F253: LCX Combined Measure Survey

• Conducted on

  Date

• Prepared by

  Select Steve Britton Lee Glenister Nick Phillips Rob Cooper Vince Stokes Sean Glossop Jez Illy Rob McKenna Alister Paisley David Fox Billy Wright

  • Steve Britton
  • Lee Glenister
  • Nick Phillips
  • Rob Cooper
  • Vince Stokes
  • Sean Glossop
  • Jez Illy
  • Rob McKenna
  • Alister Paisley
  • David Fox
  • Billy Wright

• Client or Tenure

  Select Owner Occupier Exeter City Council Shal Housing Rooftop Alliance Homes Abri Magna Celtic Horizons Live West Other Privately Rented

  • Owner Occupier
  • Exeter City Council
  • Shal Housing
  • Rooftop
  • Alliance Homes
  • Abri
  • Magna
  • Celtic Horizons
  • Live West
  • Other
  • Privately Rented

• Survey Type

  Select LCX Combined Measure Survey F253

  • LCX Combined Measure Survey F253

• First Line of Address

• GPS
  Address

Customer Details

• Resident Name

• Resident Contact Number

• Resident Email

• Best Days for Installation / Days to Avoid

• Current Energy Supplier

• Is More Detailed Occupancy Information Required?

  Yes

  No

Occupancy Details

• Is the occupancy considered typical for the property?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is there a thermostat?

  Yes

  No

  N/A

• Is the thermostat maintained at a typical temperature?

  Yes

  No

  N/A

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

  Lower

  Higher

  Neither

• Is the heating pattern considered typical for the property?

  Yes

  No

  N/A

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

  Lower

  Higher

  Neither

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Current Energy Efficiency Measures

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Property Type

  House

  Bungalow

  Flat

  Maisonette

  Other

• Attachment

  Select Semi Detached Linked Ground Floor Top Floor Mid Floor Other

  • Semi
  • Detached
  • Linked
  • Ground Floor
  • Top Floor
  • Mid Floor
  • Other

• Construction Type

  Cavity Wall

  Solid Brick

  System Built

  Metal Frame

  Other

• Age Band

  Select A - Pre 1900 B - 1900 - 1929 C - 1930 - 1949 D - 1950 - 1966 E - 1967 - 1975 F - 1976 - 1982 G - 1983 - 1990 H - 1991 - 1995 I - 1996 - 2002 J -2003 - 2006 K - 2007 - 2011 L - 2012 onwards

  • A - Pre 1900
  • B - 1900 - 1929
  • C - 1930 - 1949
  • D - 1950 - 1966
  • E - 1967 - 1975
  • F - 1976 - 1982
  • G - 1983 - 1990
  • H - 1991 - 1995
  • I - 1996 - 2002
  • J -2003 - 2006
  • K - 2007 - 2011
  • L - 2012 onwards

• Listed Building / Conservation Area

  Yes

  No

• Details

• Number of Storeys

  Select 1 2 3 4 5 6 7 8

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• Number of Bedrooms

  Select 1 2 3 4 5 6 7 8

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• Is Loft Insulation a Proposed Measure?

  Yes

  No

  N/A

Loft Insulation.

• Is loft to be insulated.

  Select Yes loft requires topping up No Loft has sufficient insulation Unable to check due to the amount of tenants belongings.

  • Yes loft requires topping up
  • No Loft has sufficient insulation
  • Unable to check due to the amount of tenants belongings.

• Photo of loft and access point

  Media

• Loft Hatch Size?

• Area to be insulated.

• Existing Depth.

  Select 0mm 12mm 25mm 50mm 70mm 80mm 100mm 125mm 150mm 170mm 200mm 250mm 270mm 300mm plus

  • 0mm
  • 12mm
  • 25mm
  • 50mm
  • 70mm
  • 80mm
  • 100mm
  • 125mm
  • 150mm
  • 170mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm plus

• Photo of existing depth.

