Title Page

  • Survey Report Number

  • Conducted By

  • Conducted on

  • Location

Property Information

  • Property Type

  • Property Detachment

  • Property Age Band

  • Any Parking / Access Issues?

Proposed Wall Information

  • Wall Construction Type

  • Insert a Borescope Inspection Image for Each Elevation

  • Wall Thickness mm

  • Number of Elevations to be Insulated

  • Total Insulated Area (M²)

  • Any Pre-Installation Repairs required?

  • Wall Thickness mm

  • Insulation Type Proposed

  • Scaffolding Site Access issues

  • Number of Elevations to be Insulated

  • Total Insulated Area (M²)

  • Any Pre-Installation Repairs required?

  • Any Hazards / Obstructions?

Additional Evidence

  • Addition information

  • Additional Evidence

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