Property Insurance Survey Form

Disclaimer: The content of this survey report is based on observations made by the Surveyor and information provided by the insured or their representative at the time of the survey. This report does not imply that no other hazardous conditions or exposures exist. This report is to assist you in your loss control activities. The information contained in this report is limited to matters for underwriting purposes only.

No representation or warranty, express or implied, is made as to the accuracy or completeness of the information contained in this report. No responsibility is assumed for the discovery or action to be taken concerning matters which could cause accidents or damage or for the management or operation of safety procedures. Compliance with submitted requirements or recommendations in no way assures the fulfilment of any obligations under Local, State or Commonwealth Laws.

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1Survey Details
2Site Summary
4External Site Exposures
6Manufacturing Operations
10Fire Protection and Detection

1.0 Survey Details

Insured Site Address