Title Page
-
Address
General Details
General Details
-
Survey Completed By
- Steve Britton
- Vinnie Stokes
- Alister Paisley
- Billy Wright
- Sean Glossop
- Jeremy Illy
- Other
-
Name
-
Has a COVID-19 Risk Assessment been conducted ?
-
Client
-
Resident Name
-
Contact Details
-
Site Address
-
Photo of property
-
Date of Survey
-
Is the Boiler condensing (modern)
-
Please Identify the Make and Model of the Boiler
-
Make and Model of Boiler
-
Image of Boiler
-
Image of Model Identification
-
Please Identify the Make and Model of the Boiler
-
Make and Model of Boiler
-
Image of Boiler
-
Image of Model Identification
-
Proceed with Full Survey
-
Comments
Survey Details
Property Details
-
Property Type
- House
- Bungalow
- Flat
- Maisonette
- Commercial
- Other
-
Comments
-
Property Attachment
- Semi Detached
- Detached
- Mid Terraced
- End Terraced
- Ground Floor Flat
- Mid Floor Flat
- Top Floor Flat
- Other
-
Description of Other
-
What is the Overall wall thickness (mm) ?
-
Number of Bedrooms
-
Select Occupancy Levels
- Occupants 17y and older
- Occupants 16y and under
- Pets
-
Quantity 17y and over
-
Comments
-
Quantity 16y and under
-
Comments
-
Quantity of pets
-
Comments
-
Age Banding Of Property
- A - (Pre 1900)
- B - (1900-1929)
- C - (1930-1949)
- D - (1950-1966)
- E - (1967-1975)
- F - (1976-1982)
- G - (1983-1990)
- H - (1991-1995)
- I - (1996-2002)
- J - (2003-2006)
- K - (2007-Onwards)
-
Current EPC Rating and Band
-
Image of EPC
-
Year EPC Undertaken
-
Heating Fuel Type
- Electric
- Gas
- Solid fuel
- LPG
- Oil
- Other
-
Comments
-
Comments
Information From The Resident
-
Is Resident Information required for this project ?
-
Does the Property have wi-fi enabled and suitable for monitoring/management system to be connected
-
Would the resident give permission to install the monitoring equipment ?
-
What is your opinion regarding your current fuel bills
-
Comments
-
Has there been any recent works carried out to your property, which may effect you fuel bills ?
-
Details
-
When is your Property occupied ?
-
How do you currently pay your fuel bills ?
- Gas - Pre Payment
- Gas - Monthly
- Gas - Quarterly
- Electric - Pre Payment
- Electric- Monthly
- Electric - Quarterly
- Other Fuel
- Dual - Pre Payment
- Dual - Monthly
- Dual - Quarterly
-
Details
-
Are There Any Specific Circumstances That Affect Your Fuel Bills ?
-
Comments
Electric
-
How much do you currently pay for Electric ?
-
What Is The Annual Electric Usage?
-
Payment Evidence
-
Add media
Gas
-
Does The Property Have A Gas Supply ?
-
How much do you currently paid for Gas ?
-
What Is The Annual Gas Usage?
-
Payment Evidence
-
Add media
Other Fuel Types
-
Does The Property Have An Alternative Fuel Supply ?
-
What Alternative Fuel is Present ?
- Coal
- Logs
- Biomass
- LPG
- Oil
- Other
-
How much do you currently pay ?
-
What Is The Annual Usage?
-
Payment Evidence
-
Add media
Recommendations
Wall Insulation
-
Is wall Insulation recommended ?
-
What wall insulation measures are recommended
- Cavity Wall Insulation
- External Wall Insulation
- Internal Wall Insulation
- Cavity Wall Extraction
-
Comments
-
Comments
Ventilation
-
Is the Kitchen fitted with an extraction fan ?
-
Comments
-
Is the Bathroom fitted with an extraction fan ?
-
Comments
-
Is a Ventilation survey Recommended?
-
Comments
-
Comments
Loft Insulation
-
Is Loft Insulation Recommended ?
-
Comments
-
Comments
Heating
-
Does the property require a Heating Upgrade ?
-
What Heating Upgrades are Recommended ?
-
Comments
-
Comments
-
Do The Heating Controls Require Upgrading ?
-
What Heating Controls Are Recommended ?
- Programmer
- Room Stat
- TRV’s
- Programmable Room Stat
- Zonal Heating Controls
- Other
-
Comments
-
Comments
-
Comments
-
Does The Cylinder Insulation Require Upgrading ?
-
Comments
Solar PV
-
Is The Property Suitable For PV
-
Comments
-
Location of Gas meter
-
Photo of Gas Meter
-
Photo of Earth bonding
-
Location of Water main
-
Photo of Water main
-
Photo of earth bonding
-
Location of electric meter
-
Photo of electric meter
-
Electric meter serial number
-
Location of consumer unit
-
Photo of consumer unit (identify breakers)
Fuel Switching
-
Is The Property Suitable For Fuel Switching
-
Comments
Windows
-
Do the Windows require replacement ?
-
Photo of windows
-
Comments
Quick wins
-
Is low energy lighting recommended ?
-
Comments
-
Are full SAP calculations recommended ?
-
Comments
-
Is a new EPC recommended ?
-
Reason And Timing For EPC
- No Current EPC
- Update EPC
- New EPC After Recommendations
- Other
-
EPC Comments
Survey Sign Off
Survey Sign off
-
Low Carbon Exchange