Building Fabric & Energy Efficiency Survey V1.0

• Audit Title

General Details

• Survey Completed By

  Select Andy Goodier Billy Wright Dave Lee Rutter Jeremy Illy Paul Eastwood Steve Britton Vinnie Stokes Other

  • Andy Goodier
  • Billy Wright
  • Dave Lee Rutter
  • Jeremy Illy
  • Paul Eastwood
  • Steve Britton
  • Vinnie Stokes
  • Other

• Name

• Client

  Select Alliance Homes Aster Cornwall Housing Cornwall Rural Housing Cottsway Housing Dartford Borough Council Taunton Deane BC Homes In Sedgemoor West Somerset & Taunton Sellwood Housing North Devon Homes Templer Home Build Sovereign Housing Exeter City Council Merlin Housing White Horse Housing Rooftop Housing LiveWest Radian Private Customer Yarlington Housing Group Other

  • Alliance Homes
  • Aster
  • Cornwall Housing
  • Cornwall Rural Housing
  • Cottsway Housing
  • Dartford Borough Council
  • Taunton Deane BC
  • Homes In Sedgemoor
  • West Somerset & Taunton
  • Sellwood Housing
  • North Devon Homes
  • Templer Home Build
  • Sovereign Housing
  • Exeter City Council
  • Merlin Housing
  • White Horse Housing
  • Rooftop Housing
  • LiveWest
  • Radian
  • Private Customer
  • Yarlington Housing Group
  • Other

• Resident Name

• Contact Details

• Site Address
  Address

• Photo of property

  Media

• Date of Survey

  Date

• Has a Risk Assessment been conducted ?

  Yes

  No

  N/A

Information From The Resident

• Is Resident Information required for this project ?

  Yes

  No

  N/A

• What is your opinion regarding your current fuel bills

  High

  Fair

  Low

• Comments

• Has there been any recent works carried out to your property, which may effect you fuel bills ?

  Yes

  No

  Unsure

• Details

• When is your Property occupied ?

  Home all day

  Nobody home during the day

  Variable / shift patten

• How do you currently pay your fuel bills ?

  Select Gas - Pre Payment Gas - Monthly Gas - Quarterly Electric - Pre Payment Electric- Monthly Electric - Quarterly Other Fuel Dual - Pre Payment Dual - Monthly Dual - Quarterly

  • Gas - Pre Payment
  • Gas - Monthly
  • Gas - Quarterly
  • Electric - Pre Payment
  • Electric- Monthly
  • Electric - Quarterly
  • Other Fuel
  • Dual - Pre Payment
  • Dual - Monthly
  • Dual - Quarterly

• Details

• Are There Any Specific Circumstances That Affect Your Fuel Bills ?

  Yes

  No

  Unsure

• Comments

Electric

• How much do you currently pay for Electric ?

• What Is The Annual Electric Usage?

• Payment Evidence

  Verbally

  Monthly Statement

  Quarterly Statement

  Annual Statement

  Other

• Add media

  Media

Gas

• Does The Property Have A Gas Supply ?

  Yes

  No

  Unsure

• How much do you currently paid for Gas ?

• What Is The Annual Gas Usage?

• Payment Evidence

  Verbally

  Monthly Statement

  Quarterly Statement

  Annual Statement

  Other

• Add media

  Media

Other Fuel Types

• Does The Property Have An Alternative Fuel Supply ?

  Yes

  No

  Unsure

• What Alternative Fuel is Present ?

  Select Coal Logs Biomass LPG Oil Other

  • Coal
  • Logs
  • Biomass
  • LPG
  • Oil
  • Other

• How much do you currently pay ?

• What Is The Annual Usage?

• Payment Evidence

  Verbally

  Monthly Statement

  Quarterly Statement

  Annual Statement

  Other

• Add media

  Media

Property Details

• Property Type

  Select House Bungalow Flat Maisonette Commercial Other

  • House
  • Bungalow
  • Flat
  • Maisonette
  • Commercial
  • Other

• Property Attachment

  Select Semi Detached Detached Mid Terraced End Terraced Ground Floor Flat Mid Floor Flat Top Floor Flat

  • Semi Detached
  • Detached
  • Mid Terraced
  • End Terraced
  • Ground Floor Flat
  • Mid Floor Flat
  • Top Floor Flat

