Title Page

  • Client

  • Conducted on

  • Prepared by

  • First Line of Address

  • Location

Ventilation

Ventilation Survey

  • Is a Ventilation Survey Required?

  • Living Room?

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • Dining Room?

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • Bedroom 1?

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • Bedroom 2?

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • Bedroom 3?

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • Bedroom 4?

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • Bedroom 5?

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • Study?

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • Other Specify?

  • What Room

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • Kitchen?

  • Has Extractor Fan

  • Is it an in Wall or Window Extractor Fan

  • Is the Extractor Fan Working

  • Extractor Fan Flow Rate

  • Requirements

  • Does it Meet the Requirements

  • Does it Require Replacement?

  • Does it Require Replacement

  • New Extractor to be Installed in Kitchen

  • New Extractor to be Fitted in Wall or Window

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • Bathroom?

  • Has Extractor Fan

  • Is it an in Wall or Window Extractor Fan

  • Is the Extractor Fan Working

  • Extractor Fan Flow Rate

  • Requirements

  • Does it Meet the Requirements

  • Does it Require Replacement?

  • Does it Require Replacement

  • New Extractor to be Installed in Bathroom

  • New Extractor to be Fitted in Wall or Window

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • W/C?

  • Has Extractor Fan

  • Is it an in Wall or Window Extractor Fan

  • Is the Extractor Fan Working

  • Extractor Fan Flow Rate

  • Requirements

  • Does it Meet the Requirements

  • Does it Require Replacement?

  • Does it Require Replacement

  • Has Required Door Undercuts

  • Door Requires Trimming

  • Has Purge Ventilation

  • Has Trickle Vents / Background Ventilation

  • Photos

  • New Extractor to be Fitted in Wall or Window

Sign Off

Assessment Sign off

  • Surveyors Signature and Full name

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