Bell Group Loft Insulation Survey v1.0

• Location.
  Address

• First line of the Address.

• Type of Survey

  Loft Insulation

• Client Name.

• Tenure.

  Select Owner occupier Local Authority Housing Association Privately Rented Eco measure

  • Owner occupier
  • Local Authority
  • Housing Association
  • Privately Rented
  • Eco measure

• Survey conducted by.

  Select

• Conducted on

  Date

Access Assessment

• Do you give consent for us to carry out works within your property ?

  Yes

  No

• Reasoning?

• Is there an overhead main power cable to the property that needs sheathing before scaffold erected?

  Yes

  No

  N/A

• Photographic Evidence

  Media

• Are there any conservatories or out buildings that require a scaffold bridge for this job?

  No

  Yes

• Are there any restrictions to the property i.e. Low bridge, neighbours access required ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is the property location a main pedestrian route and/or a public walkway ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is parking available, adequate for the size of vehicle and close to the property ?

  Yes

  No

• Comments,

• Photographic evidence

  Media

• Do parking restrictions exist i.e. Residents parking ?

  Yes

  No

  Permit Zone

• Comments

• Photographic evidence

  Media

• Will the proposed works affect neighbouring properties ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Has the neighbouring property been notified of the imminent works?

  Verbal Notification

  Information Letter Posted

  Not Required - Part of Scheme

  To Be Done By Site Manager

• Date of notification given-

  Date

Occupant Assessment

• Is the property in a suitable condition for the proposed works to be carried out ?

  Yes

  No

• Comments

• Photographic evidence

  Media

• Is the property highlighted as flagged or at risk ?

  No

  Yes

• Comments

• Do the occupants have any physical disabilities that pose any significant risks ?

  No

  Yes

• Comments

• Do the occupants have any learning difficulties where our activities may pose any significant risks ?

  No

  Yes

• Comments

• Are there any potential risks regarding minors in the property ?

  No

  Yes

• Comments

• Are there any potential risks regarding pets in the property ?

  No

  Yes

• Comments

• Is there any presence of protected species (e.g., bats, birds butterflies, dormice) or plants that could be subject to special protection ?

  No

  Yes

• Is the property high risk of biological waste or vermin ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is the property at high risk of hypodermic needles ?

  No

  Yes

• Comments

Asbestos Assessment

• Are we in receipt of or have access to the asbestos survey or register for this property ?

  Yes

  No

  Unknown

• Asbestos Assessment Needs to be Checked

• Comments

• Has asbestos been identified ?

  No

  Yes

  See Asbestos Report

  Possible

• Comments

• Photographic evidence

  Media

• Construction age of the building.

• Property Type.

  Select Mid-Terrace End terrace Semi-detached Detached Ground Floor Flat Middle Floor Flat Top Floor Flat Masonette Bungalow House Commercial Building

  • Mid-Terrace
  • End terrace
  • Semi-detached
  • Detached
  • Ground Floor Flat
  • Middle Floor Flat
  • Top Floor Flat
  • Masonette
  • Bungalow
  • House
  • Commercial Building

• Number of Bedrooms.

  Select 1 2 3 4 5+ N/A Commercial

  • 1
  • 2
  • 3
  • 4
  • 5+
  • N/A Commercial

• Floor Construction Type

  Select Solid Suspended Suspended not wood Other

  • Solid
  • Suspended
  • Suspended not wood
  • Other

• Please take a photo of the Electric and Gas meters where applicable.

  Media

• Main Heating type, plus take a photo of the appliance ID and rating plate.

  Mains Gas/LPG

  Oil/Solid Fuel

  Electric

  Renewable technology/Other

  None

• Photo of appliance name/make/model/rating plate.

  Media

• Location of the flue, please take a photo.

  Internal

  External

  Front/Rear

  LHS/RHS

  None

• Secondary heat source, please take a photo.

  Yes

  No

  N/A

• Secondary Heat source type.

