Title Page
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Type of system
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Client
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Prepared by
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Conducted on
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Customer address:
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Customer contact details:
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How many occupants live at the address
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Age of the property
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Type of property
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Detached
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Semi detached
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How many bedrooms , bathrooms including ensuite's ?
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Property construction exterior
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Brick
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Solid brick
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Stone
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Solid stone
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Block
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System built
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Cavities
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Insulated
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No insulation
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As built
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Property construction interior
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Studded
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Block
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Solid
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Insulated
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No insulation
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Roof type
- Pitched roof
- Flat roof
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Loft insulation
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None
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100mm
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150mm
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200mm
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300mm
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400mm
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Loft space
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Fully boarded out
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Part boarded out
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Not boarded out
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Does the loft space have lighting
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Loft hatch size , if required
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Ground floor
- solid
- Suspended
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Insulated
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No insulation
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First floor / ceiling
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Insulation
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No insulation
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Glazing and doors
- single
- double
- Triple
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How old is the glazing
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Upvc
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Timber
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Argon filled
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Do you have WiFi
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Does the property have mains water
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Does the property have a water meter
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Does the property have a gas cooker / hob
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Does the property have a gas fire
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Does the property have solar PV
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Does the property have solar tubes or magic box
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Is the property exposed
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Existing fuel supply
- gas
- lpg
- oil
- electric
- other
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Type of installation?
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Details of old boiler , cylinder , pipe run etc
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Please take pictures of existing boiler cylinder and pipe run
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One pipe system
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Two pipe system
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Pipe work size to radiators .
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8mm
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10mm
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12mm
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15mm
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Type of pipework
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Plastic
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Copper
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Does the property have a shower ?
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Electrical
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Mixer off the system
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Existing size and type of the hot water cylinder
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Airing cupboard size if required
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Details of the consumer unit
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Please take pictures of the fuse board
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Single phase
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3 phase
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Location of ASHP
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In which direction will the unit face
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- Heating only
- Heating and hot water
- Heating and radiators
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Is a buffer tank required
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Picture of the ASHP location
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Q = 2
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Q = 4
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Q = 8
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Wall bracket
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Ground
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Siting of ASHP , does it comply with minimum clearances , has customer been advised of location , pipe run etc
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Is the ASHP clear of the existing flue
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Where will the waste water go to
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Add media
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Round guttering connector required
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Square guttering connector required
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Waste stack saddle required
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Soakaway required
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How many lengths of insulation / trunking required in 2m lengths ?
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Colour of insulation / trunking
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- Black
- Grey
- White
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Is scaffolding required?
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Please list sizes of any radiators that need to be replaced and which rooms they are situated in?
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Add any additional information you find necessary ,
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Sound calculations
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Nearest neighbours habitable room with a window
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Position of the unit
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Porch radiator
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Hall radiator
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Passage radiator
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Living room radiator
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Lounge radiator
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Dining room radiator
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Kitchen radiator
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Utility room
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Study radiator
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Office radiator
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Wc radiator
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Conservatory
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Summer room radiator
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Store room radiator
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Garage radiator
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Stairs radiator
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Bedroom 1 radiator
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Ensuite radiator
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Bedroom 2 radiator
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Ensuite radiator
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Bedroom 3 radiator
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Ensuite radiator
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Bedroom 4 radiator
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Ensuite radiator
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Bedroom 5 radiator
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Ensuite radiator
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Bathroom radiator
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Shower room radiator
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Front elevation
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Side 1 elevation
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Side 2 elevation
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Rear elevation
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Floor plan and / or rad schedule
