Climabead Inspection Report

• Technician Name

• Installing Company

• Conducted on

  Date
• Location
  Address

• Inspector name

Property Details

• External Finish? e.g. brick

• Property Type? e.g. Detached Bungalow

• Cavity Width (mm)

• Please attach photo of each elevation

  Media

Health & Safety

• PPE available and used?

  Pass

  Fail

• First Aid Kit Available

  Pass

  Fail

• Fire Extinguisher Available

  Pass

  Fail

Pre Install

• Is Approval Card Available?

  Pass

  Fail

• Approval Card Number:

• Is Climabead batch number available?

  Pass

  Fail

• Batch Number:

• Pre Install Checks complete?

System Set Up

• How many hoses does vehicle have?

• Condition of Pipe

  Pass

  Fail

• Condition of Injection Gun and Nozzle?

  Pass

  Fail

• Bead Flow Rate? (grams/min)

• Glue Flow Rate? (ml/min)

• Condition of Pipe1?

  Pass

  Fail

• Condition of Injection Gun and Nozzle on Pipe 1?

  Pass

  Fail

• Bead Flow Rate Pipe 1? (grams/min)

• Glue Flow Rate Pipe 1? (ml/min)

• Condition of Pipe 2?

  Pass

  Fail

• Condition of Injection Gun and Nozzle on Pipe 2?

  Pass

  Fail

• Bead Flow Rate Pipe 2? (grams/min)

• Glue Flow Rate Pipe 2? (ml/min)

• Are adhesive jets present and in good condition?

  Pass

  Fail

Test Kit

• Is Test Kit present and in good condition?

  Pass

  Fail

• Test Sack

• Scales

• Measuring Cylinder

Installation Process

• Is Drill Pattern Correct?

  Pass

  Fail

• Drilling Complete on elevation before injection?

  Pass

  Fail

• Holes injected from bottom to top?

  Pass

  Fail

• Is Cavity Brush Required?

  Yes

  No

  Not needed

• Is Cavity brush fitted correctly?

  Pass

  Fail

• Have ventilation Requirements been met?

  Pass

  Fail

• All drill holes pointed up?

  Pass

  Fail

Equipment

• Drill Make and Model?

• Drill Condition?

  Pass

  Fail

• Ladder Condition?

  Pass

  Fail

• Transformer Condition?

  Pass

  Fail

• Extension Lead condition?

  Pass

  Fail

Access Lance Kit

• Is there an Access Lance Kit?

  Yes

  No

• Is Access Lance kit in good condition?

  Pass

  Fail

Post Install

• Post install Checks Complete?

• Has site been swept and cleaned?

  Pass

  Fail

Vehicle

• Vehicle make and model?

• Vehicle registration?

• Is Vehicle Clean and Tidy?

  Pass

  Fail

• Are there any defects to the vehicle

  Pass

  Fail

• Please attach photo of each side of vehicle and storage areas

  Media

Signatures

• Technician Signature

  Sign

• Inspector Signature

  Sign