Property details

  • Survey conducted by.

  • Confirmation that relevant checks have been undertaken to determine if the presence of any asbestos containing material is present?

  • Please take a photo of the building finish on all elevations and select the finish types.

  • If painted render or painted faced brick please provide the best colour match:

  • Structural Condition.

  • External Condition of the building.

  • Is the property suitable to receive the insulation type specified?(Construction Type, Exposer, Condition of Structure)

  • Remedial Works Required, If yes please give details of remedial work required plus photos.

  • Are all guttering / downspouts in good repair with no evidence of leaks / spills? In addition, if guttering is a Finlock system has this been lined? (Please take photos of any issues)

  • Main Heating type, plus take photos of the appliance and ratings plate or appliance ID.

  • Please make a visual check around the heating appliance for possible material ingress points.

  • Location of the flue.

  • Please take a photo of the flue and combustion vent if fitted.

  • Have you checked for any holes around the flue?

  • Secondary Heating.

  • If secondary heating is present please take a photo of appliance and KW rating plate if accessible.

  • Location of the Chimney.

  • Please take a photo of the position of the chimney.

  • Safety monitors present.

  • Have the alarms all been tested by surveyor.

  • Protected species or rodents present in building.

Access

  • Access Issues please make notes and take photos of any issues.

  • On site parking.

  • Client Instructions.

  • Access Equipment Required.

Post Extraction Audit

  • Inspection to be undertaken i.e Post extraction or cavity wall insulation.

Post Extraction.

  • Inspection type.

  • Date of inspection:

  • Date the Original extraction was undertaken:

  • Material Removed/Extracted

  • Have you Boroscoped all elevations

  • Please take photos of your Boroscope inspection.

  • What are the condition of the wall ties?(Please provide at least 5 Photos)

  • Are all elevations free of insulation and rubble.

  • If you have answered NO please provide a photos of the elevation and mark the area of concern.

  • Front elevation

  • Rear elevation

  • LHS elevation

  • RHS elevation

  • Have cavity barrier brushes been fitted? Provide photos evidence if you have answered yes and if no please provide a reason.

  • Have all extraction holes been made good.(Please take photos)

  • Does the finish match the existing mortar.

  • Have all essential vents been checked and functioning correctly. (Sealed/Sleeved/Left open)

  • If the cavities have been cleaned of a previous CWI Installation, can you confirm the cavities are suitable for re-installation?

Internal Inspection:

  • Have you done an internal inspection of the building? Including access to the loft space.(Please take photos of the loft and any damp found in the property)

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

  • Has the loft space been checked for material ingress?

  • Have the extraction crew stapled a flue certificate in the loft?

  • Has a smoke spillage test been carried out on all fuel burning appliances that pass through the cavity?

  • Is there any sign of material ingress post extraction.

  • Was there moisture transfer due to failed CWI? If yes please provide information on which rooms.

  • Please select the room that have been effected by moisture transfer.

  • Add signature

Cavity Wall Insulation

  • If you are carrying out a cavity wall survey please select Cavity wall from the drop down.

Cavity Wall Insulation:

  • Scheme Type:

  • Required material.

  • Total area to be insulated.

  • Total area to be omitted.

  • Photos of omitted areas.

  • Please take a photo of the overall cavity width across a door or window reveal.

  • Please select the type of ventilation present, including extraction ventilation and trickle vents.

  • Please take a photo of all vents and extraction fans fitted within the property including at lease two photos of window trickle vents.

  • 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.

  • Combustion core vent required.

  • Number of combustion vents required.

If funding available please answer additional ventilation questions below.

  • If funding available please select yes.

  • Are there any visible signs of surface condensation or damp?

  • Does the property meet the minimum acceptable ventilation requirements set out in PAS 2035?

  • Does the cooker have a hood which ventilates to the outside?

  • Is there an airing cupboard or drying room that is ventilated to the outside?

  • Is there a tumble dryer which is vented to the outside of the property?

  • Do all wet rooms have as a minimum some from of passive or purge ventilation? (opening windows, air bricks or trickle vents)

  • Do all wet rooms have closing doors?

  • Is there a passive ventilation system?

  • Is there a mechanical ventilation system? (Continuous mechanical extract ventilation, Continuous mechanical ventilation with heat recovery)

  • Is there evidence of intermittent heating to parts of the property ?e.g TRV's being turned down too low to unused areas.

  • Are there appropriate controls in place to regulate the heating in the property?(thermostat, programmer etc)

  • Is the thermostat set to a minimum of 10 Celsius in all parts of the property that are heated?

  • Is there evidence of cloths being dried in the property?

  • Are there more bedrooms than occupants?

  • Is there single glazing at the property?

  • Has the importance of behaviour to moisture and condensation been explained to the occupants and left behind?

  • Is there a condensation calculation required? If so what elements?

Front Elevation.

  • Photo of the elevation

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

  • Please take a photo of the DPC showing a tape measure on each elevation.

  • Photos of tape measure in the cavity.

  • Cavity Depth.

  • Comments

Rear Elevation

  • Photo of the elevation

  • Photos of tape measure in the cavity.

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

  • Please take a photo of the DPC showing a tape measure on each elevation.

  • Cavity Depth

Right hand elevation

  • Comments

  • Photo of the elevation

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

  • Please take a photo of the DPC showing a tape measure on each elevation.

  • Photos of tape measure in the cavity.

  • Cavity Depth

  • Comments

Left hand elevation

  • Photo of the elevation

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

  • Please take a photo of the DPC showing a tape measure on each elevation.

  • Photos of tape measure in the cavity.

  • Cavity Depth

  • Comments

Building extensions

  • Photo of the elevation

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

  • Please take a photo of the DPC showing a tape measure on each elevation.

  • Photos of tape measure in the cavity on each elevation.

  • Cavity Depth

  • Comments

Dynamic Risk Assessment & Client Declaration

Dynamic Risk Assessment.

  • If you haven't carried out a Cavity wall survey please select NO.

  • Asbestos.

  • Use of a step ladders or ladder.

  • Manual Handling.

  • Hand tools.

  • Vibration.

  • Overhead electricity cables.

  • Noise.

  • Electricity/Generator

  • Compressed air.

  • Working on a roof.

  • House keeping.

  • Installation of cavity wall.

  • Working with wet cement, concrete and mortar.

  • Reversing vehicle.

  • Use of a mobile tower.

  • Use of mobile elevation working platform (mewp).

  • Lone worker.

  • Confirmation that the customer has been notified that Bierce or the BBA (British Board of Agreement) may contact them to arrange a visit to confirm suitability of the property? (we must inspect 10% so we will need to have an agreement about sharing customer’s data as we need to make appointments)

  • I have assessed the conditions on site ensuring there is adequate ventilation and no evidence of damp and no remedial works required. 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

  • Clients Signature

Installation checks (to be completed by technician at install)Cavity wall.

  • If you haven't carried out a Cavity wall survey please select NO.

  • Crew leader.

  • Date:

  • No.2

  • Have you stapled the flue certificate in the loft space? If no loft access please leave the flue certificate with the occupants.

  • Cavity width(mm)

  • Crew leader signature.

  • Gables installed:

  • Jet size used:

  • Total m2 insulated.

  • Pipe 1 Glue Flow in ml:

  • Pipe 1 Bead Flow in kg:

  • Pipe 2 Glue Flow in ml:

  • Pipe 2 Bead Flow in kg:

  • Number of barrier brushes fitted ?

  • Number of cove vents fitted ?

  • Number of vents replaced ?

  • We're pre installation checks carried out ?

  • We're post installation checks carried out ?

  • Customer signature.

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