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Name
*
First
Last
Date
*
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Phone
*
What is the problem?
*
Bathrooms and Toilets
Kitchens
Heating And Boilers
Water Leaks
Doors, Garages and looks
Internal floor, Walls and Cielings
Lighting
Window
Exterior and Garden
Laundary
Furniture
Electricity
Hot Water
Alarms and Smoke Detectors
Pets/Vermin
Roof
Commanual/Shared Facilities
Audiovisual
Utility Meters
Internet
Stairs
Property Services
Smell Gas?
Air Conditioning
Smell Oil?
Fire
Property Inspection
Other
Bathroom and Toilet
*
Basin
Bath
Electric Shower
Fan
WC/Toilet
Other
Heating and boiler
*
Electric Boiler or Heater
Gas Boiler or Heater
Oil Boiler or Heater
Coal or Solid Fuel Powered Heating
Radiator
Under-floor heating
Shared Heating
Other
Doors, Garages and Locks
*
Door Bell
External Door
Garage Door
Intercom / Entry phone
Internal Door
Locks and Keys
Other
Window
*
Blinds
Broken Glass
Curtains
Window Frame
Window Locks
Other
Furniture
*
Bed
Bedside Table
Bookcase
Chest of Drawers
Sofa
Table
Wardrobe
Other
Lighting
*
External Light
Internal Lighting
Other
Pets/Vermains
*
Insects
Rodents
Other
Electricity
*
No Power
Sockets
Trip switch
Other
Alarms and Smoke Detectors
*
Carbon monoxide alarm
Property Alarm
Smoke Alarm
Other
Hot Water
*
Immersion Heater
Water heated by electricity
Water heated by gas
Water heated by Oil
Other
Internal floors, walls and ceilings
*
Ceiling
Floor
Walls
Exterior and Garden
*
Decking
In Garden
On Property
Other
Laundary
*
Tumble Dryer
Washing Machine
Other
Water and Leaks
*
Leak
Water
Other
Roof
*
chimney
Flat Roof
Tiled Roof
Other
Communal/Shared Facilities
*
Air Conditioner
Bin Store
Commanual Doors
Electric gate
Intercom / Entry phone
Landings/Stairwells
Lift
Parking
Postboxes
Shared Heating/Hot Water
Other
Stairs
*
External Stairs
Internal Stairs
Private Lift
Other
Air Coniditioner
*
Split Air Conditioner
Tower Air Conditioner
Window Mounted Air Conditioner
Other
Audiovisual
*
Television Broken
Other
Utility Meters
*
Electricity meter broken
Gas meter broken
Other
Internet
*
Internet not working
Other
Property services
*
Carpentry Services
Cleaning Services
Construction Services
Decorating Services
Electrical Services
Gardening Services
Gutter Services
Home Security Services
Locksmith Services
Pest Control Services
Plumbing Services
Window Services
Kitchen
*
Appliance
Fan
Kitchen Units and Larder
Sinks and Taps
Tiles
Other
Extractor Fan
Fan faulty
Other
Kitchen Units and Larder
Base/Floor unit
Drawers
Larder
Wall unit
Other
Sinks and Taps
Leaks or blockages
Plug hole
Plug/Chain
sink
Tap
Tiles
Other
Leaks or blockages
Pipe leaking under sink
Sink blocked
Washing machine blocked
Other
Plug hole
Plug hole blocked
Plug hole grill broken
Other
Plug/Chain
*
New Plug/Chain needed
Other
Sink
*
Sink top loose
Sink unit loose
Water leaking between sink and wall
Other
Tap
*
Mixer tap broken
Mixer tap leaking
Mixer tap loose
Single Tape broken
Single Tape leaking
Single tap loose
Other
Tiles
*
Broken tiles (need new tiles)
Loose tiles (can be refixed)
Other
Base/Floor Unit
*
Corner base/floor unit broken
Corner base/floor unit loose
Door base/floor unit broken
Double Door base/floor unit broken
Hinge handle or catch broken (specify which in notes)
Shelf of base/floor unit broken
Single door base/floor unit broken
Single door base/floor unit loose
Other
Wall Unit
*
Corner Wall unit broken
Corner Wall unit loose
Door Wall unit broken
Double Door Wall unit broken
Hinge handle or catch broken (specify which in notes)
Shelf of Wall unit broken
Single door Wall unit broken
Single door Wall unit loose
Other
Drawers
*
Drawer bottom broken
Drawer broken
Drawer does not slide open or closed correctly
Drawer front broken
Drawer handle broken
Other
Larder
*
Larder door broken
Larder door loose
Larder unit broken
Other
Appliance
*
Dishwasher
Freezer
Fridge
Grill
Microwave
Oven
Hob
Vacuum
