Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
Client Details
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Title and full name of client
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Date of Birth
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Property Address
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Home Telephone Number
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Mobile Telephone Number
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Work Telephone Number
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Email Address
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National Insurance Number
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Is the Claimant the homeowner of the above address ?
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Does the Claimant live at the above address ?
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If the Claimant does not live at the above address, please provide the Claimants home address for all correspondence
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How long has the Claimant lived at the property?
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When did the Claimant notice the damage to the property?
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Has any remeial or rectification work been done to the property to address these issues?
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Was the Claimant made aware of any issues with the Cavity Wall Insulation at the time they purchased the property?
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Date and Time of the cavity wall assessment.
Property Details
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Property Type?
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How many bedrooms does the property have?
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When was the property built?
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Number of storeys to the property?
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Please provide photos of the DPC compromised or breached in any way
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Is the Damp Proof course a Minimum of 150mm above the ground level?
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If not, please provide photo evidence
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Is there evidence of sub standard brickwork or render to the property that was apparent on the day of cavity wall insulation taking place?
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If so, please provide photos as evidence
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Has Cavity Wall Barriers been installed by the contractor?
Brief Background and History
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Enter details of alleged problems to the property such as Damp, Mould or condensation , external issues since the Cavity wall Insualtion took place
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Please provide photos of evidence of all alleged issues to the property
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Please provide damp meter reading results and what rooms they were taken in on all alleged issues to the property since CWI took place
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Which rooms are affected by Damp, Mould or condensation since the introduction of CWI
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Provide landscape and close up pictures of rooms affected regarding any alleged issues to the property
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Are there any rooms affected by high condensation levels since CWI took place ?
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Please provide room humidity results to any rooms affected by condensation
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If so, what rooms are affected ?
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Has there been any Building alterations, improvements or repairs to the property since the install of CWI?
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If so, what works has been carried out since the install of CWI?
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Provide images of any works, alterations or repairs since the introduction of CWI
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Are there any residents living in the property suffering with ill health or aggravated issues such as breathing difficulties as a result of the CWI?
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If so, what health issues are they suffering with?
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Provide images of any prescriptions, doctors or hospital letters relating to their health issues as a result of the CWI
Borescope images of the elevations to the Property and all findings to the relevant elevations
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Total Wall Measurements m2 equals Width x Height minus Windows, Doors, or any opening.
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Total m3, Cubic Meterage of Insulant within the cavity walls. m2 X depth of cavity walls.
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What Insulation was used by the installer to insulate the Property?
CIGA, REIGA, or any cavity wall guarantee, Contractors Details.
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Assessors Approval
Media
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Add all relevant photos from the property. Send ID, POA, CIGA cert and CFA as separate attachments along with a copy of this report.