  Media

• Depth to be added.

  Select Existing over 250mm 100mm 150mm 170mm 200mm 250mm 270mm 300mm

  • Existing over 250mm
  • 100mm
  • 150mm
  • 170mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm

• Pipes and Tanks Present

  Yes

  No

  N/A

• Details of Pipes and Tanks to be insulated

• Down lights present in ceiling?

  Yes

  No

  N/A

• Details of down lights, how many and there current location

• Do they have halogen bulbs fitted.

  Yes

  No

  N/A

• Can you see the IP rating on the casing?

  Yes

  No

  N/A

• Please take a photo of the down light IP rating.

  Media

• Are there any existing down light covers fitted?

  Yes

  No

  N/A

• If YES are they fire rated covers?

  Yes

  No

  N/A

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

• Are there any high voltage cable's in the loft space.

  Yes

  No

  N/A

• If YES please select the type of cable in the loft space.

  Cooker cable

  Shower cable

  Immersion cable

  PV cable

• Loft Area.

  Drawing

• In your opinion should loft be Rolled or Blown?

  Rolled

  Blown

• Loft Height at Centre

  Select 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.

  • 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.

• Does a steel combustion flue pass through the loft space?

  Yes

  No

  N/A

• Relay Required

  Yes

  No

  N/A

• Loft hatch needing D/P

  Yes

  No

  N/A

• Loft vents required

  Yes

  No

  N/A

• Areas to be omitted

  Yes

  No

  N/A

• Does the loft have any boarding?

  Yes

  No

  N/A

• If YES can we insulate at lease 2/3 of the loft space?

  Yes

  No

  N/A

• Has the boarded area got insulation under it?

  Yes

  No

  N/A

• If not insulated under, are the joist tunnels tightly sealed with insulation at the ends?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Walkway required

  Yes

  No

  N/A

• Details of walkway

• Loft clearance

  Yes

  No

  N/A

• Details of loft clearance

• Additional notes

If funding available please answer additional ventilation questions below.

• If funding available please select YES.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Do all wet rooms have closing doors?

  Yes

  No

  N/A

• Is there a passive ventilation system?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are there more bedrooms than occupants?

  Yes

  No

  N/A

• Is there single glazing at the property?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is Cavity Wall Insulation a Proposed Measure?

  Yes

  No

  N/A

Cavity Wall Insulation:

• Post Extraction

  Cavity wall

• Scheme Type

• Required material.

  Thermabead White 15/5181

  Thermabead Carbon 15/5181

• Total area to be insulated.

• Total area to be omitted.

• Photos of omitted areas.

  Media

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

  Media

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

  Select Bedroom ventilation Combustion ventilation Bathroom ventilation or extraction fan Kitchen ventilation or extraction fan Pantry vents Underfloor vents Trickle vents None

  • Bedroom ventilation
  • Combustion ventilation
  • Bathroom ventilation or extraction fan
  • Kitchen ventilation or extraction fan
  • Pantry vents
  • Underfloor vents
  • Trickle vents
  • None

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

  Media

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

  Yes

  No

  N/A

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

  Select Bedroom ventilation Combustion ventilation Bathroom ventilation or extraction fan Kitchen ventilation or extraction fan Pantry vents Underfloor vents Trickle vents None

  • Bedroom ventilation
  • Combustion ventilation
  • Bathroom ventilation or extraction fan
  • Kitchen ventilation or extraction fan
  • Pantry vents
  • Underfloor vents
  • Trickle vents
  • None

• Adjoining properties insulated ?

  Yes

  No

  N/A

• Number of Cavity brushes required.

• Combustion core vent required.

  Yes

  No

  N/A

• Number of combustion vents required.

If funding available please answer additional ventilation questions below.

• If funding available please select yes.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Do all wet rooms have closing doors?

  Yes

  No

  N/A

• Is there a passive ventilation system?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are there more bedrooms than occupants?