• Building Construction Type

  Select Cavity Solid Wall System Build Timber Frame Other

  • Cavity
  • Solid Wall
  • System Build
  • Timber Frame
  • Other

• Comments

• Floor Type

  Select Solid Suspended Timber Suspended NOT Timber Unheated Space Below Another Dwelling Below Other

  • Solid
  • Suspended Timber
  • Suspended NOT Timber
  • Unheated Space Below
  • Another Dwelling Below
  • Other

• Comments

• Number of Bedrooms

• Number of Occupants

• Age Banding Of Property

  Select A - (Pre 1900) B - (1900-1929) C - (1930-1949) D - (1950-1966) E - (1967-1975) F - (1976-1982) G - (1983-1990) H - (1991-1995) I - (1996-2002) J - (2003-2006) K - (2007-Onwards)

  • A - (Pre 1900)
  • B - (1900-1929)
  • C - (1930-1949)
  • D - (1950-1966)
  • E - (1967-1975)
  • F - (1976-1982)
  • G - (1983-1990)
  • H - (1991-1995)
  • I - (1996-2002)
  • J - (2003-2006)
  • K - (2007-Onwards)

• Current SAP Rating and Band

• Year EPC Undertaken

• EPC Comments

• Fuel Type

  Select Electric Gas Solid fuel LPG Other

  • Electric
  • Gas
  • Solid fuel
  • LPG
  • Other

Climate Conditions

• Weather Conditions

  Select Sunny Overcast Drizzle Rain Stormy Windy Lightning Frost Snow

  • Sunny
  • Overcast
  • Drizzle
  • Rain
  • Stormy
  • Windy
  • Lightning
  • Frost
  • Snow

• Temperatures

• Relative Humidity

External Property Construction

• What Is The General Construction Type

  Select Cavity Solid Wall System Build Timber Frame Other

  • Cavity
  • Solid Wall
  • System Build
  • Timber Frame
  • Other

• What Is The Cavity Width (mm) ?

• Is The Cavity Filled ?

  Yes

  No

  N/A

• With What Material?

  Select Blown Fibre Polystyrene Beads Insulation Panels Foam Insulation

  • Blown Fibre
  • Polystyrene Beads
  • Insulation Panels
  • Foam Insulation

• Comments

• Is Cavity Wall Extraction Required ?

  Yes

  No

  Unsure

• Comments

• Are There Any Issues With The External Building Fabric ?

  YES

  NO

  N/A

• Photos of building fabric issues

  Media

• Comments

• Which Elevations exist on this property

  Select Front Rear Left Side (looking from front) Right Side (looking from front) Extensions or Additions

  • Front
  • Rear
  • Left Side (looking from front)
  • Right Side (looking from front)
  • Extensions or Additions

• Is the construction type different from the main construction type

  YES

  NO

  N/A

• Different Construction Types

  Select Cavity Solid Wall System Build Timber Frame Other

  • Cavity
  • Solid Wall
  • System Build
  • Timber Frame
  • Other

• Comments

• What is the m2 (excluding openings)

• Front Elevation photos

  Media

• Is a DPC present and visible ?

  Select Bitumen free polymeric Slate Asphalt Plastic Membrane Injected Chemical No DPC Visible

  • Bitumen free polymeric
  • Slate
  • Asphalt
  • Plastic Membrane
  • Injected Chemical
  • No DPC Visible

• Is there any visual damage to the DPC ?

  YES

  NO

  N/A

• Comments of damaged DPC

• Photo of Damaged DPC

  Media

• Is the DPC 150mm or more above ground level

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Photo of DPC level including tape measure

  Media

• Photo of DPC level including tape measure

  Media

• What is the minimum height of the DPC above ground level

• Are there any extenuating circumstances (eg: hard surface running away from elevation)

  Yes

  No

  N/A

• What solution is recommended ?

  Select Excavate ground level Excavate and install french drain Other

  • Excavate ground level
  • Excavate and install french drain
  • Other

• What are the measurements ?

• What are the measurements ?

• What works are required ?

