Cavity Wall Insulation - Post Installation Survey

• Client Name:

  Select MVH Hafod Tai Calon Stonewater Monmouthshire H/A Wales & West

  • MVH
  • Hafod
  • Tai Calon
  • Stonewater
  • Monmouthshire H/A
  • Wales & West
• Location.
  Address

• Tenure.

  Select Owner occupier Local Authority Housing Association Privately Rented

  • Owner occupier
  • Local Authority
  • Housing Association
  • Privately Rented

• Address

• Property Type.

  Select Mid-Terrace End terrace Semi-detached Detached Ground Floor Flat Middle Floor Flat Top Floor Flat Masonette Bungalow House Commercial Building

  • Mid-Terrace
  • End terrace
  • Semi-detached
  • Detached
  • Ground Floor Flat
  • Middle Floor Flat
  • Top Floor Flat
  • Masonette
  • Bungalow
  • House
  • Commercial Building

• Building Finish.

  Select Brick Painted Render Brick/Render Pebble Dash Recon Stone Spar Limestone/Sandstone Granite/Whinstone

  • Brick
  • Painted Render
  • Brick/Render
  • Pebble Dash
  • Recon Stone
  • Spar
  • Limestone/Sandstone
  • Granite/Whinstone

• Installation Completed By

  Jack Powell

• Main Heating type,

  Mains Gas/LPG

  Oil

  Solid Fuel

  Electric

  Renewable Technology/Other

• Protected species or rodents present in building.

  Yes

  No

  N/A

• Special Instructions.

Access

• Client Instructions.

• Access Issues.

  Yes

  No

  N/A

• Access Equipment Required.

  Select Stepladder None Ladder Scaffold / Tower

  • Stepladder
  • None
  • Ladder
  • Scaffold / Tower

Cavity Wall Insulation

• Please provide photos of all elevations

  Media

• M2 area of CWI to be insulated

• Material being used for install

  Thermabead Carbonsaver

• Installers name

  Jack Powell

• Date

• Provide photos of install including, drill, bead in holes and sealed up drill pattern.

  Media

Dynamic Risk Assessment.

• Please select yes if insulation work as to be installed.

  Yes

  No

  N/A

• Reversing vehicle.

  Yes

  No

  N/A

• Asbestos

  Yes

  No

  N/A

• Overhead electricity cables.

  Yes

  No

  N/A

• Use of a step ladders.

  Yes

  No

  N/A

• Use of a ladder.

  Yes

  No

  N/A

• Manual Handling.

  Yes

  No

  N/A

• Hand tools.

  Yes

  No

  N/A

• Vibration.

  Yes

  No

  N/A

• Noise.

  Yes

  No

  N/A

• House keeping.

  Yes

  No

  N/A

• Use of mobile elevation working platform (mewp) or a scaffold tower.

  Yes

  No

  N/A

• Lone worker.

  Yes

  No

  N/A

• I have assessed the conditions on site ensuring there is adequate ventilation and no evidence of damp and no remedial works required. Unless listed below, there are no additional significant hazards observed that are not addressed in the generic risk assessment for the work to be undertaken.

  None

  See Below

• Assessors signature

  Sign