View our COVID-19 Policy

HEALTH & SAFETY QUESTIONNAIRE

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You have received this questionnaire because a building inspection is scheduled to be carried out at the property you reside in. 

 

To ensure our company operates in line with Alert Level 2 guidelines, we require the following form to be completed and submitted by one nominated person within your home who can respond on behalf of everyone prior to the inspection date.

 

Please consider each occupant and their personal situation carefully, particularly if different from your own when answering each question below as you are answering on behalf of each person who lives with you.

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Day of Inspection

Whilst operating at Alert Level 2 we are requesting that all occupants who reside in the home to vacate the property for the duration of the inspection. We appreciate that this may be an inconvenience but it is the safest approach for everyone involved during these challenging times.
We also appreciate that there may be a special circumstance that prevents someone from vacating the home or that some people may not be comfortable with this requirement. If this applies to you, please ensure you inform our company now or as soon as possible 
so that we can discuss your situation to see if there is an alternative approach that we can take without lowering our safety standard.  

Yes
No

Occupants

If applicable, please include below the occupant's name and contact number who is unable to vacate the property during the inspection.  These details will remain strictly confidential and will not be released to any third party except to the Ministry of Health and only the Ministry of Health in the event this specific information is requested for contact tracing purposes.




Our policy and approach has been implemented to help mitigate the risk of any potential exposure to Covid-19.  Our priority is to protect yourself, our inspector, and any other occupants residing in the home.

 

Thank you.

View our COVID-19 Health & Safety Protocols