  Yes

  No

  N/A

• Is there single glazing at the property?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Front Elevation.

• Photo of the elevation

  Media

• 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.

  Media

• Photos of tape measure in the cavity.

  Media

• Cavity Depth.

  Select 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

  • 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

• Comments

Rear Elevation

• Photo of the elevation

  Media

• 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.

  Media

• Photos of tape measure in the cavity.

  Media

• Cavity Depth

  Select 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

  • 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

• Comments

Right hand elevation

• Photo of the elevation

  Media

• 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.

  Media

• Photos of tape measure in the cavity.

  Media

• Cavity Depth

  Select 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

  • 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

• Comments

Left hand elevation

• Photo of the elevation

  Media

• 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.

  Media

• Photos of tape measure in the cavity.

  Media

• Cavity Depth

  Select 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

  • 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

• Comments

Building extensions

• Photo of the elevation

  Media

• 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.

  Media

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

  Media

• Cavity Depth

  Select Yes please see post extraction report above. No, debris needs removing and wall ties cleaning and still a small amount of existing insulation to be removed. No, remedial works required before cavities refilled No, old insulation still present. Having scoped the cavities I'm unable to detect any issues with the existing cavity wall insulation.

  • Yes please see post extraction report above.
  • No, debris needs removing and wall ties cleaning and still a small amount of existing insulation to be removed.
  • No, remedial works required before cavities refilled
  • No, old insulation still present.
  • Having scoped the cavities I'm unable to detect any issues with the existing cavity wall insulation.

• Comments

Details/Condition of the property

• Property Type:

  Select House Bungalow Flat Maisonette Other

  • House
  • Bungalow
  • Flat
  • Maisonette
  • Other

• Description

• Attachment

  Select Semi Detached Linked Ground Floor Top Floor Mid Floor Other

  • Semi
  • Detached
  • Linked
  • Ground Floor
  • Top Floor
  • Mid Floor
  • Other

• Number of elevations to be treated

  Select 1 2 3 4 5 6 7 8

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• Property Construction:

  Select Cavity Wall Solid Brick System Built Metal Frame Other

  • Cavity Wall
  • Solid Brick
  • System Built
  • Metal Frame
  • Other

• Please describe construction.

• No of Storeys of building

• No of Storeys in individual unit

• Number of Bedrooms:

• Agrees with Retro fit Assessment and Design

  NO

  YES

• Approximate Year of Construction:

  Select A - (Pre 1900) B - (1900-1929) C - (1930-1949) D - (1950-1966) E - (1967-1975) F - (1976-1982) G - (1983-1990) H - (1991-1995) I - (1996-2002) J - (2003-2006) K - (2007-Onwards)

  • A - (Pre 1900)
  • B - (1900-1929)
  • C - (1930-1949)
  • D - (1950-1966)
  • E - (1967-1975)
  • F - (1976-1982)
  • G - (1983-1990)
  • H - (1991-1995)
  • I - (1996-2002)
  • J - (2003-2006)
  • K - (2007-Onwards)

• Conservation area status Established:

  NO

  YES

• Planning permission status Established:

  NO

  YES

• Building control status Established:

  NO

  YES

• Does the wall have cavity insulation?

  YES

  NO

  N/A

• If no, has the cavity been sealed at the perimeter?

  YES

  NO

  NA

• Need for fire separation of the compartments/Boundaries defined:

  YES

  NO

  NA

• EEM Design: Accounts for the Building Regulation requirements for fire:

  NO

  YES

EEM DESIGN:

• design accounts for building exposure:

  NO

  YES

• Design accounts for loading in service e.g Impact:

  NO

  YES

• Comments

• Design eliminates thermal bridging:

  NO

  YES

• Design minimises thermal bridging

  YES

  NO

  NA

Existing Finishes: External/Internal

• Agrees with Retro fit Assessment and Design

  NO

  YES

• External Finishes

  Select Stone Brick Sand & Cement Render Mass Concrete Dry dash Wet Dash Concrete Block Wood paint Tile Hanging Other

  • Stone
  • Brick
  • Sand & Cement Render
  • Mass Concrete
  • Dry dash
  • Wet Dash
  • Concrete Block
  • Wood paint
  • Tile Hanging
  • Other

• Please state other type of finish.

