Title Page
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Site Name
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Conducted on
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Prepared by
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Location
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Gross Internal Area
Summary Of Opportunities
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Fabric opportunities
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Solar or other on-site renewable opportunities
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Heating opportunities
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Domestic hot water opportunities
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Cooling opportunities
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Ventilation opportunities
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Pump opportunities
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Insulation opportunities
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Controls opportunities
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Lighting opportunities
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Heat decarbonisation opportunities
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Other opportunities
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Please list other opportunities
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Surveyors notes
Building Description
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Building ID
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Building Description
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Building Age
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Building GIA
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Number of Floors
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Average Room Height
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Kitchen with significant equipment
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Area of perimeter facades
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% of glazing
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Number of electric meters and locations
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Number of gas meters and locations
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Recent works undertaken
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Note any double height spaces
Solar PV
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Is there existing solar PV
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Rating and year installed
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New Solar PV Possible
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Size of available space for PV
Building Fabric Improvements
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Wall Improvements
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Description of existing fabric
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Age
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Condition
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% of element identified for improvement
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Recommendation for improvement
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Notes
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U Value if known
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Roof Improvements
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Description of existing fabric
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Age
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Condition
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% of element identified for improvement
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Recommendation for improvement
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Notes
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U value if known
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Window improvements
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Description of existing fabric
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Age
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Condition
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% of element identified for improvement
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Recommendation for improvement
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Notes
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U value if known
Heating System
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Heat Source type
- ASHP
- Boiler
- District Heating Network
- Direct Fired
- GSHP
- WSHP
- Panel Heaters
- Steam Boiler
- N/A
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Fuel Source
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Number of units
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Heating Rating kW
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Seasonal Efficiency
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% of building served
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Age of equipment
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Condition
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Terminal Units 1
- Rads
- Convectors
- Underfloor
- Radiant Panels
- Cassettes
- Underfloor
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% of area served by terminal units 1
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Terminal Units 2
- Rads
- Convectors
- Underfloor
- Radiant Panels
- Cassettes
- Underfloor
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% of area served by terminal units 2
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Is full system replacement required
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Comment
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Operating Temperature
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Surveyor notes
Domestic Hot Water
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Heat Source type
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Fuel Source
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Number of units
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Heating Rating kW
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Seasonal Efficiency
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% of building served
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Age of equipment
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Condition
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Storage volume Litres
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Age
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Is central DHW required
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Is full system replacement required
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Comment
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Can POU be implemented
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Surveyor Notes
Cooling
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Cooling Source type
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Fluid type
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Number of units
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Cooling Rating kW
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Seasonal Efficiency
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% of building served
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Age of equipment
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Condition
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Terminal Units 1
- 2 pipe Fan Coil Units
- 4 pipe fan coil units
- Cassette
- Active Chilled Beam
- Passive Chilled Beam
- N/A
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% of area served by terminal units 1
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Terminal Units 2
- 2 pipe Fan Coil Units
- 4 pipe fan coil units
- Cassette
- Active Chilled Beam
- Passive Chilled Beam
- N/A
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% of area served by terminal units 2
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Is full system replacement required
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Comment
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Operating Temperature
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Surveyor Notes
Ventilation systems
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Ventilation type
- Central AHU
- Kitchen System
- Villa Vent
- In line duct fan 100-300mm
- In line duct fan >300mm
- MVHR
- Natural vent
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Total Airflow
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Number of units
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Rating of units
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Heat recovery
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Heat recovery type
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Area served
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Age of units
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Condition of units
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Condition of ductwork
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Replace ventilation unit
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Replace ductwork
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Fit heat recovery
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Type
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Fit VSD
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Fit speed or CO2 controllers
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Surveyors notes
Pumps - Heating, cooling, DHW
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Total flow rate
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Number of pumps
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Ratings of pumps
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Pump Age
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Pump condition
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VSD Fitted
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Surveyors Notes
Insulation- Pipework and Ductwork
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Insulation missing or in poor condition
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Detail what insulation is missing or in poor condition and on what services
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Recommendation for improvement
Building Controls
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Are building management control systems fitted
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Type of control system
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Manufacturer and type
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Does it control heating
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Does it control cooling
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Does it control DHW
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Does it control ventilation
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Does it control lighting
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Is there excessive running hours
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Are TRV's fitted
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Are there any BMS opportunities
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Surveyors Notes
Lighting
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Is LED lighting fitted
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% of LED
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Is T8 or CFL lighting fitted
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% of T8 or CFL fitted
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Is T12 fitted
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% of T12 fitted
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Is Halogen fitted
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% of Halogen fitted
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Is T5 fitted
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% of T5 fitted
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Are there external lights
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Number and type of external lighting
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How are these controlled and are there any lights on during daylight hours
Heat Decarbonisation Opportunities
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Is there ground available for GSHP
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Identify area
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Is there space suitable for ASHP
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Identify area
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Is there a suitable water source for WSHP
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Identify area
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Is there suitable plant room space for ASHP
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Identify area
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Electrical upgrade required
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Existing electricity supply capacity
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Is there a local District Heat Network
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Would a District Heating Network solution be suitable
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Other recommendations for decarbonisation of heating