remedial works required
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Include any photos
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RWP-<br>Are downpipes free from defects and drain covers in place?
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Describe any damage or remedial works required
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Include any photos
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Flat roof area- ?<br>< Slide the indicator to the right if yes
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Flat Roof-<br>If flat roof areas are accessible; are they free from defects and are drain covers clear and in-situ?
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Describe any damage or remedial works required
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Include any photos
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Note :If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.
External Paved Areas to the front and sides
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Pavements-<br>Are the pavement areas free from potholes and trip hazards?
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Describe any damage or remedial works required
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Include any photos
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External Drainage-<br>Are the drains/ Gullies in good condition, running clear and visually free from blockages?
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Describe any damage or remedial works required
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Include any photos
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Note :If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.
Rear Yard/Delivery Areas
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Goods Delivery area-<br>Is the rear yard/goods delivery area free from potholes and trip hazards?
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Describe any damage or remedial works required
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Include any photos
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External Drainage-<br>Are the drains/ Gullies in good condition, running clear and visually free from blockages?
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Describe any damage or remedial works required
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Include any photos
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External Lighting-<br>Is the external lighting in good order and suitable?
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Describe any damage or remedial works required
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Include any photos
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Note :If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.
Landscaping
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Trees Shrubs-<br>Are trees/bushes/shrubs maintained to an acceptable condition?
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Describe any damage or remedial works required
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Include any photos
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Weed control-<br>Is the general area free from weeds?
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Describe any damage or remedial works required
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Include any photos
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Litter/ Rubbish-<br>Is the area free from litter build up?
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Describe any damage or remedial works required
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Include any photos
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Note :If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.
Internal Fabric
Shopfloor General Fabric
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Entrance Mat-<br>Is there an entrance mat? <br>< Slide the indicator to the right if yes
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Is it free from defect and trip hazards?
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Describe any damage or remedial works required
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Include any photos
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Flooring-<br>Is the floor free from defects and trip hazards?
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What type of flooring is it?
- Vinyl - Tile
- Vinyl - Wood Effect
- Vinyl - Sheet
- Ceramic/ stone Tile
- Carpet/Carpet Tiles
- Quarry Tile
- Concrete
- Resin
- Other
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Describe any damage or remedial works required
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Include any photos
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Ceiling-<br>Is the ceiling clean and free from defects and signs of leaks?
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What type of ceiling is it?
- Plastered & Painted
- Suspended 600 x 600 grid
- Suspended 1200 x 600
- Suspended - other
- none
- Other
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Describe any damage or remedial works required
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Include any photos
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Sales floor lighting-<br>Are light fittings working and any missing lamps
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What type of lighting is on the shop Floor?
- LED
- Spotlights
- T5 Fluorescent
- T8 Fluorescent
- T12 Fluorescent
- Standard Light Bulb
- Other
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Have any lamps failed <br>< Slide the indicator to the right if yes
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Number of failed lamps
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Describe any damage or remedial works required
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Include any photos
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HVAC-<br>Are AC & ceiling mounted discharge/extract grilles clean?
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Describe any damage or remedial works required
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Include any photos
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Wall Panels-<br>Is Slat wall cladding / Ferrule panels free from defects?
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Describe any damage or remedial works required
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Include any photos
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F&F-<br>Condition of perimeter uprights and lose F&F <br>
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Describe any damage or remedial works required
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Include any photos
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Is the kiosk in good condition and free from defects?
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Describe any damage or remedial works required
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Add photo of Kiosk if available
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Cash Desk-<br>Is the Cash desk in good condition and free from defects?
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Describe any damage or remedial works required
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Include any photos
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Doors-<br>Are security/BOH doors free from defects and operating as intended?
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Describe any damage or remedial works required
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Include any photos
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Note :If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.
Back of house areas- (add each area individually)
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Enter Name of Room
Name of Room
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Select from drop down
- Stock Room
- Staff Room
- Managers Office
- Cash Office
- Security Office
- Female W/C
- Male W/C
- DDA W/C
- Cleaners Store
- Other
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Enter Floor Location Select from Drop down
- Basement
- Ground
- First
- Second
- Third
- Fourth
- N/A
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Are the walls in good condition and free from damage?
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Describe any damage or remedial works required
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Include any photos
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flooring-<br>Is the floor free from defects and trip hazards?
