EBRL Heating Survey

• Document No.

• Client

• Address
  Address

• Conducted on

  Date

• Prepared by

Existing Boiler

• Make and Model of existing boiler?

• Picture of existing boiler (provide clear photos of boiler and surrounding areas)

  Media

• Type of existing boiler?

  combi

  heat only

  system

  back boiler

  other

• Does the existing boiler work?

  Yes

  No

  N/A

• Age of existing boiler?

• Location of existing boiler?

  kitchen

  utility

  garage

  airing cupboard

  other

• Picture of boiler location

  Media

• Is the boiler wired into an existing fuse spur?

  Yes

  No

  N/A

• Picture of existing electrical connection/fuse spur

  Media

• Can the water and heating be controlled separately?

  Yes

  No

  N/A

• Existing heating/water controls

  Media

• Is there an existing room thermostat?

  Yes

  No

  N/A

• Picture of existing room thermostat

  Media

• Existing flue type

  vertical

  horizontal

• Length of existing flue

• Where does the flue terminate?

• Picture of flue termination

  Media

• Is the existing flue termination over 2.1m from the ground?

  Yes

  No

  N/A

• Size of existing gas supply to the boiler?

  15mm

  22mm

  other

• Picture of existing pipework to boiler

  Media

• Distance to nearest 22mm gas supply

• Picture of gas meter

  Media

• Distance to gas meter

Existing Radiators

• Number of existing radiators

• Do all radiators heat up correctly? (If not, take pictures of those that don't)

  Yes

  No

  N/A

• Existing radiators

  Media

• Do all radiators have TRV's?

  Yes

  No

  N/A

• Existing TRV's

  Media

• Existing radiator pipework supply size

  8mm

  10mm

  15mm

  other

• Picture of radiator pipework

  Media

Cylinder & Tanks

• Is there an existing hot water cylinder?

  Yes

  No

  N/A

• Picture of existing cylinder

  Media

• Is there an existing header tank?

  Yes

  No

  N/A

• Number of tanks?

• Picture of header tank/tanks

  Media

• Is there an existing water pump?

  Yes

  No

  N/A

• Picture of water pump

  Media

• Is there an existing zone valve?

  Yes

  No

  N/A

• Picture of existing zone valve

  Media

Showers

• Are there any existing showers?

  Yes

  No

  N/A

• How many showers run off the boiler?

• How many showers are electric?

• Are any showers pumped?

  Yes

  No

  N/A

General Information

• Are all radiators accessible for the purpose of bleeding?

  Yes

  No

  N/A

• What is the overall condition of the heating system?

  Select needs replacing poor average good very good

  • needs replacing
  • poor
  • average
  • good
  • very good

• What is the access like to the property?

  Select poor average good very good

  • poor
  • average
  • good
  • very good

• Picture of access to the property

  Media

Proposed Work Required

• Type of boiler required/requested?

  combi

  heat only

  system

  back boiler

  other

• Make and model of boiler recommended? (If undecided put options discussed)

• Have you checked the new boiler will fit in the location required?

  Yes

  No

  N/A

• Is there an upgrade required

  no

  heat to system

  heat to combi

  system to combi

• Location of new boiler?

  existing location

  new location

• Picture of new location (if required)

  Media

• New boiler flue type?

  vertical

  horizontal

• Length of new flue?

• Picture of flue termination point (if different to existing)

  Media

• Where will the condense terminate?

  internal

  external

• Picture of condense termination point

  Media

• Are any replacement/new radiators required?

  Yes

  No

  N/A

• Length of condense run

• Size of radiators required?

• Are any new TRV's required?

  Yes

  No

  N/A

• Number and size of TRV's required?

Customer Confirmation

• Does the customer understand the work involved?

• Have you explained to customer the estimated timescale for the work?

• Payment method requested by the customer?

  cash/card

  finance

• Has there been a installation date provisionally booked?

• Signed by customer

  Sign

• Signed by surveyor

  Sign