Phil Bell

Survey

Survey for all system types

Use this Template

Print as PDF

Use this Template

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Title Page

Name of Property
Conducted on
Location
Why has this survey been requested?

Area of Building
System Identification(LTHW, Extract Vent, Domestic Services etc)
Specific and crucial information (pipe size, connection type etc)
Add media
Describe the condition of the system including any reported operational issues Include images of any faults
Recommendations
Information on plant/equipment (use image of ID plate where possible) Ensure connection sizes are included.
Include images of system and ID Plates/serial numbers of all plant

Sign Off

Who Carried out the survey
Add signature
Select date

Phil Bell

Survey

Survey for all system types

Use this Template

Print as PDF

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.