Independent Condition Report

Enable Hoarding & Squalor Assessment

Part A: Property and Contact Details

Date of condition report

Address of rented premises

Suburb

Postcode

Rental provider full name

Renter full name

Agent's company name

Client not present at time of inspection

Item	Clean	Working	H&S Rating (1-10)	Overall Rating	Notes

Select a Standard Room

Or Add Custom Area

Telephone line connected

Internet line connected

NBN connected

Last pool barrier check

N/A

Last smoke alarm test

N/A

Last electrical safety check

N/A

Last gas safety check

N/A

Rental Provider/Agent Signature

Date

Renter Signature

Date

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