Domestic Heating Installation Survey

Information

Job No.
Attended By
Full Name of Surveyor

PROPERTY DETAILS

Date
Calling Card Left (Insert Time and Date) provide evidence of card being left
JOB NUMBER
Occupants Name
Address

SAFETY INFORMATION

Start Time?
Has an Asbestos Survey been conducted at the property and available to view?
If "No" or "Unknown" contact line manager to see whether to continue with the survey
Any special customer requirements?
- Unsuitable Times
- Restrictions
- Special Needs
- Noise Restrictions
- Pets
- Other
If any of above chosen state more information
Risk Assessment
What are the Hazards?
- Falls from Ladders, Scaffolding Etc
- Risk to eyes when drilling Etc
- Electric Shock
- Asbestos within a work area
- General Site Hazards
- Visitors entering area
Who Might Be Harmed?
- Staff
- Contractors
- Site Visitors
What is currently in place to prevent this?
Do you need to anything else to prevent this Risk?
Action by whom
- All Employees
- All Sub Contractors
Action by When?
Who Might be Harmed?
- Staff
- Contractors
- Site Visitors
What is currently in place to prevent this?
Do you need anything else to prevent this risk.
Action by When?
Action by whom?
- All Employees
- All Sub Contractors

TECHNICAL SURVEY

Type of Property
Property Configuration?
- Detached
- Semi Detached
- Mid Terrace
- End Terrace
- Ground Floor
- Upper Floor
Water Bonding Present?
Where "UNKNOWN" state more Information here.
Image of Water Bonding
Gas Bonding Present
Where "UNKOWN" state more information here.
Image of Gas Bonding
Main Earth Bonding Bonding Present?
Where "UNKOWN" state more information here.
If possible please state type of Earth system present
Image of main Earth Bonding
RCD protection present?
Please Note where a TT Earthing system has been selected above please also state here if no RCD Present?
Photo of Fuse Board
Has the property got a GAS Supply?
Gas Pipe size at the Gas Meter?
Location of GAS Meter?
Existing Boiler Manufacturer & Model of Boiler?
Location of Existing Boiler?
Photo of Boiler
Photo of boiler data plate
What is is existing FLUE Type?
Photo of Flue
Photo of New Flue location
Please state the boiler FAULT/S
Estimated Cost of repair (£)
Location of Stop tap?
Type of Existing System?
- S or Y Plan
- Combi
- Condensing Combi
- Gravity
- BBU
- Other
If "OTHER" Please state type of system
Are there any building works required to the existing system if so please state?
What materials are required to complete the building works stated above?
- Breeze Blocks
- Red Bricks
- Buff Bricks
- Other see photo
Photo of brick colour for best brick match
What is the pipe fabric & size to the existing radiators?
- Copper
- Plastic
- 15MM
- 10MM
- 8MM
- Other
Do any of the existing Radiators need replacing?
Would the property require installation of a NEW Radiator & Pipe work?
What are the floor structures DOWNSTAIRS?
- Wooden Boards
- Chipboard
- Solid
What are the floor structures UPSTAIRS?
- Wooden Boards
- Chipboard
- Solid
Please state any obstructions - eg Laminate Flooring in master bedroom
How many HOT Water outlets are there?
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- NO
Are there any showers at the property, if Yes what Type?<br>
What is the water flow rate at the kitchen sink? (L/M)
NEW SYSTEM INFORMATION
What type of Installation will this property require?
Size of proposed new boiler
- 12KW CONVENTIONAL
- 15KW CONVENTIONAL
- 18KW CONVENTIONAL
- 24KW COMBI
- 28KW COMBI
- 35KW COMBI
Location of NEW Boiler?
Flue Type Required?
What Type Condensate Installation is required?
What Heating Controls are Required?
Where is the cylinder located?
If "OTHER" state location
Photos of Cylinder cupboard showing all controls
State if you can think of any reason that this cylinder could not be removed from the property?
Please add any additional information here that will assist the Plumbing engineer & or the Electrical Engineer with the Installation of the new heating system
Additional Photos
Finish Time?

MATERIALS LIST

IF USING PAPER VERSION OF KIT LIST ADD CLEAR PHOTO OF ALL PAGES
Photos of Material Kit list
Materials List
Type of Boiler?
- 12KW CONVENTIONAL
- 15KW CONVENTIONAL
- 18KW CONVENTIONAL
- 24KW COMBI
- 28KW COMBI
- 35KW COMBI
Horizontal Flue
Vertical Flue Terminal?
PLEASE NOTE WHERE A VERTICAL FLUE IS REQUIRED RELEVANT RISK ASSESSMENT TO IMPLIMENTED
Weather Slate
1M FLUE EXTENSION
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- NO
FLUE 90 DEGREE BEND
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- NO
FLUE 45 DEGREE BEND
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- NO
FLUE SUPPORT CLAMP
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- NO