• Visual Condition of the elevation

  Very Good

  Good

  Satisfactory

  Poor

• Explanation of poor elevation condition

  Select Hairline Cracking Horizontal Cracking Cracking around openings Diagonal Cracking Mortar Joints Damaged / Missing Bricks Damaged / Missing Render Porous Wall Material Paint Condition Other

  • Hairline Cracking
  • Horizontal Cracking
  • Cracking around openings
  • Diagonal Cracking
  • Mortar Joints
  • Damaged / Missing Bricks
  • Damaged / Missing Render
  • Porous Wall Material
  • Paint Condition
  • Other

• Photos of Cracking

  Media

• Linear Meterage of cracking

• Photos of Mortar

  Media

• Square Meterage of re-pointing

• Photos of Missing Bricks

  Media

• Quantity of bricks required

• Photos of Damaged Render

  Media

• Square Meterage of Render Required

• Photos of Wall

  Media

• Square Meterage of Sealant Required

• Photos of Paint

  Media

• Square Meterage of Paint required

• Colour of Paint Required

• Photos

  Media

• Comments

• Front Elevation photos

  Media

• Is the construction type different from the main construction type

  YES

  NO

  N/A

• Different Construction Types

  Select Cavity Solid Wall System Build Timber Frame Other

  • Cavity
  • Solid Wall
  • System Build
  • Timber Frame
  • Other

• Comments

• What is the m2 (excluding openings)

• Rear Elevation photos

  Media

• Is a DPC present and visible ?

  Select Bitumen free polymeric Slate Asphalt Plastic Membrane Injected Chemical No DPC Visible

  • Bitumen free polymeric
  • Slate
  • Asphalt
  • Plastic Membrane
  • Injected Chemical
  • No DPC Visible

• Is there any visual damage to the DPC ?

  YES

  NO

  N/A

• Comments of damaged DPC

• Photo of Damaged DPC

  Media

• Is the DPC 1500mm or more above ground level

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Photo of DPC level including tape measure

  Media

• Photo of DPC level including tape measure

  Media

• What is the minimum height of the DPC above ground level

• Are there any extenuating circumstances (eg: hard surface running away from elevation)

  Yes

  No

  N/A

• What solution is recommended ?

  Select Excavate ground level Excavate and install french drain Other

  • Excavate ground level
  • Excavate and install french drain
  • Other

• What are the measurements ?

• What are the measurements ?

• What works are required ?

• Visual Condition of the elevation

  Very Good

  Good

  Satisfactory

  Poor

• Explanation of poor elevation condition

  Select Hairline Cracking Horizontal Cracking Cracking around openings Diagonal Cracking Mortar Joints Damaged / Missing Bricks Damaged / Missing Render Porous Wall Material Paint Condition Other

  • Hairline Cracking
  • Horizontal Cracking
  • Cracking around openings
  • Diagonal Cracking
  • Mortar Joints
  • Damaged / Missing Bricks
  • Damaged / Missing Render
  • Porous Wall Material
  • Paint Condition
  • Other

• Photos of Cracking

  Media

• Linear Meterage of cracking

• Photos of Mortar

  Media

• Square Meterage of re-pointing

• Photos of Missing Bricks

  Media

• Quantity of bricks required

• Photos of Damaged Render

  Media

• Square Meterage of Render Required

• Photos of Wall

  Media

• Square Meterage of Sealant Required

• Photos of Paint

  Media

• Square Meterage of Paint required

• Colour of Paint Required

• Photos

  Media

• Comments

• Is the construction type different from the main construction type

  YES

  NO

  N/A

• Different Construction Types

  Select Cavity Solid Wall System Build Timber Frame Other

  • Cavity
  • Solid Wall
  • System Build
  • Timber Frame
  • Other

• Comments

• What is the m2 (excluding openings)

• Left Side Elevation photos

  Media

• Is a DPC present and visible ?

  Select Bitumen free polymeric Slate Asphalt Plastic Membrane Injected Chemical No DPC Visible

  • Bitumen free polymeric
  • Slate
  • Asphalt
  • Plastic Membrane
  • Injected Chemical
  • No DPC Visible

• Is there any visual damage to the DPC ?

  YES

  NO

  N/A

• Comments of damaged DPC

• Photo of Damaged DPC

  Media

• Is the DPC 1500mm or more above ground level

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Photo of DPC level including tape measure

  Media

• Photo of DPC level including tape measure

  Media

• What is the minimum height of the DPC above ground level

• Are there any extenuating circumstances (eg: hard surface running away from elevation)

  Yes

  No

  N/A

• What solution is recommended ?

  Select Excavate ground level Excavate and install french drain Other

  • Excavate ground level
  • Excavate and install french drain
  • Other

• What are the measurements ?

• What are the measurements ?

• What works are required ?

