F228:Cavity Wall and Loft Insulation Survey: V1.2 PAS 2035-19

Information

Location.
First line of the Address.
Type of Survey
- Vinnie Stokes
- Sean Glossop
- Rob Kckenna
- Alister Paisley
- Nick Hyett
- Steve Britton
- Lee Glenister
- David Fox
Client Name.
Contact Details.
Tenure.
- Owner occupier
- Local Authority
- Housing Association
- Privately Rented
- Eco measure
Scheme type.
- Owner occupier
- Local Authority
- Housing Association
- Privately Rented
- Eco measure
Survey conducted by.
- Vinnie Stokes
- Sean Glossop
- Rob Kckenna
- Alister Paisley
- Nick Hyett
- Steve Britton
- Lee Glenister
- David Fox
Conducted on

Building & Heating Information:

Construction age of the building.
Property Type.
- Mid-Terrace
- End terrace
- Semi-detached
- Detached
- Ground Floor Flat
- Middle Floor Flat
- Top Floor Flat
- Masonette
- Bungalow
- House
- Commercial Building
Number of Bedrooms.
- 1
- 2
- 3
- 4
- 5+
- N/A Commercial
Floor Construction Type
- Solid
- Suspended
- Suspended not wood
- Other
Please take a photo of the Electric and Gas meters where applicable.
Main Heating type, plus take a photo of the appliance ID and rating plate.
Photo of appliance name/make/model/rating plate.
Location of the flue, please take a photo.
Secondary heat source, please take a photo.
Secondary Heat source type.
- Gas Fire with Flue
- Gas Fire with chimney
- Gas Fire Flush Fitted
- Open Fire with internal chimney
- Open Fire with external chimney
- Wood Burner
- No other heating present
Location of Chimney if present.
Location of Combustion vent if present.

Construction details and Condition:

Building Finish plus photos of all the elevations of the property.
Structural Condition.
- Very good
- Good
- Poor
- Very poor
External Condition of the building.
- Very good
- Good
- Poor
- Very poor
Please take photos of any building defects i.e: hairline cracks, spalled bricks or damaged bricks
Please take CLOSE up’s photos of any cables or pipes passing through the external elevation of the property.
Please take a photo of a door or window reveal showing a tape measure and the depth of the wall.
Please take a photo of the brick header with a tape measure showing the width.
Is the property suitable to receive the insulation type specified?(Construction type, Exposer, Condition of Structure)
Please take photo’s of plants or Ivy attached to property, please note these will need to be removed if they are attached to the building.
Have you informed the client that the plants or Ivy will need to be removed.
Remedial works required CWI or Loft, If yes please give details of remedial work plus photos.
If yes have you got the owner/tenant to sign a remediation form?
Have you done an internal inspection of the building? If yes please take photos of your findings.
Please take a photo inside the loft showing the internal substrate: (Gable wall)
If you have answered yes please select the best description of your findings.
- Low level damp near the skirting boards
- Black mould in the corners of the rooms
- Black mould on the ceiling and the walls
- Condensation on the windows and external walls
- No internal issues that I can see.
Safety monitors present.
- Smoke Alarm
- Fire Alarm
- CO2 Alarm
Protected species or rodents present in building.
Special Instructions.

Access

On site parking.
Client Instructions.
Access Issues.
Access Equipment Required.
- None
- Ladders
- Scaffold Board for Flat Roof
- Scaffolding
- Conservatory Ladder
- Roof Ladder

Cavity Wall Insulation

If answer is yes please complete next section.
Please select if cavity Survey.

Details

Total area to be insulated.
Required material.
- Thermabead White
- Thermabead Carbon
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
Total area to be omitted.
Photos of omitted areas.
Does the building have any air vents or extraction fans?
- Yes
- No
If yes please select.
- Underfloor vents
- Kitchen vents
- Bedroom vents
- Bathroom vents
- Combustion vent
- Extraction fan kitchen
- Extraction fan bathroom
- Pantry vents
- Window trickle vents
Do any of the air vents require sleeving or sealing up before installing the cavities.
Please select the type of ventilation present, including extraction ventilation and trickle vents.
- Underfloor vents
- Kitchen vents
- Bedroom vents
- Bathroom vents
- Combustion vent
- Extraction fan kitchen
- Extraction fan bathroom
- Pantry vents
- Window 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.
- Underfloor vents
- Kitchen vents
- Bedroom vents
- Bathroom vents
- Combustion vent
- Extraction fan kitchen
- Extraction fan bathroom
- Pantry vents
- Window trickle vents
Have you checked to see if the extraction fans are working?
Adjoining properties insulated ?
Number of Cavity brushes required.
Core vent required.
Number of core vents and location.

