Title Page

  • Survey Type

  • Site conducted

  • Conducted on

  • Prepared by

  • Client Name

Survey Details

  • Address

Customer Details

  • Resident Name

  • Resident Contact Number

  • Resident email

General

Property Tenure

  • Property Type & Detachment

  • Property Age Band

  • Number of Storeys

Occupancy Details

  • Is the occupancy considered typical for the property?

  • Is the occupancy due to change within the foreseeable future?

  • Is there a thermostat?

  • Is the thermostat maintained at a typical temperature?

  • Is this due to the thermostat temperature being considered higher or lower than typical?

  • Is the heating pattern considered typical for the property?

  • Is this due to the heating pattern being considered higher or lower than typical?

  • Does the customer utilise all heat emitters within each room that contains them?

  • Has the customer been made aware of the process of gathering personal data and relevant Data Protection policies?

  • Current Energy Efficiency Measures

  • Can you identify any existing Energy Efficiency Measures that have been installed?

  • Do you believe that all current Energy Efficiency Measures are being used correctly?

Advice and Condition

  • Has the required and appropriate advice been<br>provided to the customer(s)?

  • How has advice been provided?

  • Condition

  • Condition of External Walls and DPC

  • Condition of Roof

  • Condition of Windows and Doors

  • Condition of Internal Walls

  • Condition of Floor Structure

  • Is there penetrative and/or rising damp present at the property?

  • Is there evidence of condensation and/or mould growth in the dwelling?

Ventilation – Habitable Rooms

  • Is there an existing ventilation system?

  • Is the existing ventilation system complete and<br>functional?

  • Type of ventilation system that is present

  • Have you explained how and why extractor fans should be used?

Ventilation Habitable Rooms and Wet Rooms

  • Living Room

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • Dining Room

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • Bedroom 1

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • Bedroom 2

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • Bedroom 3

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • Bedroom 4

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • Bedroom 5

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • Study

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • Other Specify

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • Kitchen

  • Extractor Fans

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • Bathroom

  • Extractor Fans

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

  • W/C

  • Extractor Fans

  • Undercuts

  • Purge Ventilation

  • Trickle Vents / Background Ventilation

  • Photos

End of Survey

  • Surveyor Signature

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.