Template

Housing Disrepair Questionnaire

by Louis Corrigan, from the Community

10+

This Housing Disrepair Questionnaire helps tenants and representatives document key details for housing disrepair cases. It captures tenant identity, tenancy and landlord information, reporting history, arrears context, and a full account of problems in the home. Sections cover property condition, infestation activity, damp and mould, leaks, heating and hot water, extractor fans, electrics, plumbing, windows and ventilation. It also guides evidence collection with photos, reports, correspondence, and a room-by-room damage timeline, plus records of landlord and tenant repairs and outcomes. A final section logs personal property losses to support claims and case review.

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With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Housing Disrepair Client Questionnaire
Use this Housing Disrepair Client Questionnaire to capture full tenant and tenancy details, landlord or council information, rent and arrears status, and a comprehensive history of property issues. The template guides intake teams through disrepair categories including leaks, damp and mould, heating and hot water failures, electrical and plumbing problems, window and ventilation defects, and pest infestations. It also records vulnerability considerations, prior reports and inspections, repair attempts and outcomes, room-by-room damage timelines, supporting evidence, and personal losses. Finish with a declaration to confirm accuracy and enable solicitors to initiate a claim.
by S 11, from the Community
Downloads: 10+
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Template
Housing Disrepair Report Template
Use this Housing Disrepair Report template to capture key details for a potential housing disrepair claim and assess property conditions. Record tenant and landlord information, tenancy start and deposit status, rent and benefits, and any arrears. Document structural and safety issues such as damp, mould, faulty electrics, broken fixtures, leaks, vermin, and damaged floors. Track first and last reports to the landlord, responses, and complaint details. Attach internal and external photos and describe damage by room to support investigations and legal claims.
by Alestacia Pillay, from the Community
Downloads: 10+
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Template
Housing Disrepair Assessment Template
This housing disrepair assessment template helps tenants, housing advisors, and legal teams capture complete details for a disrepair claim. Record tenancy and landlord information, document room-by-room defects, log first and last reports, and track landlord responses. Attach evidence of disrepair, reporting, personal injury, financial losses, and infestations. Sections cover safety checks, emergency repairs, lifestyle factors, witnesses, and remediation status to streamline case preparation and communication.
by Nadia Parveen Hussain, from the Community
Downloads: 0
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Template
Housing Disrepair Audit Checklist
This Disrepair Audit template helps housing and property teams document and evidence disrepair issues across a tenancy. Capture personal and tenancy details, landlord information, rent and arrears notes, and the best time to contact the tenant. Log reporting history and assess each room with named locations, descriptions of disrepair, dates reported, repair status, and supporting photos. Use the audit to organize follow ups, demonstrate compliance, and streamline property maintenance actions.
by CHRISTOPHER GARDINER, from the Community
Downloads: 0
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Housing Disrepair Questionnaire

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Housing Disrepair Client Questionnaire

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