AQUA / ONSYTE - COMMUNAL LANDLORDS ELECTRICAL SURVEY

• Document Number

• Client

  Select Waltham Forest Housing, 2d Fulborne Road, Cedar Wood House, Walthamstow, London E17 4GG

  • Waltham Forest Housing, 2d Fulborne Road, Cedar Wood House, Walthamstow, London E17 4GG

• Conducted on

  Date

• Supervisor

  Tom Davey

  Martin Barlow

  John Friend

  Nigel Bradbrook
• Full Site Address
  Address

• Block UPRN Number

INFORMATION REQUIRED FOR THIS SURVEY

THE EXTENT OF LIABILITY OF THE SIGNATORY IS LIMITED TO THE SYSTEM DESCRIBED BELOW

• I being the competence person responsible (as indicated by my signature below) for the inspection and checks for the Communal landlords electrical survey.

• Tick as Applicable

  Yes

  No

• Name

  John Firend

  Tom Davey

  Martin Barlow

  Nigel Bradbrook

• Position

  Engineer

  Supervisor

  Inspector QC

• Signature

  Sign

PARTICULARS OF THE ORGANIZATION INSPECTING THE SYSTEM

• Aston Heating T/A Aston Group - Moss Lane, Romford, Essex. RM1 2PT

• This form is based on the model in Appendix 2 AQUA AIA.V1

INSPECTION - Any immediate action to be noted in addition to the below comment box and raised to Astons repairs team

• Photo of front of building

  Yes

  No

  N/A

• No of floors

• No of stairwells

• no of final exits

• Escape signage installed and correct

  Yes

  No

  N/A

• Intake notice label to notify electrical cupboard

  Yes

  No

  N/A

• Please ensure that all items below have a photo showing that the information etc is present.

• Type of luminaries installed

  LED

  CFL

  Mixed

• Luminaire containment type

  Galvanised

  PVC

  Other

• Lock type to intake cupboard

  Select FB1 FB2 FB3 FB4 LBWF Multi lock Other

  • FB1
  • FB2
  • FB3
  • FB4
  • LBWF
  • Multi lock
  • Other

• Landlords consumer unit Make

  Wylex

  Other

• Landlords consumer unit type

  Split load

  Full RCBO

  Mixture

• Site has EM test key facility

  Yes

  No

  N/A

• Time clock type

  Digital

  Analogue

  None

  Sangamo

  Photocel

• Other lighting controls

  Digital

  Analogue

  None

  Sangamo

  Photocel

• Lateral supplies

  VIR Cable

  PVC singles

  SWA Cable

• Main distribution for supplies

  Ryefield board

  Henley Board

  Other

  None

• Intake rubber matting installed

  Yes

  No

  N/A

• Please walk through building and check for any issues that may be visible to corridors, stairwells, main intake cupboard

• Defects requiring attention (PUT N/A if not applicable)

• Inspection completed

  Yes

  No

  N/A

• Survey form to be upload to ACIMS

  Yes

  No

  N/A