Full Heating Replacement Survey

• Document No.

• Survey title

• Client

• Job number

• Conducted on

  Date

• Prepared by

• Location
  Address

Property details

• Property type:

  Select House Bungalow Flat Other

  • House
  • Bungalow
  • Flat
  • Other

• Enter storey/level

  Select 1 2 3 4 5 6 Other

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • Other

• Number of bedrooms

  Select 1 2 3 4 5

  • 1
  • 2
  • 3
  • 4
  • 5

Existing boiler details

• Boiler type

  Combi

  Heat only

  System

  Back boiler

• Is it a condensing boiler?

  Yes

  No

• Location

• Manufacturer

• Model

• Flue type

  Horizontal

  Extended horizontal

  Vertical

• Fuel type

  Natural gas

  L.P.G

  Oil

• Boiler output (KW)

• Photo of existing appliance

  Media

• Photo of flue termination

  Media

New boiler details

• Recommended new boiler details

  Select Vaillant EcoTec Plus 824 (Combi) Vaillant EcoTec Plus 831 (Combi) Vaillant EcoTec Plus 612 (System) Vaillant EcoTec Plus 615 (System) Vaillant EcoTec Plus 618 (System) Vaillant EcoTec Plus 624 (System) Vaillant EcoTec Plus 630 (System) Vaillant EcoTec Plus 415 (Heat Only) Vaillant EcoTec Plus 418 (Heat Only) Vaillant EcoTec Plus 428 (Heat Only) Vaillant EcoTec Plus 438 (Heat Only) Other

  • Vaillant EcoTec Plus 824 (Combi)
  • Vaillant EcoTec Plus 831 (Combi)
  • Vaillant EcoTec Plus 612 (System)
  • Vaillant EcoTec Plus 615 (System)
  • Vaillant EcoTec Plus 618 (System)
  • Vaillant EcoTec Plus 624 (System)
  • Vaillant EcoTec Plus 630 (System)
  • Vaillant EcoTec Plus 415 (Heat Only)
  • Vaillant EcoTec Plus 418 (Heat Only)
  • Vaillant EcoTec Plus 428 (Heat Only)
  • Vaillant EcoTec Plus 438 (Heat Only)
  • Other

• Details

• Photo of new boiler position

  Media

• Enter details of new boiler including height off work tops etc

• Flue type

  Horizontal

  Extended horizontal

  Vertical

• Details of flue system route

• Photo of new flue terminal position

  Media

• Details of flue termination

• Photo of condense pipe route

  Media

• Enter details for condense pipe route

Existing system details

• Does existing system comply with Part L?

  Yes

  No

  N/A

• Details

• Type of system fitted

  Select Fully pumped Y plan Fully pumped S plan Gravity hot water/pumped heating One pipe system Gas fire only Combi Other

  • Fully pumped Y plan
  • Fully pumped S plan
  • Gravity hot water/pumped heating
  • One pipe system
  • Gas fire only
  • Combi
  • Other

• Size of hot water cylinder

• Hot water cylinder to be replaced

  Yes

  No

• Details of new cylinder

• Photo of existing hot water cylnder

  Media

• Recommended controls required

  Select Honeywell Y Plan Pack (Wired) Honeywell S Plan Pack (Wired) Honeywell single channel time clock with room-stat (Wireless) Honeywell twin channel time clock with room&cylinder stat (Wireless) Other

  • Honeywell Y Plan Pack (Wired)
  • Honeywell S Plan Pack (Wired)
  • Honeywell single channel time clock with room-stat (Wireless)
  • Honeywell twin channel time clock with room&cylinder stat (Wireless)
  • Other

• Details of controls required

• Thermostatic radiator valves fitted to existing system

  Yes

  No

  N/A

• Number of valves required

• Is the system sealed/pressurised?

  Yes

  No

• Is system to be sealed and tank removed?

  Yes

  No

• Details

Radiators

• If combination boiler is being fitted and cylinder removed, is a radiator required in the airing cupboard?

  Yes

  No

• Details of new radiator

• Kitchen radiator size and type

• New radiator to be same size, type and location as existing?

  Yes

  No

• Details of new size and location for new kitchen radiator

• Hall radiator size and type

• New radiator to be same size, type and location as existing?

  Yes

  No

• Details of new size and location for new hall radiator

• W.C radiator size and type

• New radiator to be same size, type and location as existing?

  Yes

  No

• Details of new size, type and location of new W.C radiator

• Lounge radiator size and type

• New radiator to be same size, type and location as existing?

  Yes

  No

• Details of new size and location of new lounge radiator

• Dining room radiator size and type

• New radiator to be same size, type and location as existing?

  Yes

  No

• Details of new size and location of new dining room radiator

• Bedroom 1 radiator size and type

• New radiator to be same size, type and location as existing?

  Yes

  No

• Details of new size and location of new bedroom 1 radiator

• Bedroom 2 radiator size and type

• New radiator to be same size, type and location of existing?

  Yes

  No

• Details of new size, type and location of new bedroom 2 radiator

• Bedroom 3 radiator size and type

• New radiator to be same size, type and location as existing?

  Yes

  No

• Details of new size, type and location of new bedroom 3 radiatorq

• Bedroom 4 radiator size and type

• New radiator to be same size, type and location as existing?Yes

  Yes

  No

• Details of new size, type and location of new bedroom 4 radiator

• Bathroom radiator size and type

• New radiator to be same size, type and location as existing?

  Yes

  No

• Details of new size, type and location of new bathroom radiator

• Landing radiator size and type

• New radiator to be same size, type and location as existing?

  Yes

  No

• Details of new size, type and location of new landing radiator

• Details of any additional radiators

Electrical

• 17th Edition fuse board fitted

  Yes

  No

• Cross bonding required

  Yes

  No

• Existing hard wired CO fitted in room to contain new boiler

  Yes

  No

• Is it in date?

  Yes

  No

• New hard wired CO alarm required

  Yes

  No

• Details/location

Gas pipework

• Details of gas pipework alterations required: Route, size, length etc

• Photo of gas meter/gas bottle installation

  Media

• Notes

Scaffolding

• Is scaffolding required?

  Select Yes No

  • Yes
  • No

• Details: Number of lifts, platforms required etc

• Photos indicating location for tower and work area

  Media

• Notes

Description of works to be carried out

• Trades required to complete works

  Select Gas Engineer (N.G) Gas Engineer (L.P.G) Oil Engineer Electrician Builder/multi trader Other

  • Gas Engineer (N.G)
  • Gas Engineer (L.P.G)
  • Oil Engineer
  • Electrician
  • Builder/multi trader
  • Other

• Details of other trades required

• Description of works to be carried out

• Estimated time required to complete works

  Select 1 Day 2 Days 3 Days Other

  • 1 Day
  • 2 Days
  • 3 Days
  • Other

Any other information

• Details

Surveyors signature

• Signature

  Sign