Information
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Audit Title
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Conducted on
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Prepared by
Tenant/Homeowner Details
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Name
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Address
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Phone Number
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Mobile Number
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Email Address
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Preferred Contact Method
- Landline
- Mobile
- Letter
Client/Landlord Details
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Name
Property details
Property Details
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Property Type
- Mid-Terrace
- End terrace
- Semi-detached
- Detached
- Lower Flat
- Middle Flat
- Top Flat
- Masonette
- Other
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Building finish
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Number of Bedrooms
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Type of Heating
- Gas
- Oil
- Solid Fuel
- Electric
- Other
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Insulation Works Required
- Loft Insulation
- Cavity Wall Insulation
- Draught Proofing
- Extraction
- Underfloor Insulation
- Internal Wall Insulation
- Spray Foam Insulation
- Ventilation
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Structural condition
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External Wall Condition
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Adequate ventilation to work area
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Dampness or water damage
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Photo of each elevation
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Building defects
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Special Instructions
Access
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On site parking
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Client Instructions
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Access Issues
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Access Equipment Required
- None
- Ladders
- Tower
- Scaffolding
- Cherry Picker
- Scissor lift
- Spider
- Conservatory Ladder
Cavity Wall Insulation
Details
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Test
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Total area to be insulated
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Required material
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Average Cavity Depth
- 40mm
- 45mm
- 50mm
- 55mm
- 60mm
- 65mm
- 70mm
- 75mm
- 80mm
- 85mm
- 90mm
- 95mm
- 100mm
- 105mm
- 110mm
- 115mm
- 120mm
- 125mm
- 130mm
- 135mm
- 140mm
- 145mm
- 150mm
- 155mm
- 160mm
- 165mm
- 170mm
- 175mm
- 180mm
- 185mm
- 190mm
- 195mm
- 200mm
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Boroscope photo
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Number of Cavity brushes required
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Core vent required
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Photo of any defects
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List any defects
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List all access issues
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Photo of access issues
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Location of chimneys
- Internal
- External
- Front Elevation
- Rear Elevation
- Left Hand Elevation
- Right Hand Elevation
- None
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Location of flue
- Internal
- External
- Front Elevation
- Rear Elevation
- Left Hand Elevation
- Right Hand Elevation
- None
Extraction
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Total area to be extracted
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Reason for extraction
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Material being extracted
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Recommended cavity drying time
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Are all apertures sealed internally
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Moisture reading results
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Has client been advised on extent on drilling and core holes
Loft Insulation
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Photo of loft
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Area to be insulated
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Existing Depth
- 0mm
- 50mm
- 70mm
- 100mm
- 150mm
- 200mm
- 250mm
- 270mm
- 300mm
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Photo of existing depth
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Depth to be added
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Loft drawing
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Relay Required
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Please note any pipe work that required lagging
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Loft hatch needing D/P
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Loft vents required
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Areas to be omitted
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Walkway required
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Loft clearance
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Additional notes
Condensation and Ventilation and Other Property Issues
Condensation or Damp Issue
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Add media
Other Property Issues
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Add media
Dynamic Risk Assessment & Client Declaration
Dynamic Risk Assessment
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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.
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Assessors signature