Front Elevation.

Photo of elevation .
Please take a photo of all gutters or down pipes on this elevation.
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
Please mark the position of the Boroscope hole with an S on the elevation drawing.
Boroscope Photos.
Please take a photo of the DPC showing its height above ground floor level.
Please take photos of all heat loss wall internally:
Comments

Rear Elevation

Photo of elevation
Please take a photo of all gutters or down pipes on this elevation.
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
Please mark the position of the Boroscope hole with an S on the elevation drawing.
Boroscope Photos.
Please take a photo of the DPC showing its height above ground floor level.
Please take photos of all heat loss internally:
Comments

Right hand elevation

Photo of elevation
Please take a photo of all gutters or down pipes on this elevation.
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
Please mark the position of the Boroscope hole with an S on the elevation drawing.
Boroscope Photos.
Please take a photo of the DPC showing its height above ground floor level.
Please take photos of all heat loss walls internally:
Comments

Left hand elevation

Photo of elevation
Please take a photo of all gutters or down pipes on this elevation.
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
Please mark the position of the Boroscope hole with an S on the elevation drawing.
Boroscope Photos.
Please take a photo of the DPC showing its height above ground floor level.
Please take photos of all heat loss walls internally:
Comments

Building extensions

Photo of elevation
Please take a photo of all gutters or down pipes on this elevation.
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
Please mark the position of the Boroscope hole with an S on the elevation drawing.
Boroscope Photos.
Please take a photo of the DPC showing its height above ground floor level.
Please take photos of all heat loss walls internally:
Comments

If funding available please answer additional ventilation questions below.

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 behavior to moisture and condensation been explained to the occupants and left behind?
Is there a condensation calculation required?If so what elements?

CWI Quotation:

Please find our quotation to supply and fit Thermabead Carbon Saver cavity wall insulation:
Our quotation includes the following items:
- Thermabead CWI £12.00 per m2
- Cavity brushes £10.50 per brush
- Combustion vent £65.75 per vent
- Sleeving passive air vent £16.37 per vent
- Thermabead Lance £50.00 per elevation

Dynamic Risk assessment CWI.

If Cavity please do a risk assessment.
Use of a ladder/step ladder.
Noise.
Vibration.
Manual Handing.
Hand Tools/Power Tools
Compressed air.
Electricity/Generator
House keeping/site tidiness.
Working with with wet cement,concrete or mortar.
Overhead cables.
Reversing a vehicle.
Asbestos.
Use of a Mobile tower/MEWP
Lone Worker.

Installation Checks CWI. (To be completed by cavity technician at install)

If cavity install please select;
Crew Leader.
No.2
Date:
Cavity width(mm)
Gables Installed:
Jet Size used:
Core vent fitted?
Pipe 1 Glue flow (ml) Bead Flow (kg)
Pipe 2 Glue flow (ml) Bead Flow (kg)
Number of barrier brushes fitted?
Number of vents replaced.
We're pre installation checks carried Out?
We're post installation checks carried Out?
Crew Signature:
Customer Signature:

Loft Insulation.

The current depth of loft insulation is sufficient please provide a few photos below.
Please select if loft survey:
Loft hatch size.
Photo of loft access.
Area to be Insulated.
Existing depth.
- 0mm
- 12mm
- 25mm
- 50mm
- 70mm
- 80mm
- 100mm
- 125mm
- 150mm
- 200mm
- 250mm
- 270mm
- 300mm plus
Please take a photo of the existing insulation depth.
Depth to be added.
- 100mm
- 150mm
- 200mm
- 250mm
- 270mm
- 300mm
Loft Height at Centre?
- 0.80 metres
- 0.90 metres
- 1.00 metres
- 1.20 metres
- 1.40 metres
- 1.50 metres
- 1.60 metres
- 1.80 metres and above.
In your opinion should the loft be Rolled or Blow?
Please draw the loft area, marking the hatch, pipes, tanks and combustion flue.
Pipes and tanks present.
Details of Pipes and tanks to be insulated.
Spot lights present in ceiling?
Details of the number of spot lights and the rooms they are fitted in.
Electrical wiring free from visual defects?
Does a combustion flue pass through the loft space?
Relay Required?
Loft hatch need D/P installing?
Poly wedges required?
Area to be omitted?
Walkway required.
Walkway details length, position.
Loft clearance required.
Details of loft clearance.

Dynamic Risk assessment Loft.

Please select if Loft.
Use of a Step ladder/ladder
Access and Egress
Manual Handing
Hand Tools/Power Tools
Vibration
Noise
Dust
House Keeping
Lone Working
I have assessed the condition 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.
Please provide details if you have answer no.
Customer Signature: