Is this the first time you have completed this form or are you returning after more information has been provided?(Required) No selection Yes first time completing form Returning to complete form
Although you are returning to this form, please ensure that you still work through each question with the tenant and then add the supporting information where required. What's broken?(Required) No selection Cooker / Oven Hob Fridge
Hob Gas or Electric:(Required) Gas - cooks food with a flame Electric - cooks food without a flame
Hob Colour:(Required) White Black Grey Silver Other
Cooker / Oven
What is the difference between a cooker and an oven? A cooker is a freestanding, all-in-one unit that contains at least one oven and a hob. ... An oven refers to just the appliance used for roasting and baking, which can be bought and installed separately from a hob. Type of Cooker / Oven:(Required) Freestanding cooker Integrated oven with separate hob
Gas or Electric:(Required) Gas - cooks food with a flame Electric - cooks food without a flame
Brand:(Required) Amana Bosch Dacor Frigidaire GE Haier Kenmore KitchenAid LG Magic Chef Maytag Norcold Non-brand Samsung Sanyo Subzero Whirlpool Other brand
Cooker / Oven Colour:(Required) White Black Grey Silver Other
If other colour selected we will replace the appliance with the closest colour match Select an appropriate colour:(Required) White Black Grey Silver Other
Fridge Type of Fridge:(Required) Freestanding single fridge Free stand fridge freezer Integrated (usually inserted within the kitchen and has a cupboard door attached to its front)
Is it a double fridge (top) freezer (bottom)?(Required) Double Fridge Freezer Its a double fridge Its a single fridge
Does the fridge have a small freezer compartment?(Required) Yes, small section No, just a fridge
Fridge Brand:(Required) Amana Bosch Dacor Frigidaire GE Haier Kenmore KitchenAid LG Magic Chef Maytag Norcold Non-brand Samsung Sanyo Subzero Whirlpool Other brand
Colour:(Required) White Black Grey Silver Other
If other colour selected we will replace the appliance with the closest colour match Select an appropriate colour:(Required) White Black Grey Silver Other
Fault Please ask the tenant for a description of the fault:(Required)
To provide some help to the tenant you may want to work towards the following: Does it make a funny sound? Has anything broken off the appliance? Are there any signs of damage? Does it smell?
Gas Appliances Only Is there gas to the appliance?(Required)
If there is gas on the gas meter and gas to the property there could be a fault with the appliance Can the tenant confirm that the gas tap behind the appliance has not been turned off? This is usually where the gas pipe connects to the appliance.(Required)
If the gas tap was turned off and the appliance is now working you can end this questionnaire.
If there is no gas to the property then there may not be a fault with the appliance. Can the tenant confirm they have a gas supply to the property?(Required)
If the tenant is sure they should be getting gas to the property please check the following: 1) The meter is in credit with no debt 2) The gas shut of valve is in the 'on' position, this valve is usually next to the gas meter. At this stage you may need maintenance to visit the property and check the meter and gas supply. Call for a maintenance visit.
Electrical Appliances Only Is there power to the appliance?
Tenant should check the fuse box to see if fuse has tripped and cut power to the appliance
if there is power to the appliance but it is not working it suggests there is a problem with the appliance. Please order new appliance. Has the tenant checked the fuse box for the property?(Required)
If there is power to the appliance but it is not working it suggests there is a problem with the appliance. Please order new one
If the appliance is now working you can stop this questionnaire. However, please ensure you let the tenant know they need to monitor the appliance and if stops working again and it has tripped the fuse again they need to contact the office Does the appliance keep tripping the fuse?(Required)
If this is the second time the appliance has tripped the power, there is a fault and a new appliance should be ordered. Continue with the questionnaire to order an appliance.
The tenant will need to confirm they have checked the fuse box before you can continue
Cleanliness Is the appliance clean, free from debris, grease and dirt?(Required) We ask all tenants to take good care of all appliances. If the appliance has been kept in a unreasonable condition it may contribute to the problem. We can order a new appliance but if it is found that the fault is due to poor keeping of the appliance they may be charged. We suggest the appliance is first thoroughly cleaned to see if that improves the situation.
Damage Has there been any damage to the appliance? Damage means something has happened to the appliance, since it was last known to be working.(Required) Please ask the tenant what the damage is and how the damage has taken place?(Required)
Is the damage the fault of the tenant?(Required)
Yes - if the tenant accepts the liability then we can proceed with a new appliance order. However, they are liable for the cost of the replacement. Please make them aware that they can not replace the item themselves as it needs to be provided from our own supplier and installed correctly. We can confirm cost of the replacement before ordering and payment will need to be confirmed before the order is finalised.
No - continue with the questionnaire. However, if you are planning on ordering an appliance, you need to request images of the current appliance from the tenant to be sent to you. Ticking this box also highlights this issue to management. Management will need to confirm if the tenant is liable for the damage or not Image Of Damage(Required)
If the tenant is not claiming liability we need pictures of the damage to determine if the damage is an accident, wear and tear, or malicious.
Place an order for a new appliance.
Try to contact a repair service for the appliance in question.
Ordering and Delivery When is the tenant available to accept delivery of appliance? Needs to be on a weekday between 9am - 5pm (we are unable to be on site to over see installation ourselves)(Required)
Please provide at least three dates to provide flexibility when ordering.
Please confirm with the tenant that they will make arrangements to have a clear path to the appliance area so delivery and installation can take place.(Required) Please confirm with the tenant that if they fail to make the appointment there will be a charge of £30 for the missed appointment and rearrangement of a new date.(Required) Admin Only - Now this form is complete you have enough information to process an order. You need to refer to our supplier list on Notion to contact a local supplier who can complete the 3 points above.(Required)
Who's Completing This Form Name(Required) First Last