  Select Gas Fire with Flue Gas Fire with chimney Gas Fire Flush Fitted Open Fire with internal chimney Open Fire with external chimney Wood Burner No other heating present

  • Gas Fire with Flue
  • Gas Fire with chimney
  • Gas Fire Flush Fitted
  • Open Fire with internal chimney
  • Open Fire with external chimney
  • Wood Burner
  • No other heating present

• Location of Combustion vent if present.

  Internal

  External

  Front/Rear

  LHS/RHS

  None

• Have you done an internal inspection of the building? If yes please take photos of your findings.

  Yes

  No

  N/A

• If you have answered yes please select the best description of your findings.

  Select Low level damp near the skirting boards Black mould in the corners of the rooms Black mould on the ceiling and the walls Condensation on the windows and external walls No internal issues that I can see.

  • Low level damp near the skirting boards
  • Black mould in the corners of the rooms
  • Black mould on the ceiling and the walls
  • Condensation on the windows and external walls
  • No internal issues that I can see.

• Points to Consider

• Use of a Step ladder/ladder

  Yes

  No

  N/A

• Access and Egress

  Yes

  No

  N/A

• Manual Handing

  Yes

  No

  N/A

• Hand Tools/Power Tools

  Yes

  No

  N/A

• Vibration

  Yes

  No

  N/A

• Noise

  Yes

  No

  N/A

• Dust

  Yes

  No

  N/A

• House Keeping

  Yes

  No

  N/A

• Lone Working

  Yes

  No

  N/A

• I have assessed the condition on site ensuring there is adequate ventilation and no evidence of damp and no remedial works required. Unless listed below,there are no additional significant hazards observed that are not addressed in the generic risk assessment for the work to be undertaken.

  None

  See Below

• Please provide details

• EEM Specific Information Required

  Yes

  No

• Will the installation work result in non-compliance with the building regulations in relation to:

• Workmanship

  Yes

  No

  N/A

• Materials

  Yes

  No

  N/A

• Structural Stability

  Yes

  No

  N/A

• Fire Safety

  Yes

  No

  N/A

• Resistance to Moisture

  Yes

  No

  N/A

• Will the proposed installation result in any avoidable thermal bridging

  Yes

  No

  N/A

• Will the proposed installation result in unsafe operation of combustion appliances

  Yes

  No

  N/A

• Will the proposed installation compromise the functionality of existing ventilation ducts/systems

  Yes

  No

  N/A

• Will the proposed installation compromise the functionality and/or safety of existing services (gas, electric, water, telephone, etc.)

  Yes

  No

  N/A

• Will the proposed installation be non-compliant with any requirements stated by the supplier

  Yes

  No

  N/A

• Is the condition of the substrate suitable for the works to commence

  Yes

  No

  N/A

• Have relevant checks been undertaken to determine if asbestos containing materials are present

  Yes

  No

  N/A

• Is the nature and extent of the survey known to the customer and is it in line with their expectations

  Yes

  No

  N/A

• Are the arrangements made for site access and installation materials storage adequate and appropriate for the installation to be undertaken

  Yes

  No

  N/A

Loft Insulation Survey

• Is Loft Insulation a Required Measure?

  Yes

  No

• Is the Loft Accessible?

  Yes

  No

  N/A

• Is loft to be insulated.

  Select Yes loft requires topping up No Loft has sufficient insulation Unable to check due to the amount of tenants belongings.

  • Yes loft requires topping up
  • No Loft has sufficient insulation
  • Unable to check due to the amount of tenants belongings.

• Photo of loft and access point

  Media

• Loft Hatch Size?

• Loft hatch needing D/P

  Yes

  No

  N/A

• Does the hatch need to be replaced?

  Yes

  No

  N/A

• Area to be insulated.

• Photo of existing depth.

  Media

• Existing Depth.

  Select 0mm 12mm 25mm 50mm 70mm 80mm 100mm 125mm 150mm 170mm 200mm 250mm 270mm 300mm plus

  • 0mm
  • 12mm
  • 25mm
  • 50mm
  • 70mm
  • 80mm
  • 100mm
  • 125mm
  • 150mm
  • 170mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm plus

• Minimum Depth to be achieved

  Select 270mm 300mm 350mm 400mm Other

  • 270mm
  • 300mm
  • 350mm
  • 400mm
  • Other

• Pipes Present

  Yes

  No

  N/A

• Details of pipes

• Number and length of pipes to be lagged

• Check on site

• Tanks Present

  Yes

  No

  N/A

• Details of tanks

• Do the tanks require insulating

• Check on site

• Down lights present in ceiling?

