Biomass Site Survey

• Audit Title

• Document No.

• Conducted on

  Date

• Client

• Prepared by

• Address
  Address

Existing Boiler Information

• Cylinder Stat on Existing System

  Select Yes No

  • Yes
  • No

• Thermostat Exisiting System

  Select Yes No

  • Yes
  • No

• Two Port Valve on Hot Water

  Select Yes No

  • Yes
  • No

• Two Port Valve on Heating

  Select Yes No

  • Yes
  • No

• 3 Port Valve on Existing System

  Select Yes No

  • Yes
  • No

• Econergy Responsible For Disposal of Old Boiler

  Select Yes No

  • Yes
  • No

• Programmer on Exesting System

  Select Yes No

  • Yes
  • No

• Econergy Responsible For Making Good Old Flue Hole

  Select Yes No

  • Yes
  • No

• Photo of Both Sides of Flue

  Media

• Photo of the Fuse Board With Door Open

  Media

• Photo of Values, Pump and Programmer

  Media

New Boiler Information

• Boiler Type

  Select Chip Pellet

  • Chip
  • Pellet

• Underground Pipe Required

  Select Yes No

  • Yes
  • No

• Soft Dig Meterage

• Hard Dig Meterage

• Total Pipeline Length

• Length of Cable Required from Fuse Board to Boiler

• Length of Cable Required from Valves to New Boiler

• Length of Data Cable from Client Router to Boiler

• Number of Pumped Circuits from New Boiler

• Fuel Store Type

• Fuel Store Location

  Media

• New Boiler Location

  Media

• Trench Route

  Media

• Drawing of Existing Buildings, New Boiler, Fuel Store Location and Any Required Trenching

  Drawing

Site Services

• Skip Required

  Yes

  No

• Adequate Welfare Facilities

  Select Yes No

  • Yes
  • No

• Equipment Unloading Supplied by the Client

  Select Yes No

  • Yes
  • No

• Client to Sign That the Above is Correct

  Sign

• NOTES

• Add signature

  Sign