Engineering Inspection proposal form

Statutory inspection and breakdown cover for lifts, boilers, pressure vessels and lifting equipment. If you have a schedule of items, tell us the main ones and we'll take the full list from you.

Fields marked * are required. Anything you're unsure about, leave blank and we'll pick it up with you.

About the business

Your name

Business name

Correspondence address

Contact number

Email address

Business description

Location & items

Address where items are located

Number of passenger lifts

Number of goods lifts / hoists

Number of boilers

Number of pressure vessels / air receivers

Number of lifting equipment items

Cranes, hoists, slings, eyebolts

Other items requiring inspection

Cover required

Inspection service required?

Statutory examination under LOLER / PSSR

Breakdown cover required?

Sudden and unforeseen damage cover?

Who currently carries out inspections?

Date of last inspection

Claims & current policy

Any claims in the last 5 years?

Claims details

Date, type and amount of each claim

Current insurer

Renewal date

Expiring premium

Is there anything else we should know?

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