Title Page

  • Client

  • Prepared by

  • Conducted on

Initial Questions

  • Address of Customer
  • How many occupants live at the address?

  • Approximate age of the property?

  • Type of property

  • Detached

  • Semi Detached

  • How many bedrooms and bathrooms including en-suites?

  • Property construction exterior

  • Brick

  • Solid brick

  • Stone

  • Solid stone

  • Block

  • System built

  • Cavities

  • Insulated

  • No insulation

  • As built

  • Property construction interior

  • Studded

  • Block

  • Solid

  • Insulated

  • No insulation

  • Roof type

  • Loft Insulation type

  • 100mm

  • 150mm

  • 200mm

  • 300mm

  • 400mm

  • Loft space

  • Fully boarded out

  • Part boarded out

  • Not boarded out

  • Does the loft space have lighting?

  • Ground floor

  • Insulated

  • No insulation

  • First floor / ceiling

  • Insulation

  • No insulation

  • Glazing and doors

  • Upvc

  • Timber

  • Argon filled

  • Does the property have mains water?

  • Does the property have a water meter?

  • Does the property have a gas cooker / hob?

  • Does the property have a gas fire?

  • Does the property have solar PV?

  • Does the property have solar tubes or magic box?

  • Is the property exposed?

  • Existing fuel supply

  • Type of installation

  • Existing Radiators

  • One pipe system

  • Two pipe system

  • Pipe work size to radiators

  • 8mm

  • 10mm

  • 12mm

  • 15mm

  • Type of pipework

  • Plastic

  • Copper

  • Radiator Pipe Diameter Photograph

  • ** Hidden Radiators? **

  • Does the property have a shower?

  • Electrical

  • How many?

  • Mixer off the system

  • How many?

  • Single phase

  • 3 phase

  • Ask the customer for a gas / electric bill. Smart meters can be used to find the tariff if the customer has one installed.

  • Gas and Electric Bill / Tariff Photographs

Fuseboard, Existing Boiler, ASHP Location and Other Relevant Information

  • Loft Hatch Size

  • Airing Cupboard Size

  • Fuse Board and Location Photographs

  • Existing Boiler, Cylinder and Pipe Run Photographs

  • ASHP location Photographs

  • Details of the Fuse Board

  • Details of the Existing Boiler, Cylinder and Pipe Run

  • Details of the ASHP location

  • Wall bracket

  • Ground

  • 22mm copper pipe required for heating run ? ( m )

  • Is scaffolding required?

  • Does the location of ASHP comply with minimum clearances. Has customer been advised of location and pipe run etc.

  • Where will the waste water go?

  • How many lengths of insulation / trunking are required?

  • Select from range

  • No of external bends

  • No of internal bends

  • No off 90 degree bends

  • Colour of insulation / trunking

  • Nearest neighbours habitable room with a window

  • Any additional information you find necessary

Survey Photographs

  • If no radiators are present use these boxes to take clear photographs of the room from different angles.

  • Porch radiator

  • Entrance Hall radiator

  • Living Room radiator

  • Lounge radiator

  • Dining Room radiator

  • Kitchen radiator

  • Utility Room radiator

  • Wc radiator

  • Internal Hallway radiator

  • Study radiator

  • Office radiator

  • Store Room radiator

  • Conservatory radiator

  • Garage radiator

  • Landing radiator

  • Bathroom radiator

  • Bathroom 2 radiator

  • Bedroom 1 radiator

  • En-suite 1

  • Bedroom 2 radiator

  • En-suite 2

  • Bedroom 3 radiator

  • En-suite 3

  • Bedroom 4 radiator

  • En-suite 4

  • Bedroom 5 radiator

  • En-suite 5

  • Bedroom 6 radiator

  • En-suite 6

  • Bedroom 7 radiator

  • En-suite 7

  • Bedroom 8 radiator

  • En-suite 8

  • Miscellaneous picture 1

  • Add media

  • Miscellaneous picture 2

  • Add media

  • Miscellaneous picture 3

  • Add media

  • Front elevation

  • Side 1 elevation

  • Side 2 elevation

  • Rear elevation

  • Floor Plan

EPC Photographs

  • Mixer Shower

  • Cavity Wall

  • Roof Insulation Thickness

  • Window Gap

  • Gas Meter

  • Electric Meter

  • TRV on Radiators

  • Balanced or Open Flue

  • Thermostat

  • Energy Efficient Lightbulb

  • Secondary Heating

  • Party Wall Construction

  • Wall Thickness

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.