Information

  • Audit Title

  • Conducted on

  • Prepared by

Tenant/Homeowner Details

  • Name

  • Address
  • Phone Number

  • Mobile Number

  • Email Address

  • Preferred Contact Method

Client/Landlord Details

  • Name

Property details

Property Details

  • Property Type

  • Building finish

  • Number of Bedrooms

  • Type of Heating

  • Insulation Works Required

  • Structural condition

  • External Wall Condition

  • Adequate ventilation to work area

  • Dampness or water damage

  • Photo of each elevation

  • Building defects

  • Special Instructions

Access

  • On site parking

  • Client Instructions

  • Access Issues

  • Access Equipment Required

Cavity Wall Insulation

Details

  • Test

  • Total area to be insulated

  • Required material

  • Average Cavity Depth

  • Boroscope photo

  • Number of Cavity brushes required

  • Core vent required

  • Photo of any defects

  • List any defects

  • List all access issues

  • Photo of access issues

  • Location of chimneys

  • Location of flue

Extraction

  • Total area to be extracted

  • Reason for extraction

  • Material being extracted

  • Recommended cavity drying time

  • Are all apertures sealed internally

  • Moisture reading results

  • Has client been advised on extent on drilling and core holes

Loft Insulation

  • Photo of loft

  • Area to be insulated

  • Existing Depth

  • Photo of existing depth

  • Depth to be added

  • Loft drawing

  • Relay Required

  • Please note any pipe work that required lagging

  • Loft hatch needing D/P

  • Loft vents required

  • Areas to be omitted

  • Walkway required

  • Loft clearance

  • Additional notes

Condensation and Ventilation and Other Property Issues

Condensation or Damp Issue

  • Add media

Other Property Issues

  • Add media

Dynamic Risk Assessment & Client Declaration

Dynamic Risk Assessment

  • I have assessed the conditions on site ensuring there is adequate ventilation. Unless listed below, there are no additional significant hazards observed that are not addressed in the generic risk assessment for the work to be undertaken.

  • Assessors signature

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