Information

  • Report Title

  • Location.
  • Client Name.

  • Tenure.

  • Property Type.

Property details

  • Report conducted by.

  • Confirmation that relevant checks have been undertaken to determine if the presence of any asbestos containing material is present?

  • External Inspection
  • Please take photos of all elevations

  • What is the external finish of the property

  • Is the external finish in a good condition

  • Are there signs of horizontal/vertical cracking

  • Are there any obstructions that will hinder the survey or installation work

  • If yes please take photographic evidence

  • Are there any access issues

  • If yes please take photographic evidence

Wall Ties Condition

  • Are the property walls insulated

  • If yes what product is installed

  • Has the property had a CWI extraction carried out

  • Are all elevations clear of material and rubble

  • What are the condition of the cavity wall ties in situ

  • If poor please briefly explain

  • Is wall tie replacement and isolation required

  • If yes, what is the m2 of the area requiring work

  • What is the cavity depth

Borescope Photos of wall ties

  • Front Elevation (min 4)

  • Rear Elevation (min 4)

  • Right Hand Elevation (min 4)

  • Left Hand Elevation (min 4)

  • Extensions (min 4)

Surveyors Report

  • Please write a brief statement of your findings and attach the detailed summary

  • Surveyors Name

  • Date

Dynamic Risk Assessment & Client Declaration

Dynamic Risk Assessment.

  • Reversing vehicle.

  • Asbestos.

  • Overhead electricity cables.

  • Use of a step ladders or ladder.

  • Use of a mobile tower.

  • Manual Handling.

  • Working on a roof.

  • Hand tools.

  • Vibration.

  • Noise.

  • Electricity/Generator

  • Compressed air.

  • House keeping.

  • Installation of cavity wall.

  • Working with wet cement, concrete and mortar.

  • Use of mobile elevation working platform (mewp).

  • Lone worker.

  • Assessors signature

  • Date:

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.