Tenancy Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Tenants Name.

• Tenants Address.

• Number of Bedrooms.

• Tenants Telephone Number.

• Emergency Contact Name.

• Emergency Contact Telephone Number.

• Tenant authorised Enfield Council to speak to their emergency contact.

  Select Yes No N/A

  • Yes
  • No
  • N/A

Proof of Identity.

• Proof of Identity for Sole Tenant (Select from Flagged Responses).

  Current Passport.

  Full Driving License.

  Freedom Pass.

  Valid UK Residence Permit.

  Blue Badge.

Proof of Residency

• Proof of Residency.

  Select Full Driving License. Child Benefit Documents. Benefit Documents. Retirement Pension Documents. Utility Bill (Last Quarter). Bank Statement

  • Full Driving License.
  • Child Benefit Documents.
  • Benefit Documents.
  • Retirement Pension Documents.
  • Utility Bill (Last Quarter).
  • Bank Statement

Household Composition

• First Occupants Name.

  Yes

  No

  N/A

• Relation.

  Select Wife Husband Partner Daughter Son Granddaughter Grandson Step Child Step Parent Grand Parent Carer Friend

  • Wife
  • Husband
  • Partner
  • Daughter
  • Son
  • Granddaughter
  • Grandson
  • Step Child
  • Step Parent
  • Grand Parent
  • Carer
  • Friend

• Date of Birth.

  Yes

  No

  N/A

• Gender.

  Male

  Female

  Transgender

  Prefer Not To Say.

• Date Moved In.

  Yes

  No

  N/A

• Date Moved Out.

  Yes

  No

  N/A

• Second Occupants Name.

  Yes

  No

  N/A

• Relation.

  Select Wife Husband Partner Daughter Son Grandson Granddaughter Step Child Grand Parent Carer Friend

  • Wife
  • Husband
  • Partner
  • Daughter
  • Son
  • Grandson
  • Granddaughter
  • Step Child
  • Grand Parent
  • Carer
  • Friend

• Date of Birth.

  Yes

  No

  N/A

• Gender.

  Select Male Female Transgender Prefer Not to Say

  • Male
  • Female
  • Transgender
  • Prefer Not to Say

• Date Moved In.

  Yes

  No

  N/A

• Date Moved Out (If Applicable).

  Yes

  No

  N/A

• Third Occupants Name.

  Yes

  No

  N/A

• Relation.

  Select Wife Husband Partner Son Daughter Grandson Granddaughter Step Child Grand Parent Carer Friend

  • Wife
  • Husband
  • Partner
  • Son
  • Daughter
  • Grandson
  • Granddaughter
  • Step Child
  • Grand Parent
  • Carer
  • Friend

• Date of Birth.

  Yes

  No

  N/A

• Date Moved Out (If Applicable).

  Yes

  No

  N/A

• Gender.

  Male

  Female

  Transgender

  Prefer Not To Say.

• Date Moved In.

  Yes

  No

  N/A

• Date Moved Out (If Applicable).

  Yes

  No

  N/A

• Third Occupants Name.

  Yes

  No

  N/A

• Relation.

  Select Wife Husband Partner Daughter Son Grandson Granddaughter Step Child Grand Parent Carer Friend

  • Wife
  • Husband
  • Partner
  • Daughter
  • Son
  • Grandson
  • Granddaughter
  • Step Child
  • Grand Parent
  • Carer
  • Friend

• Date of Birth.

  Yes

  No

  N/A

• Gender.

  Male

  Female

  Transgender

  Prefer Not To Say

• Date Moved In.

  Yes

  No

  N/A

• Date Moved Out (If Applicable).

  Yes

  No

  N/A

• Forth Occupants Name.

  Yes

  No

  N/A

• Relation.

  Select Wife Husband Partner Daughter Son Grandson Granddaughter Step Child Grand Parent Carer Friend

  • Wife
  • Husband
  • Partner
  • Daughter
  • Son
  • Grandson
  • Granddaughter
  • Step Child
  • Grand Parent
  • Carer
  • Friend

• Date of Birth.

  Yes

  No

  N/A

• Gender.

  Male

  Female

  Transgender

  Prefer Not To Say

• Date Moved In.

  Yes

  No

  N/A

• Date Moved Out (If Applicable).

  Yes

  No

  N/A

• Fifth Occupants Name.

  Yes

  No

  N/A

• Relation.

  Select Wife Husband Partner Daughter Son Grandson Granddaughter Step Child Grand Parent Carer Friend

  • Wife
  • Husband
  • Partner
  • Daughter
  • Son
  • Grandson
  • Granddaughter
  • Step Child
  • Grand Parent
  • Carer
  • Friend

• Date of Birth.

  Yes

  No

  N/A

• Gender.

  Male

  Female

  Transgender

  Prefer Not To Say

• Date Moved in.

  Yes

  No

  N/A

• Date Moved Out (If Applicable.

  Yes

  No

  N/A

• Sixth Occupants Name.

  Yes

  No

  N/A

• Relation.

  Select Wife Husband Partner Daughter Son Grandson Granddaughter Step Child Grand Parent Carer Friend

  • Wife
  • Husband
  • Partner
  • Daughter
  • Son
  • Grandson
  • Granddaughter
  • Step Child
  • Grand Parent
  • Carer
  • Friend

• Date of Birth.

  Yes

  No

  N/A

• Gender.

  Male

  Female

  Transgender

  Prefer Not to Say

• Date Moved In.

  Yes

  No

  N/A

• Date Moved Out (If Applicable).