Laundary
Other
Dishwasher
*
Dishwasher does not turn on
Dishwasher does not work correctly
Other
Laundary
*
Laundary does not turn on
Laundary does not work correctly
Other
Freezer
*
Freezer does not turn on
Freezer does not work correctly
Other
Vacuum
*
Broken parts
Poor suction
Does not turn on
Other
Microwave
*
Microwave does not turn on
Microwave does not work correctly
Other
Fridge
*
Fridge does not turn on
Fridge does not work correctly
Other
Grill
*
Grill (electric) does not turn on
Grill (electric) does not work correctly
Grill (gas) does not turn on
Grill (gas) does not work correctly
Grill Switch Broken
Ventilator/fan not working
Other
Hob
*
Hob (electric) does not turn on
Hob (electric) does not work correctly
Hob (gas) does not turn on
Hob (gas) does not work correctly
Hob Switch Broken
Ventilator/fan not working
Other
Oven
*
Oven (electric) does not turn on
Oven (electric) does not work correctly
Oven (gas) does not turn on
Oven (gas) does not work correctly
Oven Switch Broken
Ventilator/fan not working
Other
Basin
*
Basin on brackets
Basin on pedestal
Between basin and wall
Pipe leaking
Plug hole
Plug/Chain
Tap
Tiles
Other
Bath
*
Between bath and wall
Pipes
Plug hole
Plug/Chain
Tap
Other
WC/Toilet
*
Cistern
Handle/chain
Macerator
Pipes
Toilet seat/bowl
Other
Electric Shower
*
No Hot Water
Not Working at all
Other
Extractor Fan
*
Not Working
Other
Basin on brackets
*
Basin blocked
Broken basin brackets
Broken or cracked basin on brackets
Loose basin brackets
Other
Basin on pedestal
*
Basin blocked
Broken or cracked basin on pedestal
Broken or cracked pedestal
Other
Between basin and wall
*
Sealant discoloured or mouldy
Water leaking between basin and wall
Other
Pipe leaking
*
Pipe leaking and basin is on brackets
Pipe leaking behind a pedestal
Other
Plug hole
*
Plug hole blocked
Plug hole grill broken
Other
Tap
*
Tap broken
Tap dripping
Tap loose
Other
Between bath and wall
*
Sealant discoloured/mouldy
Water leaking between bath and wall
Other
Pipes
*
Pipes Leaking
Waste Pipe blocked
Other
Cistern
*
Cistern constantly flowing
Cistern needs to be refixed to wall
Cistern not filling with water
Cistern not flushing
Cistern overflowing
Cracked - high level cistern
Cracked - low level cistern
Major leak that cannot be stopped
Other
Handle/chain
*
Handle broken
chain broken
Other
Pipes
*
Flush pipe blocked
Flush pipe leaking at cistern
Flush pipe leaking at joint with pan
Toilet blocked
Waste pipe leaking
Other
Toilet seat/bowl
*
Toilet bowl cracked
Toilet bowl cracked and leaking
Toilet needs to be refixed to the floor
Toilet seat broken
Toilet seat loose
Other
Electric Boiler or Heater
*
Electric Boiler
Electric Heater
Other
Gas Boiler or Fire
*
Gas Boiler
Gas Fire
Other
Oil Boiler or Heater
*
Oil Boiler or Heater leaking
Oil Boiler or Heater not working
Other
Coal or Solid Fuel Powered Heating
*
Fireplace
Tiles
Other
Radiator
*
No heating but hot water working
No heating or hot water
Radiator leaking
Radiator loose
Radiator valve leaking
Other
Under-floor heating
*
Leak
Other
Shared Heating
*
Common Parts Heating Not Working
Heating from Shared Boiler Not Working
Other
Electric Boiler
*
Boiler leaking
Boiler noisy
Boiler not working
Other
Electric Heater
*
Bar on electric heater not working
Electric heater loose
Electric heater not working
Other
Gas Boiler
*
Boiler leaking
Boiler noisy
Boiler not working
Boiler pressure high
Boiler pressure low
Other
Gas Fire
*
Gas fire loose
Gas fire not working
Radiants in fire are broken
Other
Fireplace
*
Chimney needs sweeping
Fire not working
Glass strips in door need replacing
Other
Doorbell
*
Battery powered (not working)
Wired (not working)
Door Knocker (Broken)
Not working
Other
External door
*
Door loose
Frame split
Hinge broken
PVCu door sticking
Water leaking in
Wooden door sticking
Other
Garage Door
*
Door sticking
Frame loose
Lock not working correctly
Locking bar broken
Runners are sticking
Other
