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TENANTS INITIALS
METER READINGS
AT CHECK IN AT CHECK OUT
Gas
Electricity
Water
FUEL
AT CHECK IN AT CHECK OUT
Oil level
Solid fuel
GENERAL
AT CHECK IN AT CHECK OUT
Chimneys and/or flues swept
YES / NO
YES / NO
Gas safety certificate provided
Issue date:
YES / NO
YES / NO
Electrical safety test carried out
Date:
Appliance instructions/user
manuals supplied/returned
YES / NO
YES / NO
Furnishing comply with current
safety regulations
YES / NO
YES / NO
Keys handed over
If Yes, list keys handed over:
YES / NO
YES / NO
ADDRESS
POSTCODE
DATE PREPARED
AT CHECK IN
DAY MONTH YEAR
DATE PREPARED
AT CHECK OUT
DAY MONTH YEAR
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INVENTORY OF FIXTURES, FITTINGS & FURNISHINGS