Title Page
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Full address and Postcode
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Geotag
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Conducted on
Pre Works Risk Assessment
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Measure Carried Out
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Does the customer understand the works being carried out?
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Stop work and advise customer reason of visit
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Is there a safe place to park the vehicle?
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Why not? (Add Images)
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Are all household items removed creating a safe working area?
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Provide evidence of obstructions
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Is all Electrical Equipment suitable for use? (Drills etc.)
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Why not? (Add Images)
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Is all Access Equipment suitable for use? (Scaffolding etc.)
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Why not? (Add Images)
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Is the weather suitable for install?
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Why not? (Add Images)
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Any other Restrictions or Concerns?
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Please Explain... (With Images)
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Are there any Hazards Identified? (ERIC - ELIMINATE REDUCE ISOLATE CONTROL)
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Please Explain... (With Images)
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Is the property listed or in a conservation area:
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Are there any other planning issues to be considered
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List detail of issues to be considered:
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Is the current roof lining under an active warranty?
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Provide details of warranty:
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Will any form of protected species be disturbed by the installation process?
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Provide details
PPE CHECK
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Head Protection
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Gloves
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Boots
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Eye Protection
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High Vis Uniform
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Protective Trousers
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Waterproofs
ASBESTOS
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Is there an asbestos report present for the job?
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Have you read through the asbestos report before beginning the job?
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Read the report
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Is there any known Asbestos containing materials present in the working area?
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Where is the Asbestos containing material present?
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Picture of Asbestos containing material
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Are you going to be disturbing Asbestos Containing Material?
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How will the Asbestos Containing Material be Affected and What Safety precautions are going to be used to limit distruption?
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Artex Encountered?
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Would the task involve affecting the Artex?
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Is the Artex listed on the survey as containing Asbestos Containing Materials?
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Screenshot evidence of this
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Do you have the relevant safety equipment to work on Asbestos containing material?
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Installer Signature - Please sign when all relevant questions have been filled and you are happy with the precautions in place to complete potential works on Asbestos Containing Materials if present
Installation Information
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Customers Name
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Customer tel:
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Customer email:
Installation - Smart Controls
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Has a Smart Heating Control been installed at the address?
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What product has been installed at the property?
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Please provide images before product install
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Please provide images of the product installed and in situ
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Please provide image of product warranty/Picture of the product
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Signature of operative
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Was a Smart Heating Control due to be installed at the property?
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Why hasn't a Smart Heating Control been installed at the property? Please provide photographic evidence where required.
Installation - RadBots
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Have Radbots been installed at the address?
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Were RadBots due to be installed at the property?
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Why weren't RadBots installed at the property? Please provide photographic evidence where required.
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What Rooms have you installed RadBots in?
- Living Room
- Dining Room
- Bedroom 1
- Bedroom 2
- Bedroom 3
- Bedroom 4
- Bedroom 5
- UtilityRoom
- Study
- Office
- Kitchen
- Bathroom
- En-Suite
- En-Suite 2
- En-Suite 3
- Hallway
- Landing
- Downstairs Toilet
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How many Radbots were installed?
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Please provide images of all RadBots that have been installed
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Please provide images of product warranty/Picture of the product
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Signature of operative
Installation - Extractor Fans
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Have extractor fans been installed at the address?
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What product has been installed at the property?
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How many Extractor Fans are being installed
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Please provide images before product install
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Please provide images of the product installed and in situ
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Please provide image of product warranty/ Picture of the product
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Signature of operative
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Were Extractor Fans due to be installed at the property?
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Why haven't Extractor fans been installed at the property? Please provide photographic evidence where required.
Installation - Trickle Vents
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Have Trickle Vents been installed at the address?
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Colour of Trickle Vents
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How many Trickle Vents are being installed?
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Please provide images before product install
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Please provide images of the product installed and in situ
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Please provide image of product warranty/ Picture of product
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Signature of operative
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Were Trickle Vents due to be installed at the property?
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Why haven't Trickle Vents been installed at the property? Please provide photographic evidence where required.
Installation - Radiator Panels
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Have Radiator Panels been installed at the address?
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Were Radiator Panels due to be installed at the property?
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Why weren't Radiator Panels installed at the property? Please provide photographic evidence where required.
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What Rooms have you installed Radiator Panels in?
- Living Room
- Dining Room
- Bedroom 1
- Bedroom 2
- Bedroom 3
- Bedroom 4
- Bedroom 5
- UtilityRoom
- Study
- Office
- Kitchen
- Bathroom
- En-Suite
- En-Suite 2
- En-Suite 3
- Hallway
- Landing
- Downstairs Toilet
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Please provide images of all Radiator Panels that have been installed
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Please provide images of product warranty/ Picture of the product
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Signature of operative
Installation - Low Energy Lighting
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Have Low Energy Lighting (LEDS) been installed at the address?
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Was Low Energy Lighting due to be installed at the property?
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Why weren't Radiator Panels installed at the property? Please provide photographic evidence where required.
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What Rooms have you installed Low Energy Lighting in?
- Living Room
- Dining Room
- Bedroom 1
- Bedroom 2
- Bedroom 3
- Bedroom 4
- Bedroom 5
- UtilityRoom
- Study
- Office
- Kitchen
- Bathroom
- En-Suite
- En-Suite 2
- En-Suite 3
- Hallway
- Landing
- Downstairs Toilet
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Please provide images of all Low Energy Lighting that have been installed
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Please provide images of product warranty/ Picture of the product
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Signature of operative
Handover and Sign Off
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Statement from the client: I can confirm that the product/s detailed above have been installed at my property. I can also confirm that the product and it is function has been fully demonstrated to me. I can confirm it has been explained to me how the product/s works and I understand how to operate the appliance/s. I can also confirm that all product warranties have been handed to me and they are for me to keep and add to my personal records.
Tester Info (Please enter if present)
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System Type
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Picture of System Type
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Note the Ze/Zdb Number
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Note the PFC at DB (ka)