Barclays Boiler Replacment

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Branch Details

• Branch Manager Name and Number

• Opening Days

  Select Monday Tuesday Wednesday Thursday Friday Saturday Sunday

  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Sunday

• Opening Times

Asbestos

• Does the boiler, or flue look to contain ACM?

  Yes

  No

• Please check against asbestos report and specify.

Pre Site Visit

• Has the As fix drawings been downloaded-these will need to be used on survey.

  Yes

  No

  N/A

Parking

• Parking Sufficient for off-loading of Materials and removal of Waste?

  Yes

  No

• Please specify parking restrictions

• Please add Photos

  Media

Access Requirements

• Will scaffold or Mobile towers be required to complete works

  Yes

  No

• Please specify scaffold Requirements

• Please add photos of inaccessible area

  Media

Heating Requirments

• Does the branch have sufficient Air Conditioning in place?

  Yes

  No

• Quantity of AC Cassettes?

• Please add photos of existing AC cassettes

  Media

• Is temporary heating required?

  Yes

  No

• how many heaters?

• Please add photos of Rooms which will require Temporary Heating.

  Media

Working Times

• Tenants above or to the side of Branch?

  Yes

  No

• Please specify.

• Please specify Night Or Day Works

  Night Works

  Day Works

Boiler Specifics

• Can the boiler be isolated safely from the mains without causing branch impact?

  Yes

  No

• Reasoning why not?

• Please specify

• Boiler Position? please annotate on drawings

• Gas Meter Position? Please annotate on drawings

• Does the existing Flue penetrate the Roof?

  Yes

  No

• Please specify.

• Flu Type

  Vertical

  Horizontal

  Vertical Roof

• Flue Size

• Please photograph flue

  Media

• Condensate

  Select Internal External Pump

  • Internal
  • External
  • Pump

Electrical Specifics

• Electrical Work Required For Installation?

  Yes

  No

• Please list required works?

• Position of Thermostat? please annotate on drawings and photograph

• Thermostat photograph

  Media

• Distribution Board Type, Model, please annotate on drawings and photograph

• Distribution Board Photograph, INC chart

  Media

• Type of board Protection?

  Select Rewireable Wylex type Wylex plug in MCB Single RCD 16th Edition Duel RCD 17th Edition

  • Rewireable Wylex type
  • Wylex plug in MCB
  • Single RCD 16th Edition
  • Duel RCD 17th Edition

Additional Information & Notes

• Please specify additional notes

• Please add additional photographs

  Media

• Surveyor Signature

  Sign