DOMESTIC RISK ASSESSMENT FORM

Name Of Client: @if(!empty($domestic)) {{$domestic->client_name}} @endif		Date Of Visit: @if(!empty($domestic)) {{$domestic->date_of_visit}} @endif
Person Seen: @if(!empty($domestic)) {{$domestic->person_seen}} @endif		Telephone Number: @if(!empty($domestic)) {{$domestic->telephone_number}} @endif

Address of premises surveyed: @if(!empty($domestic)) {{$domestic->address_premises}} @endif

General guidance only:

Risk assessment checklist that gives guidance on the questions to ask and subjects that should be covered when specifying an intruder alarm system for DOMESTIC premises to meet the requirements EN 50131-1, PD6662: 2004, DD CLCTTS 50131-7 and the current DD243, if appropriate.

1. Personal risk features
	Description
Factors (other than the theft of personal household goods and personal effects) that may cause the client to be concerned about crime e eg occupation, elderly, living alone, disabled, young children, premises part-used for business, etc	@if(!empty($domestic)) {{$domestic->personal_description}} @endif

2. Contents in the property
	Value
Approximate overall value of contents	@if(!empty($domestic)) {{$domestic->approximate_contents}} @endif
Approximate overall value of TARGET goods	@if(!empty($domestic)) {{$domestic->approximate_good}} @endif

Category examples of target items

Jewellery, clocks, watches, articles of precious metals (silver, gold, etc), works of art, antiques, collections, computers, hi-fi equipment, compact discs, DVD players and high-value TVs, photographic equipment, furs, paintings, etc

Parts of property used for business	Description
Is any part of the property used for business, and if so, which type of business?	@if(!empty($domestic)) {{$domestic->parts_description}} @endif

3. Area (locality) in which the property is situated

Assess the local crime rate
	Low	Medium	High	Very high
	local_crime == 'low crime rate') checked @endif>	local_crime == 'medium crime rate') checked @endif>	local_crime == 'high crime rate') checked @endif>	local_crime == 'veryhigh crime rate') checked @endif>

	Description
Type of neighbourhood in which the property is located eg isolated, rural, surburban, inner city, up and coming but still close to areas of social hardship, etc	@if(!empty($domestic)) {{$domestic->perimeter_layout_description}} @endif
How easy is it to gain access to the property? eg front, sides, rear, roof, no ease of access, etc	@if(!empty($domestic)) {{$domestic->perimeter_outbulidings_description}} @endif

4. Perimeter features of the property
	Description
General construction of the main building Include any areas of concern	@if(!empty($domestic)) {{$domestic->perimeter_good_condition}} @endif
Layout of the property? eg two storey, bungalow, flat, etc	@if(!empty($domestic)) {{$domestic->perimeter_quality_lock}} @endif
What is the construction of the outbuildings? nclude any areas of concern	@if(!empty($domestic)) {{$domestic->perimeter_householder}} @endif

	Yes	No
Are the doors and windows in good condition?	perimeter_good_condition == 'doorandWindowsareGoodcCondition-yes') checked @endif>	perimeter_good_condition == 'doorandWindowsareGoodcCondition-no') checked @endif>
Are all external doors fitted with good quality locks?	perimeter_quality_lock == 'doorsfittedwithgoodqualitylocks-yes') checked @endif>	perimeter_quality_lock == 'doorsfittedwithgoodqualitylocks-no') checked @endif>
Are all accessible windows fitted with key-operated locks that are used by the householder?	perimeter_householder == 'windowsfittedwithkeyoperatedlocks-yes') checked @endif>	perimeter_householder == 'windowsfittedwithkeyoperatedlocks-no') checked @endif>

5. Occupancy in the property
	Description
What are the regular periods of unoccupancy? eg normal working hours, holidays, school run, etc	@if(!empty($domestic)) {{$domestic->occupancy_periods_description}} @endif
Do the occupants work from home? Include nature of business	@if(!empty($domestic)) {{$domestic->occupancy_work_from_home_description}} @endif

6. History of theft

Obtain FULL details of any loss history within the last five years, including:

	Details
Dates of losses	@if(!empty($domestic)) {{$domestic->history_losses_details}} @endif
Method of entry	@if(!empty($domestic)) {{$domestic->history_method_details}} @endif
Was there an alarm system, did it operate correctly, and was it overcome?	@if(!empty($domestic)) {{$domestic->history_alarm_details}} @endif

7. Insurance

	Yes	No
Is the system a requirement of the client’s insurer?	insurance_insurer == 'systemRequirmentInsurer-yes') checked @endif>	insurance_insurer == 'systemRequirmentInsurer-no') checked @endif>
Has the client’s insurer specified the grade and notification option?	insurance_option == 'systemRequirmentInsurer-Yes') checked @endif>	insurance_option == 'systemRequirmentInsurer-no') checked @endif>

Please obtain broker/insurer details

Details

Many questions can be expanded in order for more information to be gathered.

It could be that the client will want either other detection equipment (such as smoke or flood alarms) or indication when the children or staff have arrived at the home and unset the system.

A typical grade of system that may be required if alarm protection is a condition of insurance:

Risk	Normal	High	Special (public access)
Recommended grade of alarm	2	2/3	3

I agree that all the information provided on this form is true to my knowledge

Customer		Installer
Signed	@if(!empty($domestic)) {{$domestic->customer_singed}} @endif	Signed	@if(!empty($domestic)) {{$domestic->installer_signed}} @endif
Print Name	@if(!empty($domestic)) {{$domestic->customer_print_name}} @endif	Print Name	@if(!empty($domestic)) {{$domestic->installer_print_name}} @endif
Date	@if(!empty($domestic)) {{$domestic->customer_date}} @endif	Company	@if(!empty($domestic)) {{$domestic->installer_company}} @endif
		Date	@if(!empty($domestic)) {{$domestic->installer_date}} @endif

Sketch plan