• Visual Condition of the elevation

  Very Good

  Good

  Satisfactory

  Poor

• Explanation of poor elevation condition

  Select Hairline Cracking Horizontal Cracking Cracking around openings Diagonal Cracking Mortar Joints Damaged / Missing Bricks Damaged / Missing Render Porous Wall Material Paint Condition Other

  • Hairline Cracking
  • Horizontal Cracking
  • Cracking around openings
  • Diagonal Cracking
  • Mortar Joints
  • Damaged / Missing Bricks
  • Damaged / Missing Render
  • Porous Wall Material
  • Paint Condition
  • Other

• Photos of Cracking

  Media

• Linear Meterage of cracking

• Photos of Mortar

  Media

• Square Meterage of re-pointing

• Photos of Missing Bricks

  Media

• Quantity of bricks required

• Photos of Damaged Render

  Media

• Square Meterage of Render Required

• Photos of Wall

  Media

• Square Meterage of Sealant Required

• Photos of Paint

  Media

• Square Meterage of Paint required

• Colour of Paint Required

• Photos

  Media

• Comments

• Is the construction type different from the main construction type

  YES

  NO

  N/A

• Different Construction Types

  Select Cavity Solid Wall System Build Timber Frame Other

  • Cavity
  • Solid Wall
  • System Build
  • Timber Frame
  • Other

• Comments

• What is the m2 (excluding openings)

• Right Side Elevation photos

  Media

• Is a DPC present and visible ?

  Select Bitumen free polymeric Slate Asphalt Plastic Membrane Injected Chemical No DPC Visible

  • Bitumen free polymeric
  • Slate
  • Asphalt
  • Plastic Membrane
  • Injected Chemical
  • No DPC Visible

• Is there any visual damage to the DPC ?

  YES

  NO

  N/A

• Comments of damaged DPC

• Photo of Damaged DPC

  Media

• Is the DPC 1500mm or more above ground level

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Photo of DPC level including tape measure

  Media

• Photo of DPC level including tape measure

  Media

• What is the minimum height of the DPC above ground level

• Are there any extenuating circumstances (eg: hard surface running away from elevation)

  Yes

  No

  N/A

• What solution is recommended ?

  Select Excavate ground level Excavate and install french drain Other

  • Excavate ground level
  • Excavate and install french drain
  • Other

• What are the measurements ?

• What are the measurements ?

• What works are required ?

• Visual Condition of the elevation

  Very Good

  Good

  Satisfactory

  Poor

• Explanation of poor elevation condition

  Select Hairline Cracking Horizontal Cracking Cracking around openings Diagonal Cracking Mortar Joints Damaged / Missing Bricks Damaged / Missing Render Porous Wall Material Paint Condition Other

  • Hairline Cracking
  • Horizontal Cracking
  • Cracking around openings
  • Diagonal Cracking
  • Mortar Joints
  • Damaged / Missing Bricks
  • Damaged / Missing Render
  • Porous Wall Material
  • Paint Condition
  • Other

• Photos of Cracking

  Media

• Linear Meterage of cracking

• Photos of Mortar

  Media

• Square Meterage of re-pointing

• Photos of Missing Bricks

  Media

• Quantity of bricks required

• Photos of Damaged Render

  Media

• Square Meterage of Render Required

• Photos of Wall

  Media

• Square Meterage of Sealant Required

• Photos of Paint

  Media

• Square Meterage of Paint required

• Colour of Paint Required

• Photos

  Media

• Comments

• Is the construction type different from the main construction type

  YES

  NO

  N/A

• Different Construction Types

  Select Cavity Solid Wall System Build Timber Frame Other

  • Cavity
  • Solid Wall
  • System Build
  • Timber Frame
  • Other

• Comments

• What is the m2 (excluding openings)

• Extensions or Additions Elevation photos

  Media

• Is a DPC present and visible ?

  Select Bitumen free polymeric Slate Asphalt Plastic Membrane Injected Chemical No DPC Visible

  • Bitumen free polymeric
  • Slate
  • Asphalt
  • Plastic Membrane
  • Injected Chemical
  • No DPC Visible

• Is there any visual damage to the DPC ?

  YES

  NO

  N/A

• Comments of damaged DPC

• Photo of Damaged DPC

  Media

• Is the DPC 1500mm or more above ground level

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Photo of DPC level including tape measure

  Media

• Photo of DPC level including tape measure

  Media

• What is the minimum height of the DPC above ground level

• Are there any extenuating circumstances (eg: hard surface running away from elevation)

  Yes

  No

  N/A

• What solution is recommended ?

  Select Excavate ground level Excavate and install french drain Other

  • Excavate ground level
  • Excavate and install french drain
  • Other

• What are the measurements ?

