Powers of Entry Assessment
Complete this form to assess and document the justification, authority, and circumstances for exercising powers of entry.
Assessor Full Name
*
First Name
Last Name
Assessor Contact Email
*
example@example.com
Date and Time of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Entry (address or description)
*
Purpose of Entry
*
Please Select
Inspection
Investigation
Enforcement
Welfare Check
Other (please specify)
Legal Authority or Justification for Entry
*
Please Select
Warrant
Consent
Statutory Power
Emergency/Imminent Risk
Other (please specify)
Assessment of Necessity and Proportionality
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Entry is necessary to achieve the stated purpose
1
2
3
4
5
No less intrusive alternative is available
6
7
8
9
10
The entry is proportionate to the expected outcome
11
12
13
14
15
Risk Assessment: Are there any known risks associated with entry?
*
No known risks
Physical risk (e.g., aggressive individuals, animals)
Environmental hazards (e.g., hazardous materials, unsafe structure)
Other (please specify)
Observations or Notes (include any findings or concerns)
Overall Assessment of Entry Justification
*
1
2
3
4
5
Assessor Signature
*
Submit Assessment
Submit Assessment
Should be Empty: