Information

  • Location.
  • First line of the Address.

  • Type of survey

  • Client Name.

  • Tenants or Home owners name.

  • Contact Details.

  • Tenure.

  • Survey conducted by.

  • Type of Survey

  • Property Type.

  • Construction age of the building.

  • Floor Construction Type

  • Number of Bedrooms.

  • Heating Type?

  • Please take photo of main heating type.

  • Secondary Heat source.

Property details

  • Building Finish.

  • Structural Condition.

  • External Condition of the building.

  • Remedial Works Required.

  • If yes please give details of remedial work required plus photos.

  • Have you done an internal inspection of the building.

  • If you have answered yes please select the best description of your findings.

  • Please take photos of your internal findings.

  • Safety monitors present.

  • Have the alarms all been tested by surveyor.

  • Protected species or rodents present in building.

  • Special Instructions.

Access

  • On site parking.

  • Client Instructions.

  • Access Issues.

  • Access Equipment Required.

Extraction details

Details

  • Total area to be extracted, cleaned or inspected.

  • Material to be extracted.

  • Average Cavity Depth.

  • Total area to be omitted.

  • Photos of omitted areas.

  • Are there any mechanical ventilation fans fitted in the property?

  • If yes please select which room.

  • Are the mechanical ventilation fans working? If so please select which rooms.(survey to run fan for a few minutes)

  • Does the building have any air vents.

  • If yes please select.

  • Do any of the air vents require sleeving or sealing up before installing the cavities.

  • If yes please select the air vents that require sleeving or sealing up.

  • Adjoining properties insulated ?

  • Number of Cavity brushes required.

  • Core vent required.

  • Number of core vents and location.

  • Location of chimneys.

  • Location of flue.

Front Elevation.

  • Cavity Depth.

  • Add drawing

  • Photo of elevation .

  • Please mark the position of the Boroscope hole with an S on the elevation drawing.

  • Boroscope Photos.

  • Comments

Rear Elevation

  • Cavity Depth

  • Add drawing

  • Photo of elevation

  • Please mark the position of the Boroscope hole with an S on the elevation drawing.

  • Boroscope Photos.

  • Comments

Right hand elevation

  • Cavity Depth

  • Add drawing

  • Photo of elevation

  • Please mark the position of the Boroscope hole with an S on the elevation drawing.

  • Boroscope Photos.

  • Comments

Left hand elevation

  • Cavity Depth

  • Add drawing

  • Photo of elevation

  • Please mark the position of the Boroscope hole with an S on the elevation drawing.

  • Boroscope Photos.

  • Comments

Building extensions

  • Cavity Depth

  • Add drawing

  • Photo of elevation

  • Please mark the position of the Boroscope hole with an S on the elevation drawing.

  • Boroscope Photos.

  • Comments

Summary of your finding and reasons for the extraction of the existing cavity wall insulation:

  • undefined

  • Add signature

Dynamic Risk Assessment & Client Declaration

Dynamic Risk Assessment.

  • Reversing vehicle.

  • Asbestos.

  • Overhead electricity cables.

  • Use of a step ladders or ladder.

  • Use of a mobile tower.

  • Manual Handling.

  • Working on a roof.

  • Hand tools.

  • Vibration.

  • Noise.

  • Electricity/Generator

  • Compressed air.

  • House keeping.

  • Working with wet cement, concrete and mortar.

  • Use of mobile elevation working platform (mewp).

  • Lone worker.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.