• Internal: Colours & Textures

  Select Plaster skim Plaster board Sand and Cement Insulated Plaster Board Timber Other

  • Plaster skim
  • Plaster board
  • Sand and Cement
  • Insulated Plaster Board
  • Timber
  • Other

• Other internal finishes please specify:

  Select Wallpaper Paint Tiles

  • Wallpaper
  • Paint
  • Tiles

• Comments:

Through Wall Construction

• Internal to external surface layers

• Overall Wall Thickness

• Photo of wall thickness

  Media

• Layer 1

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 2

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 3

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 4

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 5

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 6

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 7

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Has a second through wall construction been identified ?

  YES

  NO

  N/A

• Overall Wall Thickness

• Photo of wall thickness

  Media

• Layer 1

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 2

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 3

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 4

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 5

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 6

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 7

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Has a third through wall construction been identified ?

  YES

  NO

  N/A

• Overall Wall Thickness

• Photo of wall thickness

  Media

• Layer 1

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 2

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 3

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 4

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 5

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 6

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

• Layer 7

  Select Wallpaper Paint Plaster Skim Render Dense Concrete Block Lightweight Concrete Block Cavity Cavity Insulation Timber Frame Plywood Plasterboard Insulated Plasterboard Dry Dash Wet Dash Hanging Tile Brickwork Stone System built Concrete wall with cavity System built Concrete without cavity Metal Frame

  • Wallpaper
  • Paint
  • Plaster Skim
  • Render
  • Dense Concrete Block
  • Lightweight Concrete Block
  • Cavity
  • Cavity Insulation
  • Timber Frame
  • Plywood
  • Plasterboard
  • Insulated Plasterboard
  • Dry Dash
  • Wet Dash
  • Hanging Tile
  • Brickwork
  • Stone
  • System built Concrete wall with cavity
  • System built Concrete without cavity
  • Metal Frame

Property Elevation Photos

• Which Elevations exist on this property

  Select Front Rear Left from front Right from front Garage and/or outbuilding Other elevations

  • Front
  • Rear
  • Left from front
  • Right from front
  • Garage and/or outbuilding
  • Other elevations

• Photos

  Media

Property Measurements:

• Property Sketch Photos with Measures

  Media

Enabling

• Satellite Dish works (qty)

• TV Ariel (qty)

• External Lights (qty)

• Alarms (qty)

• CCTV (qty)

• Electric Cables (description and lm)

• Satellite Cables (lm)

• Electric Box (Type and qty)

• BT Box (qty)

• Gas Box (Type and qty)

• Gas Flue (position and qty)

• Gas Pipework (lm)

• Condense Pipework (lm)

• PRV (qty)

• Overflow (qty)

• External Tap (qty)

• Downpipes (Number of downpipes and lm)

• Soil and Vent Pipe (connections and lm)

• Vent Pipe (lm)

• Through soffit (Y/N)

• Gates (Material and qty)

• Fence panels (material and qty)

• Fence posts (material and qty)

• Walls (construction type and description)

• Canopy/Porch (material and qty)

• Vegetation (day work estimation)

• Handrail (material and lm/brackets)

• Grab rails (material and qty)

• Scaffolding Bridge (qty)

• Window Cills (over or under)

• Insulated Plinth Detail (lm)

STRUCTURAL DEFECTS (E.g. Cracking, subsidence,weak or cored components):

• Is there any evidence of structural defects ?

  YES

  NO

• What are the Details?

