Title Page
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Conducted on
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Prepared by
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Location
Name/ address
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Name
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Address
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property type
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heating source
Property details
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Conservatory/outbuilding
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is scaffolding required
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Are safety alarms operational
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adjoining property insulated
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is there a gas or solid fuel burning fire requiring a core vent
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neighbour access required
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internal drilling
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have the internal and external elevations been checked for damp
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are there any rodents or protected species at the property
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Distance from closest vehicle access
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barrier brushes required
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asbestos
Property measurements (square metres)
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Front elevation size
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front elevation deduction for windows and doors
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front elevation cavity width
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rear elevation size
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rear elevation deductions for windows and doors
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rear elevation cavity width
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right elevation size
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right elevation deductions for windows and doors
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right elevation cavity width
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left elevation size
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left elevation deductions for windows and doors
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Left elevation cavity width
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total area across all elevations
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deductions across all elevations
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total area to be insulated
Notes
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Assessment
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Front elevation images
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Front elevation Borescope imagea
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front elevation camera in wall images
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rear elevation images
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rear elevation Borescope images
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rear elevation camera in wall images
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left elevation images
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left elevation Borescope images
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left elevation camera in wall images
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right elevation images
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right elevation Borescope images
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right elevation camera in wall images
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brick pattern/pointing images
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defects front elevation
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defects rear elevation
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defects right elevation
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defects left elevation
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Dpc height images
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Live/redundant flue images
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internal drilling area images
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wall thickness images
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mains/overhead cable images
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access issue images
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scaffold required area images
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vegetation access issue images
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internal walls images/chimney open/blocked
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main/secondary heating images
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loft hatch/loft party wall images
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property area ground images