Intercom / Entry phone
*
Intercom / Entry phone Broken
Other
Internal door
*
Door handle broken
Door loose
Frame split
Hinge broken
PVCu door sticking
Wooden door sticking
Other
Locks and Keys
*
Back Door
Front Door
Garage Door
Garden gate
Key lost
Other
Locks and Keys
*
Back Door
Front Door
Garage Door
Garden gate
Key lost
Other
Ceiling
*
Ceiling tiles
Damp patches appearing
Mould appearing
Plaster
Plasterboard
Other
Damp patches appearing
*
You do not think that it is related to a leak
You think that it is related to a leak
Other
Mould appearing
*
In a damp/humid room such as a bathroom or kitchen
In a dry room
Other
Plaster
*
Ceiling plaster cracked (needs filling)
Ceiling plaster damaged
Other
Plasterboard
*
Ceiling plasterboard damaged
Other
Floors
*
Carpet loose (carpet can be refixed)
Carpet ripped or damaged (need new carpet)
Floor tiles broken (need new tiles)
Floor tiles loose (tiles can be refixed)
Floorboard broken (need new floorboard)
Floorboard loose (floorboard can be refixed)
Other
Walls
*
Damp patches appearing
Mould appearing
Plaster
Plasterboard
Skirting board
Vent
Wall tiles
Other
Damp patches appearing
*
Above ground floor level and you do not think it is related to a leak
Above ground floor level and you do think it is related to a leak
At ground floor level with brown "tide mark"
At ground floor level with no brown "tide mark"At ground floor level with no brown "tide mark"
Other
Mould appearing
*
In a damp/humid room such as a bathroom or kitchen
In a dry room
Other
Plaster
*
Wall plaster cracked (needs filling)
Wall plaster damaged
Other
Plasterboard
*
Joint in plasterboard damaged
Wall plasterboard damaged
Other
Skirting board
*
Broken skirting board (need new skirting board)
Loose skirting board (skirting board can be refixed)
Other
Vent
*
Metal vent damaged
Metal vent loose
Plaster vent damaged
Plaster vent loose
Plastic vent damaged
Plastic vent loose
Other
External Lighting
*
External Light
External Light Switch
Other
External Light
*
Brooken
Loose
Other
External Light Switch
*
Brooken
Loose
Other
Internal Lighting
*
Batten holder
Fluorescent light tube
Lamp
Light bulb
Light fitting
Light switch
Pull cord for light
Other
Batten Holder
*
Brooken
Loose
Other
Fluorescent light tube
*
Brooken
Flickering
Other
Lamp
*
Lamp Brooken
Other
Light Bulb
*
Brooken
Flickering
Other
Light fitting
*
Brooken
Loose
Other
Light Switch
*
Brooken
Loose
Other
Pull cord for light
*
Brooken
Loose
Other
Blinds
*
Blinds Broken
Other
Broken Glass
*
Above ground floor level - double glazed
Above ground floor level - single glazed
Ground floor level - double glazed
Ground floor level - single glazed
Other
Curtains
*
Curtain damaged
Curtain pole
Other
Window Frame
*
Metal window frame
PVCu window
Sash Cord
Wooden window frame
Other
Window locks
*
Lock broken with window closed
Lock broken with window open
Other
Decking
*
Broken (needs to be replaced)
Loose (can be re-fixed)
Rotten (needs to be replaced)
Other
In Garden
*
Cesspit/Septic tank
Fencing
Garden gate
Manholes
Path
Paving
Steps
Walls
Other
On Property
*
Drainpipe/downpipe for rainwater
Drains
Gutters
Soil pipe
Other
Cesspit/Septic tank
*
Cesspit blocked
Septic tank blocked
Other
Fencing
*
Concrete fence post broken
Concrete fence post loose
Fence (not timber) broken
Fence (not timber) loose
Timber fence broken
Timber fence loose
Timber fence post loose
Timber fence post broken
Other
Garden gate
*
Gate broken
Lock not working
Other
Manholes
*
Manhole cover broken
Manhole overflowing
Other
Path
*
Brick path broken
Brick path loose
Concrete path broken
Gravel path needs relaying
Other
Paving
*
Flags loose (can be refixed)
Rectangular flags broken (need to be replaced)
Square flags broken (need to be replaced)
Other
Steps
*
Brick steps broken
Brick steps loose
Concrete steps broken
Concrete steps loose
Other
Walls
*
Boundary wall collapsing
Wall shared with neighbour collapsing
Other
