BUILDING ISSUE REPORT Submitted by: __________________________________ Unit: ______ Phone: ____________________ Email: __________________________________ Date & time: [DD/MM/YYYY] [HH:MM] --------------------------------------------------------------- 1. WHERE IS THE ISSUE? --------------------------------------------------------------- [ ] Inside my unit (common-cause: leak from above, etc.) [ ] Common area — please specify: [ ] Entrance / lobby [ ] Stairwell / landing (floor ___) [ ] Elevator (car number ___) [ ] Basement / garage / storage [ ] Roof / facade / balcony [ ] Garden / courtyard [ ] Other: ________________________________ --------------------------------------------------------------- 2. WHAT IS THE ISSUE? --------------------------------------------------------------- Category: [ ] Water / plumbing / leak [ ] Electrical / lighting [ ] Heating / ventilation [ ] Elevator [ ] Door / lock / intercom [ ] Cleanliness / waste [ ] Noise / nuisance [ ] Structural / safety [ ] Other: ________________________________ Description: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ --------------------------------------------------------------- 3. HOW URGENT? --------------------------------------------------------------- [ ] Emergency — safety risk / active damage — call immediately [ ] High — needs action within 24-48h [ ] Normal — can wait for scheduled maintenance [ ] Low — cosmetic / minor --------------------------------------------------------------- 4. EVIDENCE --------------------------------------------------------------- [ ] Photo attached [ ] Video attached [ ] Witnesses: ________________________________ [ ] Previous reports on the same issue? Date: ________ --------------------------------------------------------------- 5. FOR THE MANAGER (INTERNAL) --------------------------------------------------------------- Received: [DD/MM/YYYY] by ________________ Assigned to: ________________________________ Provider: ________________________________ Estimated cost: € __________ Reserve / operating? Resolved: [DD/MM/YYYY] Cost: € __________ Follow-up needed? [ ] Yes [ ] No — Notes: _______________________________________________________________