• Requires Competent Person e.g. Structural Engineer

  YES

  NO

  N/A

• Photos of Structural Defects

  Media

• EEM Design:

• Structural repairs included in the design before works start

  NO

  YES

  N/A

• Structural repair to be carried out by others before works start

  NO

  YES

  N/A

• Site pull-out tests undertaken for mechanical fixings

  NO

  YES

• System fixing design calculated for all loading conditions ( wind,system weight etc.)

  NO

  YES

• Design eliminates thermal bridging

  NO

  YES

• Design minimises thermal bridging

  NO

  YES

• Interface design details( weather seals etc.) comply with requirements of PAS 2030 2019

  NO

  YES

EXISTING RENDER:

• Comments:

  Select No evidence of defects Defects apparent

  • No evidence of defects
  • Defects apparent

• Comments on apparent defects

• Agrees with Retrofit Assessment/Design

  NO

  YES

• Photo(s)

  Media

• EEM Design:

• Requires removal, partial removal, repair

  YES

  NO

  N/A

• Render repair included in the design

  NO

  YES

  N/A

• Render repair measure to be carried out by others prior to works.

  NO

  YES

  N/A

PRESENCE OF DAMP (RISING, PENETRATING OR CONDENSATION):

• Comments

  No Evidence of Damp

  Evidence of Damp

• Comments on damp

• Photo(s)

  Media

• EEM Design:

• Damp treatment included in the design

  NO

  YES

  N/A

• Damp treatment measure to be carried out by others prior to works starting.

  NO

  YES

  N/A

FROST DAMAGE:

• Comments

  Select No evidence of weathering damage Evidence of weathering damage

  • No evidence of weathering damage
  • Evidence of weathering damage

• Photo(s)

  Media

• EEM Design:

• Frost repair included in the design

  NO

  YES

  N/A

• Frost repair measure to be carried out before

  NO

  YES

  N/A

DETAIL/LOCATION OF MOVEMENT JOINTS:

• Are there Movement Joints

  Select No movement joints in existing or required by EEM Movement joints in existing New movement joints required

  • No movement joints in existing or required by EEM
  • Movement joints in existing
  • New movement joints required

• Comments of movement joints

• Photo(s)

  Media

• EEM Design:

• Included in the design

  NO

  YES

  N/A

• Design eliminates Thermal bridging

  NO

  YES

• Design minimises Thermal bridging

  NO

  YES

• Interface design details (weather seals etc.) comply with the requirements of PAS 2030 2019

  NO

  YES

MOSS/LICHEN/MOULD/IVY or EFFLORESCENCE

• Is MOSS/LICHEN/MOULD/IVY or EFFLORESCENCE present

  No evidence of Growth

  Evidence of Growth

• Comments of growth

• Photo(s)

  Media

• EEM Design:

• Remediation included in the design

  NO

  YES

  N/A

• Design eliminates cold bridging

  NO

  YES

• Design minimises cold bridging

  NO

  YES

• Interface design details (weather seals etc.) comply with requirements of PAS 2030 2017

  NO

  YES

WINDOWS/DOOR MATERIAL:(Timber/PVC/Other):

• Photo(s):

  Media

• Window material type

  Select UPVC Timber Metal Composite

  • UPVC
  • Timber
  • Metal
  • Composite

• Window Renewal

  NO

  YES

• Door material type

  Select UPVC Timber Metal Composite

  • UPVC
  • Timber
  • Metal
  • Composite

• External Door Renewal

  NO

  YES

• EEM Design:

• Design eliminates Thermal bridging

  NO

  YES

• Design minimises Thermal bridging

  NO

  YES

• Interface design details (weather seals around cill, window frame etc.) comply with requirements of PAS 2030/2019

  NO

  YES

• Comments:

EXTERNAL SERVICES/ATTACHMENTS TO THE WALLS e.g (Satellite dish, lights):

• Photo(s)

  Media

• EEM Design:

• Design eliminates Thermal bridging

  NO

  YES

• Design minimises Thermal bridging

  NO

  YES

• Interface design details (weather seals around cill, window frame etc) comply with requirements of PAS 2030/2019

