Title Page

  • Document No.

  • CL Reference

  • Customer Name

  • Conducted on

  • Prepared by

  • Location
  • Use of building

  • Type of property

  • Please state

  • Age of building

  • Number of Storeys

  • Cellar / Basement

  • Cellar/ basement area

  • Number of Bedrooms

  • Number of bathrooms / shower rooms (include any en-suites)

  • Number of Cloakrooms

  • Number of Kitchens

  • Quality of Kitchens

  • Photograph of kitchen

  • Drainage - Main / Septic Tank

  • Other rooms

  • Electricity - mains/other (back up generator and fuel type)

  • Water - mains/other

  • Heating

  • Tank capacity

  • Gas- Mains/LPG

  • Fire Alarm

  • Security Alarm

  • Walls

  • Brick part of building

  • Block part of building

  • Stone part of building

  • Cob part of building

  • Timber Frame part of building

  • Rendered part of building

  • Please state other wall material used and part of building

  • Walls - Additional Comments

  • Roof type

  • Roof Cladding

  • Tiled part of building and any comments

  • Slate part of building and any comments

  • Thatch part of building and any comments

  • Felt part of building and any comments

  • Other roof cladding; please state type and part of building

  • Number of Chimneys

Internal Features

  • Floors

  • Stone floor location and comments

  • Timber floor location and comments

  • Concrete floor location and comments

  • Other floor type, location and comments

  • Number of staircases

  • Staircase material
  • Material

  • Special high value features likely to affect the cost of reinstatement

  • High Value Items
  • Item

  • Photograph of item

  • Plan of property including all dimension

Other Structures

  • Other Structures

  • Please provide details of other structures

  • Other Structure
  • Name of Structure

  • Please provide basic construction details

  • Plan of structure / outbuilding

  • Photograph

  • Number of courts

  • Tennis court description; Flood lit, fencing

  • Photograph

  • liner type

  • Dimensions

  • Plant

  • Finishes

  • Additional details

  • Photograph

  • Externals, eg feature walls, retaining walls, drives, patio, paths

  • External feature
  • External feature

  • Size / Dimensions

  • additional information

  • Photograph

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.