Title Page

  • Conducted on

  • Prepared by

  • Location

Name/ address

  • Name

  • Address

  • property type

  • heating source

Property details

  • Conservatory/outbuilding

  • is scaffolding required

  • Are safety alarms operational

  • adjoining property insulated

  • is there a gas or solid fuel burning fire requiring a core vent

  • neighbour access required

  • internal drilling

  • have the internal and external elevations been checked for damp

  • are there any rodents or protected species at the property

  • Distance from closest vehicle access

  • barrier brushes required

  • asbestos

Property measurements (square metres)

  • Front elevation size

  • front elevation deduction for windows and doors

  • front elevation cavity width

  • rear elevation size

  • rear elevation deductions for windows and doors

  • rear elevation cavity width

  • right elevation size

  • right elevation deductions for windows and doors

  • right elevation cavity width

  • left elevation size

  • left elevation deductions for windows and doors

  • Left elevation cavity width

  • total area across all elevations

  • deductions across all elevations

  • total area to be insulated

Notes

  • undefined

Assessment

  • Front elevation images

  • Front elevation Borescope imagea

  • front elevation camera in wall images

  • rear elevation images

  • rear elevation Borescope images

  • rear elevation camera in wall images

  • left elevation images

  • left elevation Borescope images

  • left elevation camera in wall images

  • right elevation images

  • right elevation Borescope images

  • right elevation camera in wall images

  • brick pattern/pointing images

  • defects front elevation

  • defects rear elevation

  • defects right elevation

  • defects left elevation

  • Dpc height images

  • Live/redundant flue images

  • internal drilling area images

  • wall thickness images

  • mains/overhead cable images

  • access issue images

  • scaffold required area images

  • vegetation access issue images

  • internal walls images/chimney open/blocked

  • main/secondary heating images

  • loft hatch/loft party wall images

  • property area ground images

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.