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What type of flooring is it?
- Vinyl - Tile
- Vinyl - Wood Effect
- Vinyl - Sheet
- Ceramic/ stone Tile
- Carpet/Carpet Tiles
- Quarry Tile
- Concrete
- Resin
- Other
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Describe any damage or remedial works required
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Include any photos
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Ceiling-<br>Is the ceiling free from defects, damage and signs of leaks?
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What type of ceiling is it?
- Plastered & Painted
- Suspended 600 x 600 grid
- Suspended 1200 x 600
- Suspended - other
- none
- Other
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Describe any damage or remedial works required
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Include any photos
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Lighting
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Lighting- What type of lighting is in the room?
- LED
- Spotlights
- T5 Fluorescent
- T8 Fluorescent
- T12 Fluorescent
- Standard Light Bulb
- Other
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Have any lamps failed <br>< Slide the indicator to the right if yes
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Lamps-<br>Number of failed lamps
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Describe any damage or remedial works required
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Include any photos
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HVAC-<br>Are AC & ceiling mounted discharge/extract grilles clean?
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Describe any damage or remedial works required
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Include any photos
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Ventilation-<br>Area Ventilation
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Describe any damage or remedial works required
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Include any photos
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Are work surfaces and shelving free from damage and defects?
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Describe any damage or remedial works required
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Include any photos
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Doors-<br>Are the doors in good condition and free from defects?
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Describe any damage or remedial works required
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Include any photos
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Windows-<br>Are Windows and frames in good condition and free from defect?
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Describe any damage or remedial works required
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Include any photos
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Stock Room-<br>Is this a room a stock room ?<br>< Slide the indicator to the right if yes
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Doors-<br>Are the Goods-in doors in good condition and free from defects and obstuctions?
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Describe any damage or remedial works required
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Include any photos
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Racking-<br>Is the Stockroom racking in good condition and free from visible defect?
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Describe any damage or remedial works required
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Include any photos
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Doors-<br>Are Fire Escape doors free from defect?
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Describe any damage or remedial works required
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Include any photos
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W/C<br>Is the room a W.C.? <br>< Slide the indicator to the right if yes
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Cubicles-<br>Are all cubicles in good condition and free from defect?
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Describe any damage or remedial works required
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Include any photos
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Sanitary ware-<br>Is all sanitary ware in good condition and free from defect?
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Describe any damage or remedial works required
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Include any photos
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Plumbing-<br>Is visible plumbing in good condition?
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Describe any damage or remedial works required
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Include any photos
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Ventilation-<br>Area Ventilation
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Describe any damage or remedial works required
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Include any photos
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Note :If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.
Lifts and Escalators
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Goods Lift ?
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Describe any damage or remedial works required
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Include any photos
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Passenger Lift ?
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Describe any damage or remedial works required
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Include any photos
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Goods/ Passenger Lift ?
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Describe any damage or remedial works required
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Include any photos
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Dumb Waiter ?
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Describe any damage or remedial works required
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Include any photos
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Escalator ?
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Describe any damage or remedial works required
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Include any photos
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Note :If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.
Services Waste Water
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Location of IC
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Describe any damage or remedial works required
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Include any photos
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Location of Clearing Eyes
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Describe any damage or remedial works required
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Include any photos
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Internal drainage / soil pipes
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Describe any damage or remedial works required
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Include any photos
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Note :If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.
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Note :If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.
Services Water
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Water Isolating Valve
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Water Isolating Valve Location
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Describe any damage or remedial works required
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Include any photos
Electrical services
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Mains Switch Gear<br>
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Mains Switch Gear Location
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Include any photos
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Distribution Boards<br>
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Distribution Boards Location
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Include any photos
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Electric Rooms or Cupboards<br>
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Electric Rooms or Cupboards Location
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Include any photos
Gas
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Gas Isolating Valve <br>
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Gas Isolating Valve Location
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Include any photos
Observations & Other Actions for Follow Up
Use this Section for further observations
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Enter details of observation
Observation
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Observation Details
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Include photos
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Date for follow up
Work Orders to be raised
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Enter work orders to be logged on the back of the visit
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Enter brief description of work order
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Date for follow up
Sign-off Section
Sign-off
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Signature of Surveyor
