Maintenance Report Maintenance Report Lakewood Name * First Last * Last Date Reported * House Needing Maintenance * Unit 4Unit 5Unit 6Unit 7Unit 8Unit 9Unit 10 What is the nature of the report? * Urgent (No hot water, blocked toilets, burst water pipes) Non Urgent: Damages that do not need fixing right away. (Broken cupboard, cracked glass window). Urgent Maintenance Type of Problem (Tick all that Apply) * Burst Water Pipe(s) Blocked Toilet Broken Hot Water System / No Hot Water Sewerage leaks Major Water Leak Dangerous Electrical Faults Broken Window No Power (Outside the knowledge of Essential Energy) OtherOther Location in Home * Kitchen Lounge Room Bathroom / Shower Toliet Bedroom Laundry Outdoor Veranda Driveway OtherOther When was the Problem First Noticed? * Please Describe the Problem is Detail * Is there anything else we should know? * Yes No * Non Urgent Location in Home * Kitchen Lounge Room Bathroom / Shower Toliet Bedroom Laundry Outdoor Veranda Driveway OtherOther Kitchen Type of Problem? (Tick all that apply) Light Problems Stove / Oven not working Fridge Problems Cracked Tile Cracked Window Damaged Fly Screen Leaking Sink (mild) Cupboard Door Damage Extractor Fan Problems OtherOther When was the Problem First Noticed? * Please Describe the Problem in Detail * Is there anything else we should know? * Yes No * Lounge Room Type of Problem? (Tick all that apply) Floor Damage (Carpet / Lino / Tiles) Light Trouble Hole(s) in wall Paint Damage Power Outlet Problems Cracked Window Damaged Fly Screen OtherOther When was the Problem First Noticed? * Please Describe the Problem in Detail * Is there anything else we should know? * Yes No * Bathroom / Shower Type of Problem? (Tick all that apply) * Leaking Shower Head Persistant Mold Leaking Sink / Bath Tap (mild) Extractor Fan Not Working Cracked Tile Cracked Window Damaged Fly Screen Damaged Wall Paint Damage OtherOther When was the Problem First Noticed? * Please Describe the Problem in Detail * Is there anything else we should know? * Yes No * Toilet Type of Problem? (Tick all that apply) * Toilet leak (mild) Toilet does not fill / Bowl water level drop Whistling Tank on Flushing Unstable Toilet (from base) Wall Damage Paint Damage Cracked Window Fly Screen Damage OtherOther When was the Problem First Noticed? * Please Describe the Problem in Detail * Is there anything else we should know? * Yes No * Bedroom Type of Problem? (Tick all that apply) * Damaged Wall Paint damaged Sliding Door Problems (Built in Wardrobe) Power Port Problems Floor Damage (Carpet / Lino / Tile) Fly Screen Damage Cracked Window OtherOther When was the Problem First Noticed? * Please Describe the Problem in Detail * Is there anything else we should know? * Yes No * Laundry Type of Problem? (Tick all that apply) * Washing Machine Leaking Cracked Tile Paint Damage Hole in Wall Damaged Fly Screen Cracked Window Dryer not Working Properly (Fire Hazard) Damage to Cupboards Leaking Sink / Tap (mild) OtherOther When was the Problem First Noticed? * Please Describe the Problem in Detail * Is there anything else we should know? * Yes No * Outdoor Veranda Type of Problem? (Tick all that apply) * Degrading Wood Floor Plank(s) Cracked / Broken Wooden Floor Plank Cracked / Broken Wooden Step Damaged Balustrade (Balcony Railing) Water Outlet Leak (Mild) OtherOther When was the Problem First Noticed? * Please Describe the Problem in Detail * Is there anything else we should know? * Yes No * Driveway Type of Problem? (Tick all that apply) * Cracked / Deteriorating Concrete Degrading / Damaged Wooden House Poles Rusting / Damaged Gate Rusting / Damaged Fence Line Water Outlet Leak (Mild) OtherOther When was the Problem First Noticed? * Please Describe the Problem in Detail * Is there anything else we should know? * Yes No * Other When was the Problem First Noticed? * Please Describe the Problem in Detail * Is there anything else we should know? * Yes No * If you are human, leave this field blank. Submit
