Inspection Form (template) ( 243 kB )
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ROUTINE PROPERTY SURVEY EVERY 3 MONTHS Address: ………………………………………………………………….………………… Void Date: ……………………… Date Inspected:………………..……….... Date due to be ready: ……………....… Date actually ready ……………...…...... Agency: ………………………………………………………………………..…………… Type of Property (flat/house etc) ……………………………… If flat, what floor …..……….. Gas certificate (less than 12months old, date of issue) Co Det required Y / N Fitted Y / N …………………………… EPC (up to 10 years of age, min E rating) EPC register.com …………………………………………. Electrical Inspection Condition Report (to be provided every 5 years or sooner if recommended, with no code C1 or C2’s) date of issue …………………….. Encase electrical meter if in reach of children) Label on consumer unit YES NO Digital photos taken YES NO Any glazing below 800mm YES NO If yes, glass toughened Y / N MAIN ENTRANCE TO PROPERTY CONDITION Suitable/adequate lighting for access YES NO Secure locking system on front/inner door YES NO If wooden door, Yale & 5 Lever mortice Steps and/or access issues? Is property suitable for elderly or disabled, wheelchair and/or pram? …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… ………………………………………………………………………………………………………… FRONT DOOR/HALLWAY Smoke detector YES NO Working YES NO Hard wired YES NO Interlinked YES NO YES NO If not replace YES NO If YES, remove & repair plaster Fire Angel ST- 620 Polystyrene tiles 1 KITCHEN Location ……….. 1 x cooker (gas/electric) YES NO YES NO GOOD/FAIR/POOR Oven and four hob rings If gas, bayonet fitting & chain MAKE & MODEL…………….. 1 x fridge with ice box/freezer YES NO (Must be PAT tested, in the event of a problem must be provided) GOOD/FAIR/POOR Unit secure, hygienic and operational YES NO Supply of clean fresh running water (hot & cold) YES NO Cold water main stop valve YES NO Fire Blanket YES NO Heat Detector YES NO _____ x electric sockets (min 4) YES NO Adequate ventilation YES NO GOOD/FAIR/POOR Where? Décor GOOD/FAIR/POOR Floor GOOD/FAIR/POOR Type of heating …………………………………………………….. Polystyrene ceiling tiles YES NO Plumbing and space for washing machine YES NO Window restrictors if first floor or above Notes: NO YES N/A Carbon Monoxide detector YES NO ………………………………………………………………………………………………………… LIVING ROOM location…………. Size ……………x………… =…………. 1 x three piece suite YES NO YES NO YES NO GOOD/FAIR/POOR (furniture & furnishings fire safety regs) 1 x coffee table (not mandatory) GOOD/FAIR/POOR ______ x electric sockets (min 2) GOOD/FAIR/POOR 2 Adequate ventilation YES NO Décor GOOD/FAIR/POOR Floor (safe & secure) GOOD/FAIR/POOR Type of heating ………………………………………………………. Curtains YES NO Polystyrene ceiling tiles YES NO Window restrictors if first floor or above YES Notes: NO Carbon Monoxide detector YES N/A NO ………………………………………………………………………………………………………… DINING ROOM location…………. Size ……………x………… =…………. 1 x dining table YES NO YES NO YES NO YES NO GOOD/FAIR/POOR _____ x chairs (minimum 4) GOOD/FAIR/POOR _____ x electric sockets (minimum 2) GOOD/FAIR/POOR Adequate ventilation Décor GOOD/FAIR/POOR Floor (safe & secure) GOOD/FAIR/POOR Type of heating ………………………………………………………… Curtains YES NO Polystyrene tiles YES NO Window restrictors if first floor or above YES NO GOOD/FAIR/POOR N/A Notes: ………………………………………………………………………………………………… Carbon Monoxide detector YES NO STAIRS/LANDING Smoke detector YES NO Working YES / NO 3 Hard wired YES NO Polystyrene tiles YES NO Floor (safe & secure) YES NO YES NO Interlinked YES / NO GOOD/FAIR/POOR Handrail required Balustrade (Must comply with BuildingRegs, Not easily climbed and not allow 100mm sphere to pass through) YES NO BEDROOM 1 location…………. Size ……………x………… =…………. _____ x bed/s (Size ______________) YES NO GOOD/FAIR/POOR & mattress 1 x wardrobe/cupboard area YES NO YES NO YES NO YES NO Window restrictions (on window YES On or above first floor, max opening 100mm) NO GOOD/FAIR/POOR 1 x chest of drawers GOOD/FAIR/POOR _____ x electric sockets (minimum 2) GOOD/FAIR/POOR Adequate ventilation Décor GOOD/FAIR/POOR Floor (safe & secure) GOOD/FAIR/POOR Type of heating ………………………………………………………… Curtains YES NO YES NO GOOD/FAIR/POOR Polystyrene tiles Notes: …………………………………………………………………………………………………… ……………………………………………………………………………………………………………. 