• What are the measurements ?

• What works are required ?

• Visual Condition of the elevation

  Very Good

  Good

  Satisfactory

  Poor

• Explanation of poor elevation condition

  Select Hairline Cracking Horizontal Cracking Cracking around openings Diagonal Cracking Mortar Joints Damaged / Missing Bricks Damaged / Missing Render Porous Wall Material Paint Condition Other

  • Hairline Cracking
  • Horizontal Cracking
  • Cracking around openings
  • Diagonal Cracking
  • Mortar Joints
  • Damaged / Missing Bricks
  • Damaged / Missing Render
  • Porous Wall Material
  • Paint Condition
  • Other

• Photos of Cracking

  Media

• Linear Meterage of cracking

• Photos of Mortar

  Media

• Square Meterage of re-pointing

• Photos of Missing Bricks

  Media

• Quantity of bricks required

• Photos of Damaged Render

  Media

• Square Meterage of Render Required

• Photos of Wall

  Media

• Square Meterage of Sealant Required

• Photos of Paint

  Media

• Square Meterage of Paint required

• Colour of Paint Required

• Photos

  Media

• Comments

• What is External Wall Material

  Select Brick Painted Render Pebble/Spar Dash Natural Stone Reconstructed Stone Upvc Cladding Timber Cladding Hanging Wall Tile or Slate External Wall Insulation System Built Other

  • Brick
  • Painted Render
  • Pebble/Spar Dash
  • Natural Stone
  • Reconstructed Stone
  • Upvc Cladding
  • Timber Cladding
  • Hanging Wall Tile or Slate
  • External Wall Insulation
  • System Built
  • Other

• Comments

• Photo

• What Is The External Wall Thickness (mm) ?

Roof

• What is the roof covering ?

  Select Concrete Tile Clay Tile Artificial Slate Natural Slate Felt Fiberglass Other N/A (eg ground floor flat)

  • Concrete Tile
  • Clay Tile
  • Artificial Slate
  • Natural Slate
  • Felt
  • Fiberglass
  • Other
  • N/A (eg ground floor flat)

• What is the condition of the roof covering ?

  Select Very Good Good Satisfactory Poor

  • Very Good
  • Good
  • Satisfactory
  • Poor

• Explanation of poor condition

• Photo of poor roof condition

  Media

• Photo of roof condition

  Media

• Description of other roof covering

• Photo of other roof covering

  Media

• What are the tile features ?

  Select Ridge Hip Verge Valley Abutment Other

  • Ridge
  • Hip
  • Verge
  • Valley
  • Abutment
  • Other

• What is the condition of the ridge ?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Description of poor condition

  Select Tiles missing Tiles loose Mortar missing Mortar Cracked Leadwork Damaged Leadwork missing Hip iron missing

  • Tiles missing
  • Tiles loose
  • Mortar missing
  • Mortar Cracked
  • Leadwork Damaged
  • Leadwork missing
  • Hip iron missing

• Photo of poor condition

  Media

• What is the condition of the hip ?

  Good

  Fair

  Poor

  N/A

• Description of poor condition

  Select Tiles missing Tiles loose Mortar missing Mortar Cracked Leadwork Damaged Leadwork missing Hip iron missing

  • Tiles missing
  • Tiles loose
  • Mortar missing
  • Mortar Cracked
  • Leadwork Damaged
  • Leadwork missing
  • Hip iron missing

• Photo of poor condition

  Media

External Joinery

• Photos of external joinery

  Media

• What external joinery is present ?

  Select Fascia Soffit Bargeboard

  • Fascia
  • Soffit
  • Bargeboard

• What is the fascia material ?

  Select Timber uPVC Cement board

  • Timber
  • uPVC
  • Cement board

• What is the condition ?

  Good

  Fair

  Poor

  N/A

• Description of poor condition

• Photo of poor condition

  Media

• Is the element painted ?

  YES

  NO

  N/A

• Does the element require re painting ?

  YES

  NO

  N/A

• Photo of paint colour

  Media

• Is there any roof ventilation ?

  Yes

  No

  N/A

• Photo of roof ventilation

  Media

• What is the soffit material ?

  Select Timber uPVC Cement board

  • Timber
  • uPVC
  • Cement board

• What is the condition ?

  Good

  Fair

  Poor

  N/A

• Description of poor condition

• Photo of poor condition

  Media

• Is the element painted ?

