Title Page

  • Address

General Details

General Details

  • Survey Completed By

  • 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 a Modern condensing Boiler

  • Make and Model of Boiler

  • Image of Boiler

  • Image of Model Identification

  • Proceed with Survey

  • Make and Model of Boiler

  • Photo of Boiler

  • Photo of Model identification

Property Details

  • Property Type

  • Comments

  • Property Attachment

  • Description of Other

  • What is the Overall wall thickness (mm) ?

  • Number of Bedrooms

  • Select Occupancy Levels

  • Quantity 17y and over

  • Comments

  • Quantity 16y and under

  • Comments

  • Quantity of pets

  • Comments

  • Age Banding Of Property

  • Current SAP Rating and Band

  • Image of EPC

  • Year EPC Undertaken

  • Fuel Type

  • 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 ?

  • 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 ?

  • 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

  • Comments

Ventilation

  • Is Ventilation Recommended?

  • Comments

Loft Insulation

  • Is a Loft Survey Recommended ?

  • Comments

Heating

  • Is The Property Suitable For a Heating Upgrade

  • What Heating System Is Recommended ?

  • Comments

  • Do The Heating Controls Require Upgrading ?

  • What Heating Controls Are Recommended ?

  • Comments

  • Does The Cylinder Insulation Require Upgrading ?

  • Comments

Solar PV

  • Is The Property Suitable For PV

  • Comments

Fuel Switching

  • Is The Property Suitable For Fuel Switching

  • Comments

Quick wins

  • Low energy lighting

  • Comments

  • Other Quick wins

  • Comments

Survey Sign Off

Survey Sign off

  • Low Carbon Exchange

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