4 BEDROOM 2 location…………. Size ……………x………… =…………. _____ x bed/s (Size ______________) YES NO GOOD/FAIR/POOR & mattress 1 x wardrobe/cupboard area YES NO YES NO YES NO Adequate ventilation YES NO Window restrictions (on window On & above first floor) YES NO GOOD/FAIR/POOR 1 x chest of drawers GOOD/FAIR/POOR _____ x electric sockets (minimum 2) GOOD/FAIR/POOR Décor GOOD/FAIR/POOR Floor (safe & secure) GOOD/FAIR/POOR Type of heating ………………………………………………………… Curtains YES NO Polystyrene tiles YES NO GOOD/FAIR/POOR Notes: ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… BEDROOM 3 location…………. Size ……………x………… =…………. __ x bed/s (Size ______________) YES NO YES NO YES NO GOOD/FAIR/POOR & mattress 1 x wardrobe/cupboard area GOOD/FAIR/POOR 1 x chest of drawers GOOD/FAIR/POOR 5 _____ x electric sockets (minimum 2) YES NO Adequate ventilation YES NO Window restrictions (on window On & above first floor) YES NO GOOD/FAIR/POOR Décor GOOD/FAIR/POOR Floor (safe & secure) GOOD/FAIR/POOR Type of heating ………………………………………………………… Curtains YES NO Polystyrene tiles YES NO GOOD/FAIR/POOR Notes: ………………………………………………………………………………………………………… …………………………………………………………………………………………………………… … …………………………………………………………………………………………………………… … BEDROOM 4 location…………. Size ……………x………… =…………. _____ x bed/s (Size ______________) YES NO GOOD/FAIR/POOR & mattress 1 x wardrobe/cupboard area YES NO YES NO YES NO Adequate ventilation YES NO Window restrictions (on window On & above first floor) YES NO GOOD/FAIR/POOR 1 x chest of drawers GOOD/FAIR/POOR _____ x electric sockets (minimum 2) GOOD/FAIR/POOR Décor GOOD/FAIR/POOR Floor (safe & secure) GOOD/FAIR/POOR Type of heating ………………………………………………………… Curtains YES NO GOOD/FAIR/POOR 6 Polystyrene tiles YES NO Notes: ………………………………………………………………………………………………………… BATHROOM/S location…………. 1 x bath or shower YES NO YES NO YES NO YES NO Adequate ventilation YES NO Window restrictions (on window On & above first floor) YES NO GOOD/FAIR/POOR 1 x toilet GOOD/FAIR/POOR 1 x wash hand basin GOOD/FAIR/POOR 1 x bathroom cabinet GOOD/FAIR/POOR Décor GOOD/FAIR/POOR Floor (safe & secure) GOOD/FAIR/POOR Type of heating ………………………………………………………… Polystyrene tiles YES NO Lawn YES NO All boundary fencing secure YES NO YES NO Greenhouse (If glass is not kitemarked YES as safety glass, recommend removal) Garden cleared & maintained YES NO YES NO GARDEN GOOD/FAIR/POOR Back garden Pond (if yes fill in or remove) Man hole covers, gullies, drains Etc Sound & secure NO Back gate secure and bolt fitted ………………………………. MISCELLANEOUS Receptacle & disposal point for YES NO 7 Household rubbish Secure receptacle for post (letterbox) YES NO Secure locking system on back door YES NO Secure locking system on patio door YES NO optional Roof repairs, missing slipped tiles, flashing, chimney pots and any faults to gutters and RWPs Blocked air bricks, bridged DPCs, etc NOTES: …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… …………………………………………………………………………………………………………… ………………………………………………………………………………………………………… EXTRAS Windows & doors open/close easily YES NO Failed double glazing units YES NO Cracked or broken glass YES NO Insulation jacket on hot water cylinder YES NO Duplicate keys YES NO Gas card YES NO Electric key YES NO Debt on meters YES NO Loft insulation required YES (Min 100mm, recommended 270mm) Secure door entry system YES NO NO Working YES NO Number of rooms/spaces with gas appliances………………………………………. or solid fuel Has each room/space a carbon monoxide detectors… YES NO Working YES NO …… Any glazing below 800mm Including internal glass door / side panels Or external doors that need to have 8 Toughened glass YES NO ANY ADDITIONAL NOTES RE: THE PROPERTY including any adaptions ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… GAS AND ELECTRIC METER READINGS……G………………………E....………….. Tenant’s signature………………………………. Date……….. (Updated 30-09-2015 PSH) 9