  YES

  NO

  N/A

• Does the element require re painting ?

  YES

  NO

  N/A

• Photo of paint colour

  Media

• Is there any roof ventilation ?

  Yes

  No

  N/A

• Photo of roof ventilation

  Media

• What is the bargeboard material ?

  Select Timber uPVC Cement board

  • Timber
  • uPVC
  • Cement board

• What is the condition ?

  Good

  Fair

  Poor

  N/A

• Description of poor condition

• Photo of poor condition

  Media

• Is the element painted ?

  YES

  NO

  N/A

• Does the element require re painting ?

  YES

  NO

  N/A

• Photo of paint colour

  Media

• Is there any roof ventilation ?

  Yes

  No

  N/A

• Photo of roof ventilation

  Media

Rainwater Goods

• Photos of rainwater goods

  Media

• What rainwater goods are present ?

  Select Gutter Downpipe

  • Gutter
  • Downpipe

• What is the guttering material ?

  Select uPVC Cast Iron Aluminium Cement based Finlock Other

  • uPVC
  • Cast Iron
  • Aluminium
  • Cement based
  • Finlock
  • Other

• What is the condition ?

  Good

  Fair

  Poor

  N/A

• Description of poor condition

• Photo of poor condition

  Media

• Is the element painted ?

  YES

  NO

  N/A

• Does the element require re painting ?

  YES

  NO

  N/A

• Photo of paint colour

  Media

• What is the downpipe material ?

  Select uPVC Cast Iron Aluminium Cement based Finlock Other

  • uPVC
  • Cast Iron
  • Aluminium
  • Cement based
  • Finlock
  • Other

• What is the condition ?

  Good

  Fair

  Poor

  N/A

• Description of poor condition

• Photo of poor condition

  Media

• Is the element painted ?

  YES

  NO

  N/A

• Does the element require re painting ?

  YES

  NO

  N/A

• Photo of paint colour

  Media

• Are gulleys and drains clear ?

  Yes

  No

  N/A

• Photos of block gulleys or drains

  Media

• What is the condition of the verge ?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Description of poor condition

  Select Tiles missing Tiles loose Mortar missing Mortar Cracked Leadwork Damaged Leadwork missing Hip iron missing

  • Tiles missing
  • Tiles loose
  • Mortar missing
  • Mortar Cracked
  • Leadwork Damaged
  • Leadwork missing
  • Hip iron missing

• Photo of poor condition

  Media

• What is the condition of the valley ?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Description of poor condition

  Select Tiles missing Tiles loose Mortar missing Mortar Cracked Leadwork Damaged Leadwork missing Hip iron missing

  • Tiles missing
  • Tiles loose
  • Mortar missing
  • Mortar Cracked
  • Leadwork Damaged
  • Leadwork missing
  • Hip iron missing

• Photo of poor condition

  Media

• What is the condition of the abutment ?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Description of poor condition

  Select Tiles missing Tiles loose Mortar missing Mortar Cracked Leadwork Damaged Leadwork missing Hip iron missing

  • Tiles missing
  • Tiles loose
  • Mortar missing
  • Mortar Cracked
  • Leadwork Damaged
  • Leadwork missing
  • Hip iron missing

• Photo of poor condition

  Media

• Description of other roof features

• What is the condition of the other roof feature ?

  Good

  Fair

  Poor

  N/A

• Description of poor condition

  Select Tiles missing Tiles loose Mortar missing Mortar Cracked Leadwork Damaged Leadwork missing Hip iron missing

  • Tiles missing
  • Tiles loose
  • Mortar missing
  • Mortar Cracked
  • Leadwork Damaged
  • Leadwork missing
  • Hip iron missing

• Photo of poor condition

  Media

Windows and Doors

• Photos of windows and doors

  Media

Windows

• What is the window material ?

  Select uPVC Timber Aluminium Steel Composite Other

  • uPVC
  • Timber
  • Aluminium
  • Steel
  • Composite
  • Other

• What is the window type ?

  Select Double Glazed Single Glazed Triple Glazed

  • Double Glazed
  • Single Glazed
  • Triple Glazed

• General window condition

  Good

  Fair

  Poor

  N/A

• Description of issues

• Photo of issues

  Media

Doors

• What is the door material ?

  Select uPVC Timber Aluminium Steel Composite Other

  • uPVC
  • Timber
  • Aluminium
  • Steel
  • Composite
  • Other

• What is the door type ?

