Vinci Response

• Vinci Response Services Ref.

• Customer name

• Location
  Address

undefined

• Yes

  No

  N/A

• Report completed by

• Mobile no of technician

• Date of visit

  Date

• Document No.

You must insert a photograph of the property

• Please insert photo of the property

  Media

Building fabric information

• Approximate date of construction of the property

  Pre 1900

  1900-1945

  1945-1970

  1970-2000

  2000 - present

• Type of property

  Select Detached Semi-detached End-terraced Mid-terraced Bungalow Dormer bugalow Cottage Flat / apartment / tenement Listed property

  • Detached
  • Semi-detached
  • End-terraced
  • Mid-terraced
  • Bungalow
  • Dormer bugalow
  • Cottage
  • Flat / apartment / tenement
  • Listed property

• Provide details of the main construction of the external walls

  Select Solid - brick Solid - stone Solid - cob Cavity: brick - brick Cavity: brick - block Cavity: block - block Other

  • Solid - brick
  • Solid - stone
  • Solid - cob
  • Cavity: brick - brick
  • Cavity: brick - block
  • Cavity: block - block
  • Other

• Please confirm details for "other" item(s)

• Provide details of the main construction of internal walls

  Solid brick

  Solid block

  Stud

  Other

• Please confirm details for "other" item(s)

• Confirm details of the floor construction (ground)

  Select Suspended with timber floorboards Suspended with chipboard floor Solid concrete Solid concrete with floating floor Other

  • Suspended with timber floorboards
  • Suspended with chipboard floor
  • Solid concrete
  • Solid concrete with floating floor
  • Other

• Please confirm details for "other" item(s)

• Details of internal woodwork

  Hardwood

  MDF

  Softwood

  Other

• Please confirm details for "other" item(s)

Peril information

• Damage caused by:

  Escape of Water

  Flood

  Storm

  Fire / smoke

• Source of the water

  Select External water main Internal cold water feed pipe Internal hot water feed pipe Internal waste pipe Ingress due to roof failure Drainage failure Flood of river / sea water Other

  • External water main
  • Internal cold water feed pipe
  • Internal hot water feed pipe
  • Internal waste pipe
  • Ingress due to roof failure
  • Drainage failure
  • Flood of river / sea water
  • Other

• Provide detail of water source

• Depth of water

  0 - 500mm

  501 - 1000mm

  1001 - 1500mm

  1501+ mm

• Type of water

  Clean

  Grey

  Black

• Category of fire

  Select Fast burning Slow burning Protein

  • Fast burning
  • Slow burning
  • Protein

• Types of soot residues identified/ possible

  Select Corrosive Dry Odorous Plastic Protein Wet Not known

  • Corrosive
  • Dry
  • Odorous
  • Plastic
  • Protein
  • Wet
  • Not known

• Provide a brief description of what has caused the damage (if the damage was caused by fire then please confirm the seat of the fire)

Site specific risk assessment.

• You must provide confirmation of site specific issues noted during the visit.

• Are there any disabled persons living at the property?

  Yes

  No

• Provide further information

• Are the works likely to affect access to/from the property?

  Yes

  No

• Provide further information

• Are there any elderly / infirm persons living at the property?

  Yes

  No

• Provide further information

• Are there any young children living at the property?

  Yes

  No

• Provide further information

• Are there any pets, particularly dogs?

  Yes

  No

• You need to confirm that the customer is able to keep the pets in a secure location away from the work area.

• Provide further information

• Are there any other personal considerations to be taken into account?

  Yes

  No

• Provide further information

• Please enter any additional comments here

• Make an assessment of all hazards that could impact on operatives, the customer and the general public at this site. List them all here.

• Select all relevant hazards identified during your visit

  Select Slips / trips / falls Electric shock Chemical handling Manual handling Falling debris Sharps / knives / needles Bio / toxic hazard Working at heights Lone working Confined spaces Deep water & concealed sumps, etc Transport of plant / goods Provision & Use of Work Equipment Poor lighting Potential asbestos containing materials Other None identified

  • Slips / trips / falls
  • Electric shock
  • Chemical handling
  • Manual handling
  • Falling debris
  • Sharps / knives / needles
  • Bio / toxic hazard
  • Working at heights
  • Lone working
  • Confined spaces
  • Deep water & concealed sumps, etc
  • Transport of plant / goods
  • Provision & Use of Work Equipment
  • Poor lighting
  • Potential asbestos containing materials
  • Other
  • None identified

• You have identified the possibility of ACMs in the property. Have you either taken a sample (by reference to the correct sampling methodology) or arranged for a sample to be taken for testing?

  Yes

  No

• Provide details of any asbestos testing requirements so that this can be arranged

• Are the electrics suitable for use?

  Yes

  No

• Provide details of any electrical works required

• Please confirm details of other hazards identified:

• Are any emergency works required?