  NO

  YES

• Comments:

EXTERNAL ELECTRICAL CABLES/EQUIPMENT:

• Photo(s)

  Media

• EEM Design:

• Design eliminates Thermal bridging

  NO

  YES

• Design minimises Thermal bridging

  NO

  YES

• Design details (Penetration,fixings, weather seals etc.) comply with requirements of PAS 2030 2019

  NO

  YES

• Comments:

EWI ABUTMENT TO EAVES & ROOFS:

• Photo(s)

  Media

• EEM Design:

• Design eliminates Thermal bridging (full continuity between wall and the roof insulation)

  NO

  YES

• Design minimises Thermal bridging (partial continuity between wall and roof insulation)

  NO

  YES

• Interface design details (weather seals etc.) comply with the requirements of PAS 2030/2019

  NO

  YES

• Comments:

EWI ABUTMENT TO OTHER STRUCTURES (Conservatories extensions, garden walls, gate posts etc):

• Photo(s)

  Media

• EEM Design:

• Design eliminates Thermal bridging

  NO

  YES

• Design minimises Thermal bridging

  NO

  YES

• Interface design details (weather seals etc.) comply with requirements of PAS 2030/2019

  NO

  YES

• Comments:

RAIN WATER AND DRAINAGE PIPES:

• Photo(s):

  Media

• EEM Design:

• Can existing Pipework be moved ?

  NO

  YES

• Design eliminates Thermal bridging

  NO

  YES

• Design minimises Thermal bridging

  NO

  YES

• Design details (Penetrations, fixings, weather seals, mounting blocks etc.) comply with the requirements of PAS 2030/2019

  NO

  YES

• Comments:

DAMP PROOF COURSE(DPC) PROVISION AND LOCATION:

• Photo(s)

  Media

• EEM Design:

• Design eliminates Thermal bridging

  YES

  NO

  NA

• Design minimises Thermal bridging

  YES

  NO

  NA

• Design details (E.g Insulated plinth below DPC) complies with requirements of PAS 2030/2019

  YES

  NO

  NA

• Comments (including any insulated plinth detail and location)

ARCHITECTURAL FEATURES (e.g. protruding stone work, tile sills, soldier courses):

• Photo(s)

  Media

• EEM Design:

• Design eliminates Thermal bridging

  NO

  YES

• Design minimises Thermal bridging

  NO

  YES

• Design details (Penetrations, fixings, weather seals,etc.) comply with requirements of PAS 2030 2019

  NO

  YES

• Comments:

EXISTING VENTILATION:

• Has the Ventilation strategy been completed?

  NO

  YES

• Photo(s)

  Media

• EEM Design:

• Included in the design

  YES

  NO

  NA

• Safety of the design (compliance with "Specification for the installation of external wall insulation ensuring the safety and operation of the fuel burning appliances ")

  NO

  YES

• Design eliminates Thermal bridging

  YES

  NO

  NA

• Design minimises Thermal bridging

  YES

  NO

  NA

• Interface design details (weather seals etc,) comply with the requirements of PAS 2030 2019

  NO

  YES

• Comments:

• Photo(s)

  Media

• Will current roof vents be adequate after EWI has been installed?

  YES

  NO

  NA

• Is there adequate ventilation in the subfloor?

  YES

  NO

  NA

• Are there room ventilators / extractors where necessary? (E.G Bathroom/kitchen/utility)

  Select Bathroom Kitchen Utillity W/C

  • Bathroom
  • Kitchen
  • Utillity
  • W/C

• Please take pictures of fans and fan flow rates.

  Media

• Are the combustion ventilators adequate for the heating system(s)?

  YES

  NO

  NA

• If any of the above are no are there provisions to be put in place for new ventilation?

