Title Page

  • Conducted on

  • Inspected by

  • PH Name

  • Reference Number

  • Location
  • Peril Type

  • Date of Incident

Site Inspection

  • The inspection was carried out in the presence of:

  • Relation to Claim?

  • Area(s) under inspection:

  • Number of Bedrooms?

  • Name of Area?

  • Items Affected:

  • Given Description of Incident

  • Report of Damage Inspected

Area

Inspected Areas / Items

    Add Area

Area

  • Area Name

  • Add item
  • Item

  • Type of Flooring

  • Description of Flooring

  • Age of Item (Years)

  • Purchased From?

  • Receipt Available?

  • Pre-loss Condition

  • Ancillaries Fitted

  • Type of Underlay

  • Type of Gripper

  • Types of Doorplate

  • Size of Flooring Required

  • Ancillaries Required

  • Underlay Required M²

  • Gripper Required (1.5m length)

  • Doorplates Required

  • Length of Seam

  • Other Items Required

  • Services Required

  • Replacement Cost (£) and items required

  • Suggested Outcome

  • Type of Furniture

  • Age of Item (Years)

  • Purchased From?

  • Receipt Available?

  • Pre-loss Condition

  • Size

  • Replacement Cost (£)

  • Suggested Outcome

  • Description of item including sizes and replacement costs

  • Age of Item

  • Purchased From?

  • Pre-loss Condition?

  • Receipt Available?

  • Suggested Outcome

Concerns

  • Are there any concerns over the validity of the claim?

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.