  Yes

  No

• Provide details of any emergency works required

Confirmation of stabilisation work undertaken in each area.

• Remember that the stabilisation phase is about getting rid of any standing water, removing any wet /potentially contaminating items, quickly assessing items that could potentially be restored, controlling the environment of the property and producing a plan of action in order to minimise any subsequent secondary damage.

• Tap on "Add Area no." to create the 1st area. This will open up Work Area 1 and allow you to start creating the details of that work area. This will allow you to confirm details of each area and detail what stabilisation work you have undertaken. It will also allow you to complete a moisture measurement plan and add in a number of readings for that area (though this may be required at the final stabilisation visit).
  You can add in new areas by either tapping "Add Area no." again or by tapping the "+ Add" button that is on the 1st area.

• Add in a new area for each room

Area no.

• Room / area

  Select Porch Hall Lounge Dining room Kitchen Conservatory Utility room Larder WC Under stairs cupboard Study Other reception room Stairwell Garage Cellar Landing Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Bathroom En suite Loft Other room(s) N/A

  • Porch
  • Hall
  • Lounge
  • Dining room
  • Kitchen
  • Conservatory
  • Utility room
  • Larder
  • WC
  • Under stairs cupboard
  • Study
  • Other reception room
  • Stairwell
  • Garage
  • Cellar
  • Landing
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Bathroom
  • En suite
  • Loft
  • Other room(s)
  • N/A

• Enter the names of the "other" rooms

• Is the room box or L-shaped?

  Box

  L-shaped

• Room length (metres)

• Room width (metres)

• Room height (metres)

• Length of inset (metres)

• Width of inset (metres)

• Have kitchen units been damaged by the peril?

  Yes

  No

• Approximate quality specification of kitchen

  High

  Mid-high

  Mid-low

  Low

• Confirm details of the damaged items

  Select Base units - carcass only Base units - including fronts Wall units - carcass only Wall units - including fronts White good housing units - carcass only White good housing units - including fronts Worktops Plinths

  • Base units - carcass only
  • Base units - including fronts
  • Wall units - carcass only
  • Wall units - including fronts
  • White good housing units - carcass only
  • White good housing units - including fronts
  • Worktops
  • Plinths

• Please remember that you need to actually use the slider to select the quantity (so if your answer is "0" you need to move the slider along and then back to "0"). If you don't do so the form will think you have not provided an answer.

• No of damaged base units

• No of damaged wall units

• No of undamaged base units

• No of undamaged wall units

• Please add at least 2 general shots of the room and views of the affected area so that subsequent visitors could recognise the room.

  Media

• Remember that this report is being sent to people that have/may not visited the property. Your photographs need to help show what has happened. Do not add blurred or dark images.

• Have any contents been affected as a result of the incident?

  Yes

  No

• This section requires completion to list all contents that you need to work on in order to stabilise the property and reduce further damage. For example if you need to move the item to an unaffected area to prevent secondary damage then list it here.
  
  There is no need to use this section to list BER items. This is about listing items where your restoration skills help to save items that can be saved.

• You now need to click "+ Add Item No." to begin listing details of each item that you are dealing with as part of the stabilisation of the property. Further items can be added by also selecting "+ Add".

Item No.

• You will need to complete a description, assessment of the age, pre-incident condition, approximate value to replace, your triage assessment of condition and confirm what action you have completed on each item.
  If the item is electrical then please try to record the make, model and serial numbers of the item.
  If there are a number of similar items then there is no need to list them individually at this stage, though you should try to group them together depending on your triage assessment of their condition.

• Description of the item

• Please add useful photos of the item(s)

  Media

• Age of the item

  Select <1 year 1-2 years 2-3 years 3-4 years 4-5 years 5-10 years >10 years

  • <1 year
  • 1-2 years
  • 2-3 years
  • 3-4 years
  • 4-5 years
  • 5-10 years
  • >10 years

• Approximate cost of the item

• Assessment / view of the pre-incident condition of the item(s)

  Good

  Fair

  Poor

• Triage assessment of the item<br>R = restorable, A = attempt restoration

  R

  A

• Action taken with the item

  Select Inspected only Removed to another room Removed outside or to an outbuilding Removed & disposed Packaged & boxed for storage off site Removed to off-site storage Restore on site Appointed specialist restorer Further action required

  • Inspected only
  • Removed to another room
  • Removed outside or to an outbuilding
  • Removed & disposed
  • Packaged & boxed for storage off site
  • Removed to off-site storage
  • Restore on site
  • Appointed specialist restorer
  • Further action required

• Provide details of the further action required

• To add additional items go back up the form and select the "+ Add Item No." or "+ Add" buttons

• Detail all of the actions that you have undertaken to stabilise this work area.

• Confirm what equipment has been left in this area and advise the expected duration on site (for authorised drying cases)

  Select Dessicant dehumidifiers Refrigerant dehumidifiers Air movers / paddle fans Air scrubbers / managers Other equipment None

  • Dessicant dehumidifiers
  • Refrigerant dehumidifiers
  • Air movers / paddle fans
  • Air scrubbers / managers
  • Other equipment
  • None

• How many Dessicant dehumidifiers?

• How many days do you expect them to be on site (if working on an authorised drying case)?

• How many refrigerant dehumidifiers?

• How many days do you expect them to be on site (if working on an authorised drying case)?

• How many air movers / paddle fans?

• How many days do you expect them to be on site (if working on an authorised drying case)?

• How many air scrubbers / managers?

• How many days do you expect them to be on site (if working on an authorised drying case)?

• Confirm type of equipment

• How many other items?

• How many days do you expect them to be on site (if working on an authorised drying case)?

• Do you need to include details of moisture measurement readings in this report?

  Yes

  No

• Provide a sketch plan locating the "moisture reading locations" and the "datum moisture reading locations" as per the standard measures. You need to show where each of your readings has been taken rom (including your equilibrium target measure) by drawing a number that corresponds with the readings that you take.

  Drawing

• Provide details of moisture readings taken in this area

Moisture reading at location

• Add readings taken at this location

Reading no.

• Type of reading

  Select Concrete Moisture Content Equilibrium Relative Humidity In Depth Probes Moisture Content in Wood Datum CMC Datum ERH Datum IDP Datum MCiW Other

  • Concrete Moisture Content
  • Equilibrium Relative Humidity
  • In Depth Probes
  • Moisture Content in Wood
  • Datum CMC
  • Datum ERH
  • Datum IDP
  • Datum MCiW
  • Other

• Reading obtained

• Temperature at time of reading (in degrees C)

• Select date

  Date

• It may be that you wait until all necessary stabilisation has been completed before taking these readings as this could make a difference.

• Remember, you can add in new areas by either tapping "Add Area no." again or by tapping the "+ Add" button that is on the 1st area.

Summary

• Provide confirmation of what actions you have taken during the visit and a summary of how you have left things. If you have stripped items out then confirm exactly what you have done and why. If you have left equipment on site then list what you have left, where it is and why you think it was of benefit to do so.
  You will also need to advise if there are any issues that could affect the drying / restoration of the property.

• Provide a summary of your inspection findings and justification for the work completed:

• Are there any pre-existing problems / issues that could affect the drying / restoration of the property?

  Yes

  No

• Provide full details of any issues

Classification of damage

• You need to provide details regarding the severity of the damage at the property.

• Is the property habitable?

  Yes

  No

• Is the condition of the property minor enough to allow the customer to still live at the property? Do they still have use of cooking, washing and toilet facilities? If not at present could your prompt actions affect this?

• Consider how bad the damage is and whether immediate or prompt action could reduce the impact of the damage and make the property habitable sooner rather than later. Consider this when putting your action plan together.

• What category does the damage fall into?

  Cosmetic

  Minor structural

  Major structural

• Cosmetic: classed as damage to the finishes of the property, eg smoke / soot / water damage to wallpaper, laminate floors, etc.
  Minor structural: classed as damage to plaster, flooring materials, etc.
  Major structural: As minor but with damage to structural timbers, major roof damages, etc.

• Ensure that you consider the severity of the damage and highlight what would be required to minimise the potential for secondary damage.

Action plan for Buildings element following this visit:

• You need to provide details of all steps necessary to progress the Building element of this claim. Think about what the barriers to movement are and what needs to be done to remove them. If you need asbestos test results, electricians, etc then provide detail.
  

• Action plan details

Action no.

• What needs to be done next in order to move this claim forward?

• Action due by:

  Date

• Specify person responsible for action

• Based on the Action Plan produced confirm the anticipated next inspection date

  Date

• For stabilisation we do not expect that the "anticipated next inspection date" will be more than 5 days from the date of the 1st visit.
  
  If authority has been given to move to a standard drying phase then provide details of the next review date.

• Have you kept the customer fully informed of your proposed actions?

  Yes

  No

• Please explain why the action plan has not been discussed with the customer

• Sign confirming Buildings action plan

  Sign

Action plan for Contents element following this visit:

• You need to provide details of all steps necessary to progress the Contents element of this claim. Think about what the barriers to movement are and what needs to be done to remove them. If you need asbestos test results, electricians, a clean room for storage of contents, etc then provide detail.
  

• Action plan details

Action no.

• What needs to be done next in order to move this claim forward?

• Action due by:

  Date

• Specify person responsible for action

• Based on the Action Plan produced confirm the anticipated next inspection date

  Date

• For stabilisation we do not expect that the "anticipated next inspection date" will be more than 5 days from the date of the 1st visit.
  
  If authority has been given to move to a standard drying phase then provide details of the next review date.

• Have you kept the customer fully informed of your proposed actions?

  Yes

  No

• Please explain why the action plan has not been discussed with the customer

• Sign confirming Contents action plan

  Sign