  NO

  YES

• If yes please give details

• EEM Design:

• Design eliminates Thermal bridging

  NO

  YES

• Design minimises Thermal bridging

  NO

  YES

• Interface design details (weather seals etc.) comply with requirements of PAS 2030 2019

  NO

  YES

• Comments

Residents Details

• Residents Name

• Site Address (including post code)
  Address

• Customer Supplier

• Telephone Numbers

• Email

• Best days for installation

• Any working time constraints

Property Details

• Property Type

• Construction Type

• Age Band

  Select A - Pre 1900 B - 1900 - 1929 C - 1930 - 1949 D - 1950 - 1966 E - 1967 - 1975 F - 1976 - 1982 G - 1983 - 1990 H - 1991 - 1995 I - 1996 - 2002 J -2003 - 2006 K - 2007 - 2011 L - 2012 onwards

  • A - Pre 1900
  • B - 1900 - 1929
  • C - 1930 - 1949
  • D - 1950 - 1966
  • E - 1967 - 1975
  • F - 1976 - 1982
  • G - 1983 - 1990
  • H - 1991 - 1995
  • I - 1996 - 2002
  • J -2003 - 2006
  • K - 2007 - 2011
  • L - 2012 onwards

• Listed Building/ Conservation Area

  Yes

  No

• Should the planning department be notified? Has the County councils website been checked at point of survey?

  Yes

  No

Structural

• Roof Style

  Select Gable Roof Hipped Roof Gambrel Roof (barn style) Flat Roof Mansard Roof Shed Roof

  • Gable Roof
  • Hipped Roof
  • Gambrel Roof (barn style)
  • Flat Roof
  • Mansard Roof
  • Shed Roof

• Tile Type

  Select Plain tiles / Slates (solar limpets) Low profile Interlocking tiles / Redland Tiles (220 wide) Profiled Tiles (Standard)

  • Plain tiles / Slates (solar limpets)
  • Low profile Interlocking tiles / Redland Tiles (220 wide)
  • Profiled Tiles (Standard)

• Tile Description (clay or concrete, internlocking or lapped)

Roofing and Scaffold

• Scaffold Location

• Height of Eaves?

• Access to rear?

  Yes

  No

• Location of rear access

• Length (along gutter) Metres

• Height (up roof slope) Metres

• Pitch ° degrees

• Height of Roof Above Eaves?

• Orientation from South (south = 0º East = West =+) degrees

• Roof type

  Trussed Roof

  Cut Roof

  Other

• Rafter/Truss Centres

• Size of Rafters/Top Chord of Truss

• Number of Trusses/Rafters

• For cut roofs only

• Size of purlin

• Number of Purlin supports

• Maximum Unsupported Rafter Length

• Notes

• Timber Condtion

  Good

  Fair

  Poor

  N/A

• Felt Condition

  Good

  Fair

  Poor

  N/A

• Observations (e.g holes in felt around gas flue)

• Loft Condition

  Clear

  Cluttered

  Tenant Agreed to clear loft

• Any Issues With Loft access

• Loft Headroom Meters

• Temporary Loft Light Required

  Yes

  No

• Temporary Loft Walkway Required

  Yes

  No

Electrics

• Consumer Unit Make and Model (e.g. Crabtree, Starbreaker)

• Breaker Type

  Type A

  Type B

• Location

• Distribution Board Upgrade?

  Yes

  No

• Spare Way for PV

  Yes

  No

• Additional Garage DB for PV

  Yes

  No

• Earthing to Gas Meter

  Yes

  No

• Gas Meter Location

• Earthing to Water Main

  Yes

  No

• Water Location

• Earthing Type

  TN-C-S (PME)

  TN-S

  TT

• Notes

Import Meter Type

• Meter Type

  Electronic Credit Meter

  Key Budget Meter

  Dial Credit Meter

  Smart Meter

• Does Meter require changing?

  Yes

  No

• Make and Model of Meter

• Meter Serial Number

• Is the MPAN Number Present

• Is there room for the 4 pole isolation switch next to the existing meter

  Yes

  No

• What action is required to fit an isolator?

