Information
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Location.
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First line of the Address.
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Client Name:
- Somerset West and Taunton
- Alliance Homes
- Cornwall Housing
- Ian Williams(East Devon)
- Sovereign Housing
- Bromford Housing
- Homes in Sedgemoor
- Livewest
- Abri Housing Group
- North Devon Homes
- Cottsway Housing
- Exeter City Council
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Type of Survey
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Tenure.
- Owner occupier
- Local Authority
- Housing Association
- Privately Rented
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Contact Details.
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Property Type.
- Mid-Terrace
- End terrace
- Semi-detached
- Detached
- Ground Floor Flat
- Middle Floor Flat
- Top Floor Flat
- Masonette
- Bungalow
- House
- Commercial Building
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Building Finish.
- Brick
- Painted Render
- Brick/Render
- Pebble Dash
- Recon Stone
- Spar
- Limestone/Sandstone
- Granite/Whinstone
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Number of Bedrooms.
- 1
- 2
- 3
- 4
- 5+
- N/A Commercial
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Construction age of the property.
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Survey conducted by.
- Vinnie Stokes
- Sean Glossop
- Rob Mckenna
- Alister Paisley
- Nick Hyett
- Steve Britton
- Lee Glenister
- David Fox
Property details
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Main Heating type, please take photos of the appliance and the rating plate or appliance ID.
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Location of the flue.
- Internal
- External
- Front Elevation
- Rear Elevation
- Left Hand Elevation
- Right Hand Elevation
- Does the flue pass thought the loft space
- None
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Secondary heating.
- 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
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If secondary heating present please take a photo.
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Structural Condition of the roof.
- Very good
- Good
- Poor
- Very poor
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External Condition of the building.
- Very good
- Good
- Poor
- Very poor
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Remedial Works Required.
- Yes
- No
- N/A
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If yes please give details of remedial work required plus photos.
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Have you do an internal inspection of the building.
- Yes
- No
- N/A
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If you have answered yes please select the best description of your findings.
- Damage to ceiling
- Water stain on ceiling
- 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.
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Please take photos of your internal findings.
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Safety monitors present.
- Smoke Alarm
- Fire Alarm
- CO2 Alarm
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Have the alarms all been tested by surveyor.
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Protected species or rodents present in building.
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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
- Scaffold Board for Flat Roof
- Scaffolding
- Conservatory Ladder
- Roof Ladder
Loft Insulation
Loft Insulation.
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Is loft to be insulated.
- Yes loft requires topping up
- No Loft has sufficient insulation
- Unable to check due to the amount of tenants belongings.
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Photo of loft and access point
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Loft Hatch Size?
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Area to be insulated.
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Existing Depth.
- 0mm
- 12mm
- 25mm
- 50mm
- 70mm
- 80mm
- 100mm
- 125mm
- 150mm
- 170mm
- 200mm
- 250mm
- 270mm
- 300mm plus
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Photo of existing depth.
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Depth to be added.
- Existing over 250mm
- 100mm
- 150mm
- 170mm
- 200mm
- 250mm
- 270mm
- 300mm
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Pipes and Tanks Present
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Details of Pipes and Tanks to be insulated
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Down lights present in ceiling?
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Details of down lights, how many and there current location
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Do they have halogen bulbs fitted.
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Can you see the IP rating on the casing?
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Please take a photo of the down light IP rating.
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Are there any existing down light covers fitted?
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If YES are they fire rated covers?
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Electrical wiring free from visual defects?
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Are there any high voltage cable's in the loft space.
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If YES please select the type of cable in the loft space.
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Loft Area.
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In your opinion should loft be Rolled or Blown?
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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.
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Does a steel combustion flue pass through the loft space?
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Relay Required
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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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Does the loft have any boarding?
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If YES can we insulate at lease 2/3 of the loft space?
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Has the boarded area got insulation under it?
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If not insulated under, are the joist tunnels tightly sealed with insulation at the ends?
- Yes
- No
- N/A
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Walkway required
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Details of walkway
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Loft clearance
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Details of loft clearance
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Additional notes
If funding available please answer additional ventilation questions below.
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If funding available please select YES.
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Are there any visible signs of surface condensation or damp?
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Does the property meet the minimum acceptable ventilation requirements set out in PAS 2035?
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Does the cooker have a hood which ventilates to the outside?
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Is there an airing cupboard or drying room that is ventilated to the outside?
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Is there a tumble dryer which is vented to the outside of the property?
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Do all wet rooms have as a minimum some from of passive or purge ventilation? (opening windows, air bricks or trickle vents)
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Do all wet rooms have closing doors?
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Is there a passive ventilation system?
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Is there a mechanical ventilation system? (Continuous mechanical extract ventilation, Continuous mechanical ventilation with heat recovery)
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Is there evidence of intermittent heating to parts of the property ?e.g TRV's being turned down too low to unused areas.
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Are there appropriate controls in place to regulate the heating in the property?(thermostat, programmer etc)
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Is the thermostat set to a minimum of 10 Celsius in all parts of the property that are heated?
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Is there evidence of cloths being dried in the property?
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Are there more bedrooms than occupants?
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Is there single glazing at the property?
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Has the importance of behaviour to moisture and condensation been explained to the occupants and left behind?
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Is there a condensation calculation required? If so what elements?
Dynamic Risk Assessment & Client Declaration
Dynamic Risk Assessment.
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Please select yes if loft insulation work as to be installed.
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Reversing vehicle.
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Asbestos
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Overhead electricity cables.
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Use of a step ladders.
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Use of a ladder.
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Manual Handling.
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Hand tools.
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Vibration.
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Noise.
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House keeping.
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Use of mobile elevation working platform (mewp) or a scaffold tower.
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Lone worker.
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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.
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Assessors signature
Installation checks to be completed by technician after the work as been completed.
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Please select yes if loft insulation work as to be installed.
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Crew leader name:
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No 2 technician:
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Date.
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Crew leader signature.
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Materials used:
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Roll Matt 100mm
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Roll Matt 150mm
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Roll Matt 170mm
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Roll Matt 200mm
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Roll Matt 250mm
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Roll Matt 270mm
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Roll Matt 300mm
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Pipe lagging 15mm
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Pipe lagging 22mm
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Pipe lagging 28mm
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Pipe wrap per metre
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Cold water tank jacket small
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Cold water tank jacket medium
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Cold water tank jacket large
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Hot water tank jacket
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Poly wedges installed
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Customer signature: