Information

  • Site

  • Postcode:

  • VM Reference

  • Surveyed by:

  • Date of Survey:

Access Requirements

Site Information

  • Number of Properties

  • Number of Floors

  • Photo of building / block

  • Photos of build pack

Access Requirements

  • Key Type

  • Provide details

  • Access to gardens

  • Dwelling number and contact details if available

VM System Information

VM System Information

  • Number of Lock Boxes

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

  • Additional Lock Box

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

  • Additional Lock Box

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

  • Additional Lock Box

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

  • Additional Lock Box

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

  • Additional Lock Box

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

  • Additional Lock Box

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

  • Additional Lock Box

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

  • Additional Lock Box

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

  • Additional Lock Box

  • Lock box number

  • Lock box Location

  • Serves properties

  • Photographs of cabinet

  • Photographs of cable

  • Notes

Sign Off

Sign Off

  • Additional Notes / Information

  • Has the installation been completed as per the job pack provided?

  • Notes

  • Name

  • Completed Sign Off

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.