Drainpipe/downpipe for rainwater
*
Drainpipe/downpipe (metal) blocked
Drainpipe/downpipe (metal) broken
Drainpipe/downpipe (metal) needs refixing
Drainpipe/downpipe (plastic) blocked
Drainpipe/downpipe (plastic) broken
Drainpipe/downpipe (plastic) needs refixing
Other
Drains
*
Blocked
Grate broken
Other
Gutters
*
Gutter (metal) blocked
Gutter (metal) broken
Gutter (metal) needs refixing
Gutter (plastic) blocked
Gutter (plastic) broken
Gutter (plastic) needs refixing
Gutter overflowing
Other
Soil pipe
*
Soil pipe blocked
Soil pipe leaking
Soil pipe needs refixing
Other
Tumble dryer
*
Tumble dryer does not turn on
Tumble dryer does not work correctly
Other
Washing machine
*
Washing machine does not drain
Washing machine does not turn on
Washing machine does not work correctly
Washing machine leaking
Other
Bed
*
Bed broken
Other
Bedside Table
*
Bedside Table Broken
Other
Bookcase
*
Bookcase Broken
Other
Chest of Drawers
*
Chest of Drawers Broken
Other
Sofa
*
Sofa Broken
Other
Table
*
Table Broken
Other
Wardrobe
*
Wardrobe Broken
Other
Sockets
*
Double socket
Single socket
Other
No power
*
In a room
Throughout property
Other
Trip switch
*
Master switch
Single switch
Other
Immersion heater
*
Cylinder leaking
No hot water
Switch broken
Other
Water heated by electricity
*
No hot water
Other
Carbon monoxide alarm
*
Carbon monoxide alarm faulty (battery power)
Carbon monoxide alarm faulty (mains power)
Other
Property alarm
*
Property alarm does not sound
Property alarm does not turn off (constantly sounds)
Property alarm sounds when inappropriate (intermittent sounds)
Other
Smoke alarm
*
Smoke detector faulty (battery power)
Smoke detector faulty (mains power)
Other
Insects
*
Ants
Bed Bugs
Bees
Cockroaches
Fleas
Flies
Moths
Termites
Wasps
Other
Rodents
*
Mice
Rats
Rodent - unknown if rat or mouse
Other
Chimney
*
Chimney Pot
Chimney Stack
Flashing
Other
Flat roof
*
Roof Damaged
Roof Leaking
Other
Tiled/Pitched roof
*
Roof Leaking
Tiles on edge of roof
Tiles on hip of roof
Tiles on ridge of roof
Other
Chimney Pot
*
Chimney pot damaged
Chimney pot missing
Other
Chimney Stack
*
Chimney stack damaged and not shared with neighbour
Chimney stack damaged and shared with neighbour
Chimney stack needs repointing and not shared with neighbour
Chimney stack needs repointing and shared with neighbour
Other
Flashing
*
Flashing loose
Flashing missing
Other
Roof Leaking
*
Roof Leaking
Other
Tiles on edge of roof
*
Tile loose
Tile missing or broken
Other
Air Conditioning
*
Not working
Other
Bin Store
*
Bin store overfilled/inaccessible
Bins not collected
Other
Communal Doors
*
Communal doors not locking/closing
Door fobs not working
Other
Electric gate
*
Electric gate not working
Other
Intercom / Entry phone
*
Intercom / Entry phone not working
Other
Landings/Stairwells
*
Lighting not working
Unclean
Other
Lift
*
Lift out of order
Other
Parking
*
Garage fobs not working
Parking spaces inaccessible
Other
Postboxes
*
Postboxes damaged
Other
Shared Heating/Hot Water
*
Common parts heating not working
Shared boiler that provides hot water to your property not working
Other
Split Air Conditioner
*
Does not turn on
Leaking
Noisy
Other
Tower Air Conditioner
*
Does not turn on
Leaking
Noisy
Other
Window Mounted Air Conditioner
*
Does not turn on
Leaking
Noisy
Other
Private lift
*
Not Working
Other
External Stairs
*
Balustrade
Handrail
Newel post/Central post
Tread or riser
Other
Internal Stairs
*
Balustrade
Handrail
Newel post/Central post
Tread or riser
Other
Balustrade
*
Balustrade broken
Balustrade loose
Other
Handrail
*
Handrail bracket broken
Handrail bracket loose
Handrail broken
Handrail loose
Other
Newel post/Central post
*
Post broken
Post loose
Other
Tread or riser
*
Tread or riser broken
Tread or riser loose
Other
Leak
*
Water leak from other property
Water leak within property
Other
Water
*
Limited or no running water
Other
Fault Details
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