Scoping Form Scoping Form Project Info Claim Number * Unique ID * Scope Details Estimator Name Scope Date * Scope Time 121234567891011 : 0030 AMPM Property Type ResidentialCommercial Building Use For Commercial Only Fire Inspector Released The Site YesNo Fire Inspector Notes Attendees Name Title Company Name Phone Number Email Address Add Remove Details/Odor/Soot Odor Level 012345678910 Visible Soot YesNo Odor/Soot Notes Relative Humidity Temperature ° F Building Details Total Cubic Footage CF Total CF amount only Specific Floor Dimensions or Section Details Number of Floors Whole numbers only, no decimals. Number of Floors Notes Attic Height Whole numbers only, no decimals. Attic Height Notes Ceiling Height Whole numbers only, no decimals. Ceiling Height Notes Location and Source of Fire Fire Damaged Material Details Building Occupied YesNoPartial Building Occupied Notes Special Contents Taxidermy, Art, Valuables, etc. Contents To Be Treated YesNo Contents Treatment Notes Restoration Work Conducted To Date YesNo Restoration Work Conducted Notes Tear Out, Cleaning, Paint, Encapsulation, Fogging, Scrubbers Char Damage YesNo Char Damage Notes Hazardous Materials Onsite YesNo Hazardous Materials Onsite Notes Underside Roof Deck Wood Plank Metal OtherOther Underside Roof Deck Notes Insulation Batt Blown In Spray Foam Wrapped/Coated OtherOther Insulation Notes Drop Ceilings YesNo Drop Ceiling Notes Smoke Detectors YesNo Smoke Detector Notes Fire Suppression System YesNo Fire Supression Notes Alarm System YesNo Alarm System Notes Uncovered or Breached Openings Notes Warehouse Ceiling, Windows, Garage Doors Industrial Hygienist Report Available? YesNo Industrial Hygienist Report Upload Drop a file here or click to upload Choose File Maximum upload size: 10MB Limited to 5 files, 10MB size limit. File Types allowed: jpg, png, gif, heic, pdf, doc/docx, xls/xlsx Restoration Report Available? YesNo Restoration Report Upload Drop a file here or click to upload Choose File Maximum upload size: 10MB Limited to 5 files, 10MB size limit. File Types allowed: jpg, png, gif, heic, pdf, doc/docx, xls/xlsx Blueprint or Site Drawing Available? YesNo Blueprint or Site Drawing Upload Drop a file here or click to upload Choose File Maximum upload size: 10MB Limited to 5 files, 10MB size limit. File Types allowed: jpg, png, gif, heic, pdf, doc/docx Power/HVAC/Water Water Available YesNo Water Available Notes Electrical Panel Accessible YesNo Electrical Panel Notes Power Available YesNo Power Available Notes Number of outlets, amperage HVAC Working YesNo HVAC Notes Number of units, type of heat, location, thermostats Ductwork Intact YesNo Ductwork Notes Treatment Plan Recommendations Enter from Recommendations Spreadsheet Generator and Power Distribution Plan Size, number of generators, location, additional power distribution and cords Supplemental Heat Needed YesNo Heat Excel Spreadsheet Enter info obtained from Heat Excel Spreadsheet. *Do not copy and paste from spreadsheet, this will cause errors on your form. Temperature Expectations Temperature Expectations Notes Restoration Work Needed Before Treatment Containment Building Access How do we lock and secure the structure Concerns/Expectations of Client or Insured Number of Machines CFM Total CFM Min Per Turn Number of Turns Total Treatment Min Total Run Time (in hours) Photos Upload Drop a file here or click to upload Choose File Maximum upload size: 10MB Limited to 20 files, 10MB size limit. File Types allowed: jpg, png, gif, heic, pdf Scoping Report Upload Drop a file here or click to upload Choose File Maximum upload size: 10MB Limited to 5 files, 10MB size limit. File Types allowed: jpg, png, gif, heic, pdf, doc/docx, xls/xlsx Additional Information CAPTCHA If you are human, leave this field blank. Submit Start Over