  Yes

  No

  N/A

• Details of down lights, how many and there current location

• Do they have halogen bulbs fitted.

  Yes

  No

  N/A

• Can you see the IP rating on the casing?

  Yes

  No

  N/A

• Please take a photo of the down light IP rating.

  Media

• Are there any existing down light covers fitted?

  Yes

  No

  N/A

• If YES are they fire rated covers?

  Yes

  No

  N/A

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

• Any evidence of electric wiring trapped between insulation?

  Yes

  No

  N/A

• Are there any high voltage cable's in the loft space.

  Yes

  No

  N/A

• If YES please select the type of cable in the loft space.

  Select Cooker cable Shower cable Immersion cable PV cable Other

  • Cooker cable
  • Shower cable
  • Immersion cable
  • PV cable
  • Other

• In your opinion should loft be Rolled or Blown?

  Rolled

  Blown

• Loft Height at Centre

  Select 0.80 metres 0.90 metres 1.00 metres 1.20 metres 1.40 metres 1.50 metres 1.60 metres 1.80 metres and above.

  • 0.80 metres
  • 0.90 metres
  • 1.00 metres
  • 1.20 metres
  • 1.40 metres
  • 1.50 metres
  • 1.60 metres
  • 1.80 metres and above.

• Does a steel combustion flue pass through the loft space?

  Yes

  No

  N/A

• Relay of Insulation Required?

  Yes

  No

  N/A

• Estimate of relaying time allocation

• Loft vents required

  Yes

  No

  Unknown

• Cross Flow Ventilation

  Yes

  No

  Unknown

• Areas to be omitted

  Yes

  No

  N/A

• What Areas?

• Does the loft have any boarding?

  Yes

  No

  N/A

• If YES can we insulate at lease 2/3 of the loft space?

  Yes

  No

  N/A

• Has the boarded area got insulation under it?

  Yes

  No

  N/A

• If not insulated under, are the joist tunnels tightly sealed with insulation at the ends?

  Yes

  No

  N/A

• Is roof eaves insulation present

  Yes

  No

  N/A

• Can the insulation be undertaken through the loft space

  Yes

  No

  N/A

• How should it be installed?

• Rafter depth (mm)

• What is the roof covering?

  Select Clay Concrete Slate Interlocking Lapped Unknown

  • Clay
  • Concrete
  • Slate
  • Interlocking
  • Lapped
  • Unknown

• Breathable felt fitted?

  Yes

  No

  Eaves Only

• Is the specification available?

  Yes

  No

  Unknown

• Walkway required

  Yes

  No

  N/A

• Details of walkway

  Select Required to access all areas Access to heat pump equipment Access to inverter Access to hot water cylinder Other

  • Required to access all areas
  • Access to heat pump equipment
  • Access to inverter
  • Access to hot water cylinder
  • Other

• What is Required?

• Loft clearance

  Yes

  No

  N/A

• Details of loft clearance

• Estimate of loft clearance time allocation

• Remedial works required for Loft, If yes please give details of remedial work plus photos.

  Yes

  No

  N/A

• If yes have you got the owner/tenant to sign a remediation form?

  Yes

  No

  N/A

• Why?

  Select No Hatch Hatch Blocked Hatch Over Stairs (Cannot Access Safely) Resident Refused Access Other

  • No Hatch
  • Hatch Blocked
  • Hatch Over Stairs (Cannot Access Safely)
  • Resident Refused Access
  • Other

• What?

• Safety monitors present.

  Select Smoke Alarm Fire Alarm CO2 Alarm

  • Smoke Alarm
  • Fire Alarm
  • CO2 Alarm

• Are they working

  Yes

  No

  N/A

Assessment Sign off

• Surveyors Signature and Full name

  Sign