Cynon Taf Tech Surveys V2

• Property Address

• Conducted on

  Date

• Property Images

  Media

• Loft Insulation Risk Assessment Questions

• Does the Property suggest that Asbestos could be Present?

  Yes

  No

• Confirm you have asked the Client if there was any known Asbestos or Asbestos containing materials within the property

  Yes

  No

• Do you or the Client have any Reason to suspect Asbestos is present in the Property?

  Yes

  No

• Have all checks been Undertaken to determine if Asbestos containing materials are present within the property?

  Yes

  No

• Access from Road/ Around Property

  Good

  Fair

  Poor

  N/A

• Is there any Evidence of Vermin?

  Yes

  No

• Is there any Evidence of Protected Wildlife? (e.g. Bats)

  Yes

  No

• Vulnerable Person Present?

  Yes

  No

• Use of Ladders Required?

  Yes

  No

• Manual Handling Required?

  Yes

  No

• Reversing of Vehicle Required?

  Yes

  No

• Electricity Required?

  Yes

  No

• Housekeeping Required

  Yes

  No

• Distance from Works vehicle to Property

• Will Public Walkway be at Risk?

  Yes

  No

• Is neighbour access required?

  Yes

  No

• Safety Signage required?

  Yes

  No

• Electricity Cables present in Loft

  Yes

  No

• Working in Confined Spaces required?

  Yes

  No

• Lone Working?

  Yes

  No

• Use of Scaffold required?

  Yes

  No

LOFT INSULATION

• Scheme

  HHCRO

  FLEX

  ATP

  OTHER

• State type of scheme

• Total Area to be Insulated

• Photo of Loft Hatch

  Media

• Photo of Loft space

  Media

• Existing Insulation

  Yes

  No

  N/A

• Existing Depth

• Ofgem Loft Doc Required

  Yes

  No

• Photo of Loft Doc Close up

  Media

• Photo of Loft Doc in Situ

  Media

• Photo of existing depth

  Media

• Depth to be Added

• Photo of Loft

  Media

• Depth to be Installed

• Down-lights present?

  Yes

  No

• Select Rooms Down-Lights Present

  Select Living Room Dining Room Kitchen Bathroom Bedrooms Other

  • Living Room
  • Dining Room
  • Kitchen
  • Bathroom
  • Bedrooms
  • Other

• Additional room

• Total number of Down-Lights

• Any water tanks need insulating?

  Yes

  No

  N/A

• Large Tank

  Select None 1 2 3 4 5

  • None
  • 1
  • 2
  • 3
  • 4
  • 5

• Medium Tank

  Select None 1 2 3 4 5

  • None
  • 1
  • 2
  • 3
  • 4
  • 5

• Small Tank

  Select None 1 2 3 4 5

  • None
  • 1
  • 2
  • 3
  • 4
  • 5

• Photo of tanks

  Media

• Any Pipework require Lagging?

  Yes

  No

  N/A

• Please state meters of pipework

• High Amp electrical cables present? (e:g; Power Shower, Cooker)

  Yes

  No

• Photo of appliance

  Media

• Photo of Power Switch

  Media

• Loft Hatch needing D/P

  Yes

  No

  N/A

• Relay Required?

  Yes

  No

• Relay Sqm

  Yes

  No

• Areas to be omitted

  Yes

  No

• Total area to be omitted

• Loft Vents required

  Yes

  No

  N/A

• Walkway required

  Yes

  No

  N/A

• Mtrs Required

• Loft Clearance

  Yes

  No

• Additional Notes

• Additional Photos

  Media

• Have all Rooms Been Inspected for Condensation and Damp?

  Yes

  No

  N/A

• Room Types

  Select Kitchen Bathroom 1 Bathroom 2 En- Suite 1 En-Suite 2 W/C Utility Other

  • Kitchen
  • Bathroom 1
  • Bathroom 2
  • En- Suite 1
  • En-Suite 2
  • W/C
  • Utility
  • Other

• Photos of all Wet Rooms in Property

  Media

• Do all Wet Rooms have an Extractor Fan?

  Yes

  No

  N/A

• Do all Habitable Rooms have a Trickle Vent / Core Vent

  Yes

  No

  N/A

• Purge ventilation

  Media

• Does the Property Need any Additional Ventilation Work in Preparation for Insulation Measure

  Yes

  No

  N/A