  Double Glazed

  Single Glazed

  Triple Glazed

• General door condition

  Good

  Fair

  Poor

  N/A

• Description of issues

• Photo of issues

  Media

Internal Property Survey

• Which rooms exist in this property

  Select Kitchen Utility Hallway Living room Dining room WC Bathroom Landing Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5

  • Kitchen
  • Utility
  • Hallway
  • Living room
  • Dining room
  • WC
  • Bathroom
  • Landing
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5

• Photo of humidity meter reading in kitchen

  Media

• Are There Any Issues With The Building Fabric in the kitchen ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Utility

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Utility ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Hallway

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Hallway ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Living room

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Living room ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Dining room

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Dining room ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in WC

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the WC ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Bathroom

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Bathroom ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Landing

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Landing ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Bedroom 1

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Bedroom 1 ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Bedroom 2

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Bedroom 2 ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Bedroom 3

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Bedroom 3 ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Bedroom 4

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Bedroom 4 ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Photo of humidity meter reading in Bedroom 5

  Select Concrete Tile Clay Tile Natural Slate Artificial Slate Fiberglass Felt Other

  • Concrete Tile
  • Clay Tile
  • Natural Slate
  • Artificial Slate
  • Fiberglass
  • Felt
  • Other

• Are There Any Issues With The Building Fabric in the Bedroom 5 ?

  YES

  NO

  N/A

• Photos of issues

  Media

• Comments

• Does this room have Dry Lining ?

  Yes

  No

  Unsure

• Does this room suffer with any Damp/Mould/Condensation or Cold Issues ?

  Select Damp Mould Condensation Cold None

  • Damp
  • Mould
  • Condensation
  • Cold
  • None

• Photos of issues

  Media

• Comments of issues

  Media

• Does this room have any ventilation

  Select Intermittent Extractor Fan Continuous Extractor Fan Faulty Extractor Fan PIV Unit MVHR Unit Recirculating Cooker Hood Extracting Cooker Hood Air Brick Window Trickle Vents None

  • Intermittent Extractor Fan
  • Continuous Extractor Fan
  • Faulty Extractor Fan
  • PIV Unit
  • MVHR Unit
  • Recirculating Cooker Hood
  • Extracting Cooker Hood
  • Air Brick
  • Window Trickle Vents
  • None

• Photo of fan flow rate (in litres per second)

  Media

• What is the fan flow rate (in litres per second)

• Photo of Ventilation

  Media

• Comments of ventilation

• What is the Temperature and Humidity reading in this room

  Media

Heating System

• What is the main heating system ?

  Select Gas Boiler Electric Storage Heater Oil Boiler ASHP LPG Boiler Electric Boiler Solid Fuel Boiler Multi Fuel GSHP

  • Gas Boiler
  • Electric Storage Heater
  • Oil Boiler
  • ASHP
  • LPG Boiler
  • Electric Boiler
  • Solid Fuel Boiler
  • Multi Fuel
  • GSHP

• Photo of heating system

  Media

• Description of Boiler (make and model)

• What are the heating system controls

  Select Programmer Room Stat TRV’s Programmable Room Stat Other To Compliment Heating System

  • Programmer
  • Room Stat
  • TRV’s
  • Programmable Room Stat
  • Other
  • To Compliment Heating System

• Details

• Is there a secondary heating system?

  Yes

  No

  Unsure

• What is the secondary heating system ?

  Select Open fire with internal chimney Wood burner Gas fire with balanced flue Gas fire with internal chimney Electric feature fire Open fire with external chimney Flush fitted gas fire Electric plugin heaters

  • Open fire with internal chimney
  • Wood burner
  • Gas fire with balanced flue
  • Gas fire with internal chimney
  • Electric feature fire
  • Open fire with external chimney
  • Flush fitted gas fire
  • Electric plugin heaters

• Photo of secondary heating

  Media

• Is there a hot water cylinder ?

  Yes

  No

  Unsure

• Photo of cylinder

  Media

• Is the cylinder insulated

  Select No Insulation Jacket Insulation Foam Insulation less then 25mm Foam Insulation 25mm thickness or more Sealed cylinder

  • No Insulation
  • Jacket Insulation
  • Foam Insulation less then 25mm
  • Foam Insulation 25mm thickness or more
  • Sealed cylinder

• Thickness of insulation

• Does the cylinder have a Thermostat ?

  Yes

  No

  Unsure

• Photo of Thermostat

  Media

• Does the cylinder have a Control unit ?

