Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Heating

House Details

  • House Type

  • Address Picture

  • Window Types

  • Outside Walls

Occupation type

  • Occupation type

Boiler details

  • Enter details of Boiler Position

  • Boiler Position

  • Gas Meter Position

  • Approx Length of gas run

  • Flue Type

  • Condensate

  • Condensate Final Destination

Radiator Pipework Details

  • Type of pipework

  • 15mm

  • 10mm

  • 8mm

Radiator Details

  • House Layout

LIVING ROOM Air Changes 1.5

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

Door external only

  • External door only Allow 2x1 area

KITCHEN Air Changes 2

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

Door external only

  • External door only Allow 2x1 area

DINING ROOM Air Changes 1.5

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

Door external only

  • External door only Allow 2x1 area

HALL Air Changes 1.5

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

Door external only

  • External door only Allow 2x1 area

BEDROOM 1 Air Changes 1

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

BEDROOM 2 Air Changes 1

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

BEDROOM 3 Air Changes 1

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

GF/ WC Air Changes 2

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

BATHROOM Air Changes 2

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

LANDING Air Changes 1.5

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

REAR LOBBY Air Changes 1.5

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

EXTRA ROOM 1

  • Input room type and air changes required

  • Room and Air Change Selector

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

EXTRA ROOM 2

  • Input room type and air changes required

  • Room and Air Change Selector

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

EXTRA ROOM 3

  • Input room type and air changes required

  • Room and Air Change Selector

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

EXTRA ROOM 4

  • Room and Air Change Selector

  • Input room type and air changes required

  • Select and Input required information

  • Existing Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

Calculation Requirements for Rad resize

Room Construction

  • total Length of External walls

  • Floor Type

  • Space Above Room

Room Dimensions

  • Room Length from Main Window

  • Room Width across Main window

  • Room Height

Window area add multiple windows together

  • Sill height

  • Window Width

  • Window Height

  • Radiator and TRV upgrade only

EXTRA INFO

  • Relavent images

  • NOTES

  • DRAWING NOTE

  • Agreed Fitting Date

  • Customer

  • Delta Representative

Electrical

Electrical Details

  • Thermostat Position

Distribution Board Details as Fitted

  • Board Model Type

  • Type of Protection ( MCB - RCD - Fuse - etc.

  • Main Earthing Arrangement TNCS - TNS - TT

  • Isolator Fitted

  • Picture of Board

Earth Bonding

  • Bonding to gas within 600mm of Gas Meter

  • Bonding Details if non Location of Gas Meter

  • Bonding to Water within 600mm of Stop Tap

  • Bonding Details if non Location of Stop Tap

Electrical Work Required

  • Electrical Work Required

  • Notes

  • Asbestos ( is there any possibility of Asbestos in the property )

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.