  Yes

  No

  N/A

Condition of Property.

• Visual Inspection of Living Room.

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Visual Inspection of Kitchen.

  Yes

  No

  N/A

• Visual Inspection of Bathroom.

  Yes

  No

  N/A

• Visual Inspection of Bedroom 1.

  Yes

  No

  N/A

• Visual Inspection of Bedroom 2.

  Yes

  No

  N/A

• Visual Inspection of Bedroom 3.

  Yes

  No

  N/A

• Visual Inspection of Bedroom 4.

  Yes

  No

  N/A

• Visual Inspection of Garden.

  Yes

  No

  N/A

• Visual Inspection of External Structure of the Building.

  Yes

  No

  N/A

• Is there damp and mould in the property?

  Yes

  No

  N/A

• Does the tenant know how to report repairs by the service line on 0208 379 1000, option 4, 2 and then 1.

  Yes

  No

  N/A

• Yes

  No

  N/A

Tenant and Household Health and Wellbeing

• Does the Tenant or any member of their household have any health issues?

• Any other Issues (i.e Overcrowding, ASB, General)

  Yes

  No

  N/A

Person Centered Fire Risk Assessment

• 1. Does the individual have an increased fire risk

  Yes

  No

  N/A

• If yes, tick all the fire risk they exhibit

  Select Smoking – with signs of unsafe use of smoking or vaping materials (e.g. smoking in bed). Use of emollient creams that are petroleum or paraffin based. Air pressure mattress or oxygen cylinders are used. Unsafe use of portable heaters (e.g. placed too close to materials that could catch fire). Unsafe cooking practices (e.g. cooking left unattended). Overloaded electrical sockets/adaptors or extension leads Faulty or damaged wiring Electric blankets used. Previous fires or near misses, burns or scorch marks on carpets and furniture Unsafe candle/tea light use (e.g. left too close to curtains or other items that could catch Unsafe candle/tea light use (e.g. left too close to curtains or other items that could catch fire) Other (please specify):

  • Smoking – with signs of unsafe use of smoking or vaping materials (e.g. smoking in bed).
  • Use of emollient creams that are petroleum or paraffin based.
  • Air pressure mattress or oxygen cylinders are used.
  • Unsafe use of portable heaters (e.g. placed too close to materials that could catch fire).
  • Unsafe cooking practices (e.g. cooking left unattended).
  • Overloaded electrical sockets/adaptors or extension leads
  • Faulty or damaged wiring
  • Electric blankets used.
  • Previous fires or near misses, burns or scorch marks on carpets and furniture
  • Unsafe candle/tea light use (e.g. left too close to curtains or other items that could catch
  • Unsafe candle/tea light use (e.g. left too close to curtains or other items that could catch fire)
  • Other (please specify):

• 2. Would the individual be less able to react to an alarm or fire?

  Yes

  No

  N/A

• If yes, tick all the fire risk factors they exhibit

  Select Mental health issues (e.g. dementia, anxiety or depression). Cognitive or decision making difficulties. Alcohol dependency or misuse of drugs. Sensory impairments (e.g. hard of hearing or sight loss)

  • Mental health issues (e.g. dementia, anxiety or depression).
  • Cognitive or decision making difficulties.
  • Alcohol dependency or misuse of drugs.
  • Sensory impairments (e.g. hard of hearing or sight loss)

• 3. Does the individual have a reduced ability to escape?

  Yes

  No

  N/A

• If yes, tick all the fire risk factors they exhibit

  Select Have restricted mobility, are frail or have a history of falls. Are blind or have impaired vision. Lacks capacity to understand what to do in the event of a fire. Is a hoarder, or there are cluttered or blocked escape routes. Are bed or chairbound? Internal doors are left open at night. Would be unable to unlock front door to escape

  • Have restricted mobility, are frail or have a history of falls.
  • Are blind or have impaired vision.
  • Lacks capacity to understand what to do in the event of a fire.
  • Is a hoarder, or there are cluttered or blocked escape routes.
  • Are bed or chairbound?
  • Internal doors are left open at night.
  • Would be unable to unlock front door to escape

• 4. Are there any smoke or heat alarms fitted within the individual’s home? (state what rooms)

  Yes

  No

  N/A

• 5. Has a carbon monoxide alarm been fitted anywhere that gas or solid fuels are used? ( State where)

  Yes

  No

  N/A

• If there are any questions in sections 1 – 3 that have been answered ‘Yes’, or you have identified that there are no smoke or heat alarms fitted, or they are broken or poorly sited, this suggests there is a risk from fire. Immediate actions are required to ensure agreed safety measures are in place:

Community Engagement

• Do you need advice for money, welfare and debt?

  Yes

  No

  N/A

• Would you like help to seek employment?

  Yes

  No

  N/A

• Would you like information on events happening in your local community ? ESOL, CAB, Age Concern etc

  Yes

  No

  N/A

• Would you like information on Enfield Health & Well-being services? E.g. How to manage stress, First Aid for babies, Breast feeding, Allotments, Active living

  Yes

  No

  N/A

• Are you happy for us to refer you to community services?

  Yes

  No

  N/A

Tenants Declaration.

• I confirm that the information included is true and accurate to the best of my knowledge and I understand that to knowingly provide false of misleading information might lead to prosecution.

  Yes

  No

  N/A

• Signature

  Sign

Non-Tenant Form

• Full Name

• How Long have you been living here?

• Who is your Landlord?

• Does anyone else live here?

• Officer notes & observation