  Yes

  No

  Unsure

• Photo of control unit

  Media

Lighting

• How many fixed lights in the property (including external lighting) ?

• How many lights are low energy ?

Loft

• Is the Loft Insulated ?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• What is the insulation ?

  Select Roll Matt Blown Fibre Vermiculite Warmcel Rigid Insulation (eg celotex) Multifoil

  • Roll Matt
  • Blown Fibre
  • Vermiculite
  • Warmcel
  • Rigid Insulation (eg celotex)
  • Multifoil

• What Is The Insulation Depth (mm)

• What is the condition of the insulation ?

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Comments of insulation condition

  Select Poorly laid Only laid in one direction Uneven Missing Blocking Eaves Short of Eaves

  • Poorly laid
  • Only laid in one direction
  • Uneven
  • Missing
  • Blocking Eaves
  • Short of Eaves

• Is the loft cluttered?

  YES

  NO

  N/A

• Photo of Clutter

  Media

• Is the loft ventilated ?

  Yes

  No

  N/A

• How is the loft ventilated ?

  Select Eaves Ventilation Vent tiles Breathable felt Gable vents Felt wedges Mechanical ventilation

  • Eaves Ventilation
  • Vent tiles
  • Breathable felt
  • Gable vents
  • Felt wedges
  • Mechanical ventilation

• Is the Loft Hatch Insulated ?

  Yes

  No

  N/A

• Photo of insulated loft hatch

  Media

• Are there sloping ceilings ?

  YES

  NO

  N/A

• Are sloping ceilings correctly insulated ?

  Yes

  No

  Unsure

• Photos of incorrect insulation

  Media

• Is there any ducting in the loft

  YES

  NO

  N/A

• Photos of ducting

  Media

• Comments of ducting

Survey Recommendations

Fuel Switching

• Is The Property Suitable For Fuel Switching

  Yes

  No

  N/A

• Comments

Insulation

• Is The Property Suitable For Cavity Insulation

  Yes

  No

  N/A

• Comments

• Is The Property Suitable for External Wall Insulation

  Yes

  No

  N/A

• Comments

• Is Loft Insulation recommended ?

  Yes

  No

  N/A

• Comments

Heating

• Is The Property Suitable For a Heating Upgrade

  Yes

  No

  N/A

• What Heating System Is Recommended ?

  Select Change to Quantum If no fuel switch Change to Quantum throughout New condescending Gas boiler Other

  • Change to Quantum If no fuel switch
  • Change to Quantum throughout
  • New condescending Gas boiler
  • Other

• Comments

• Do The Heating Controls Require Upgrading ?

  Yes

  No

  N/A

• What Heating Controls Are Recommended ?

  Select Programmer Room Stat TRV’s Programmable Room Stat Other To Compliment Heating System

  • Programmer
  • Room Stat
  • TRV’s
  • Programmable Room Stat
  • Other
  • To Compliment Heating System

• Comments

• Does The Cylinder Insulation Require Upgrading ?

  YES

  NO

  N/A

• Comments

Solar PV

• Is The Property Suitable For PV

  Yes

  No

  N/A

• Comments

Ventilation

• Is Additional Ventilation Recommended?

  Yes

  No

  N/A

• What Additional Measures Are Recommended?

  Select Window Trickle Vents Window Locking Night Vents Passive Whole House System Active Whole House System Kitchen Extract Fan Bathroom Extract Fan Full Ventilation Survey Cooker Hood

  • Window Trickle Vents
  • Window Locking Night Vents
  • Passive Whole House System
  • Active Whole House System
  • Kitchen Extract Fan
  • Bathroom Extract Fan
  • Full Ventilation Survey
  • Cooker Hood

• Comments

Quick wins

• Is low energy lighting recommended ?

  Yes

  No

  N/A

• Comments

• Are full SAP calculations recommended ?

  Yes

  No

  N/A

• Comments

• Is a new EPC recommended ?

  Yes

  No

  N/A

• Reason And Timing For EPC

  Select No Current EPC Update EPC New EPC After Recommendations Other

  • No Current EPC
  • Update EPC
  • New EPC After Recommendations
  • Other

• Comments

Building Works

• Are building works Required ?

  Select Kitchen Utility Hallway Living room Dining room WC Bathroom Landing Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5

  • Kitchen
  • Utility
  • Hallway
  • Living room
  • Dining room
  • WC
  • Bathroom
  • Landing
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5

Survey Sign off

• Low Carbon Exchange

  Sign