Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Name:
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Address:
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Mobile number:
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Next of kin:
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Next of kin's mobile:
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Date of occupancy:
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The overall condition of your room
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The overall condition of facilities and appliances
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How were the staff in handling any concerns you have?
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If you have anything rated poor please explain the problem in as much detail as possible so we can investigate the issues you have raised
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Location of fuse board
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Location of smoke alarm
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Location of fire blanket and extinguish
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Key replacement costs £15
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No loud music
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No smoking in the property
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No pets in the property
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No guests allowed after 9pm
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I, the tenant will be responsible to pay the council tax for my place of residence
I the tenant have been informed that I am responsible to pay for utility bills for my place of residence
I the tenant will be responsible to maintain my place of residence and keep it in a hygienic condition at all times
I, the tenant will be responsible for any damages caused to my place of residency caused by myself including any from my visitors and will pay for the damage caused
I, the tenant will make sure that when I vacate my pace of residency will take my personal Belongings and if any are left behind, I authorise the landlord to dispose of them at his earliest convenience -
Tenant signature
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Member of staff signature
