Title Page
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Housing Association
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Client
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Location
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County
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Telephone Number
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EPC Rating
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EPC Issue Date
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Conducted on
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Prepared by
Property Details
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Property Type
- House
- Bungalow
- Flat
- Maisonette
- Park Home
- Commercial
- Other
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State type of Property
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Property Sub Type
- Detached
- Semi Detached
- End Terrace
- Mid Terrace
- Enclosed End Terrace
- Enclosed Mid Terrace
- Commercial
- Other
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State type of Sub Property
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Photos of all Elevations
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Photo of Front Elevation
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Photo of Right Elevation
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Photo of Left Elevation
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Photo of Rear Elevation
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Photo of Front Elevation
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Photo of Side Elevation
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Photo of Rear Elevation
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Photo of Front Elevation
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Photo of Rear Elevation
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Photos of all Elevations
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Property Age
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Number of Bedrooms
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Heating Type
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Gas Heating Type
- Gas Boiler
- LPG Boiler
- Gas Room Heaters
- Gas Fire with Back Boiler
- Gas Back Boiler to Radiators
- Other
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State Gas Heating Type
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Electric Heating Type
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State Electric Heating Type
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Oil Heating type
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State Oil Heating Type
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Solid fuel Heating type
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State Solid Fuel Heating Type
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State Heating Type
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Photo of Main Heating
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Wall Type
- Cavity
- Solid
- Timber-framed
- Steel-framed
- System Built
- Other
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State Wall Type
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Photos of Wall Type
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Is Cavity Insulated?
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Insulation Material Present
- White Fibre
- Yellow Fibre
- Carbon Bead
- White Bead
- Foam
- Other
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State Insulation Type
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Extraction Required
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Photos
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Party wall Present?
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Is Party Wall Insulated?
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Photos of Party Wall
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Roof Type
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State Roof Type
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Photos of Roof Type
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Is Loft Space Accessible?
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Loft Insulation Present?
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Type Of Insualtion
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State Type of Insulation
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Photos of Insulation
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Photo Of Insulation Depth
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Relay Required?
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Photo of Relay Area
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Loft Ventilation Present?
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Ventilation Photos
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Eaves Clear?
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Photos of Eaves
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Floor construction
Potential for ECO
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Is There Potential for Eco?
External Property Information
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Summary of Property (Describe the property type, surrounding area etc.)
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Floor Plan (Include measurements and house layout etc.)
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Property Type
- House
- Bungalow
- Flat
- Maisonette
- Park Home
- Commercial
- Other
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Property Type (Continued)
- Detached
- Semi Detached
- End Terrace
- Mid Terrace
- Enclosed End Terrace
- Enclosed Mid Terrace
- Commercial
- Other
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Elevation Pictures
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Conservatory present?
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Evidence
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How Many Extensions?
- 0
- 1
- 2
- 3
- 4
- 5+
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Evidence
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Gas Meter
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Electric Meter
External Wall Condition
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General Condition of Wall (Include pictures where necessary)
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Any Exterior Issues (Cracks etc.)
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Evidence
External Roof Condition
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General Condition of Roof (include pictures where necessary)
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Any Roof Issues (Missing tiles etc.)
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Evidence
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Solar Panels present?
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Evidence
External Floor Condition
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General Condition of External Floor (include pictures where necessary)
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Any Floor Issues ( Missing DPC etc.)
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Evidence
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DPC present?
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Evidence
Exterior Windows and Doors Condition
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General Condition of Windows and Doors (include pictures where necessary)
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Any Window and Door Issues (Broken windows etc.)
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Evidence
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Picture of Windows
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Picture of Window Reveals
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Picture of Any External Doors
Exterior Ventilation Condition
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Can you identify any ventilation from Exterior?
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Evidence
Internal Property Condition
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Number of Bedrooms
- 0
- 1
- 2
- 3
- 4
- 5+
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Picture of every bedroom (If possible)
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Picture of Undercuts (Gap under door)
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Picture of a Lightbulb in Property
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Wall Thickness
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Evidence
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Any issues with internal walls? (add picture of general condition)
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Evidence
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Any issues with Internal Floor add picture of general condition)
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Evidence
Internal Roof Condition
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Loft Hatch Present
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Evidence
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Loft Condition Evidence
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Depth of Existing Loft insulation
- Empty
- 50mm
- 100mm
- 150mm
- 200mm
- 250mm
- 300mm
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Evidence
Heating
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Type of Heating
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Evidence
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Type of Heat Emitter
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Evidence
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Cylinder Present?
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Evidence
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Evidence of Heating Controls ( Thermostats and TRV's etc.)
Wet Rooms
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Number of Bathrooms and WC's
- 0
- 1
- 2
- 3
- 4
- 5+
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Picture of all Bathrooms and WC (If possible)
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Evidence of all Showers or Baths
Ventilation Assessment
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Does the property have any Extractor Fans
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Where are the Extractor Fans
- Kitchen
- WC
- Bathroom 1
- Bathroom 2
- Bathroom 3
- Other
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Evidence of Kitchen Vent
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Evidence of WC Vent
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Evidence of Bathroom 1
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Evidence of Bathroom 2
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Evidence of Bathroom 3
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Where are the Extractors Fans
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Evidence of Other Fan
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Evidence of Purge Ventilation (gap in window)
Damp and Condensation Issues
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Does the property have any damp and condensation issues
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What type of Damp and Condensation issues?
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Evidence
General Condition of Property and Recommendations
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General Condition
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Is the client interested in EWI?
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Is the client interested in IWI?
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Is the client interested in a Gas Boiler?
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Is the property suitable for FTCH?
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Is the client interested in new ESH?
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Is the client interested in a ASHP?
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Is the client interested in a GSHP?
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Is the client interested in renewable technologies?
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Surveyor Name and Signature