• Import Meter Location

• External

  Yes

  No

• Next to Distribution Board

  Yes

  No

• Notes

• Generation Meter Location (Proposed)

Photovoltaic System Proposed

• Inverter Location

• Can a 600 x 780 board fit on wall and through internal roof access

  Yes

  No

• Cellular Networks Checked?

  O2

  Vodaphone

  BT EE

  3

  Other

• Notes

Risk Assessment

• Notes/Problems Identified

• Does the main power cable to the property need sheathing before scaffold erected?

  Yes

  No

• Take Photos

  Media

• Has a structural survey been completed in respect of PV installation?

  Yes

  No

• Is there any suspected Asbestos that requires investigation

  Yes

  No

• Take Photo of Suspected Area.

  Media

Photo Checklist

• Property Elevations, Front Door & Scaffold Access

  Media

• Suitable Roof Elevation Close Up including gutter

  Media

• Proposed Inverter Location

  Media

• Roof Void if relevant including TV ariel

  Media

• Consumer Unit and Close up of Breakers

  Media

• Electricity Meter & Mains Fuse / Earth in Meter Box

  Media

• Water main bond

  Media

• Gas Main bond (if applicable)

  Media

• Satellite dish (if any) including closeup of bracket

  Media

Shading

• Has SunEye Survey been completed

  Yes

  No

• Notes

Sign Off

• Signature

  Sign

• Yes

  No

  N/A

COVID 19 Assessment

• Have you or anyone that lives at the property been diagnosed with Coronavirus ?

  No

  Yes

• Is anyone at the property currently self-isolating ? (in the vulnerable category)

  No

  Yes

• Do you give consent for us to carry out works within your property ?

  Yes

  No

• Reasoning?

  Yes

  No

  N/A

General Details

• Risk Assesment Completed By

  Select Lee Glenister Nick Phillips Billy Wright Jeremy Illy Sean Glossop Steve Britton Vinnie Stokes Chris Lister David Fox

  • Lee Glenister
  • Nick Phillips
  • Billy Wright
  • Jeremy Illy
  • Sean Glossop
  • Steve Britton
  • Vinnie Stokes
  • Chris Lister
  • David Fox
• Site Address
  Address

• Date of Inspection

  Date

• Residents Name

• Residents contact details

• Residents email address

Access Assessment

• Are there any restrictions to the property i.e. Low bridge, neighbours access required ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is the property location a main pedestrian route and/or a public walkway ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is parking available, adequate for the size of vehicle and close to the property ?

  Yes

  No

• Comments,

• Photographic evidence

  Media

• Do parking restrictions exist i.e. Residents parking ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Will the proposed works affect neighbouring properties ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Has the neighbouring property been notified of the immanent works?

  Verbal Notification

  Information letter posted

• Date of notification given-

  Date

Occupant Assessment

• Is the property in a suitable condition for the proposed works to be carried out ?

  Yes

  No

• Comments

• Photographic evidence

  Media

• Is the property highlighted as flagged or at risk ?

  No

  Yes

• Comments

• Do the occupants have any physical disabilities that pose any significant risks ?

  No

  Yes

• Comments

• Do the occupants have any learning difficulties where our activities may pose any significant risks ?

  No

  Yes

• Comments

• Are there any potential risks regarding minors in the property ?

  No

  Yes

• Comments

• Are there any potential risks regarding pets in the property ?

  No

  Yes

• Comments

• Is the property high risk of biological waste or vermin ?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is the property at high risk of hypodermic needles ?

  No

  Yes

• Comments

Asbestos Assessment

• Are we in receipt of or have access to the asbestos survey or register for this property ?

  Yes

  No

• Comments

• Has asbestos been identified ?

  No

  Yes

• Comments

• Photographic evidence

  Media

Assessment Sign off

• Surveyors Signature and Full name

  Sign