Green Deal Contracts LTD - HHCRO Technical Survey

• Job Number

• Customer Name

• Conducted on

  Date

• Prepared by

• Address
  Address

• Type of property

  Select Semi Detached Town house Bungalow Flat Other

  • Semi
  • Detached
  • Town house
  • Bungalow
  • Flat
  • Other

• Name of Customer

• Name of Heating Engineer

Technical Survey Evidence

• Is there an existing boiler in the property either faulty or broken down?

  Yes

  No

  N/A

• Photo of boiler

  Media

• Photo of stickers (Cleaners, Filters, Servicing)

  Media

• Photo of Internal flue

  Media

• Photo of external flue

  Media

• Photo of condensate if applicable

  Media

• Number of bedrooms at the property?

  Select 1 2 3 4 5 6 7 8 9 >9

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • >9

• Is there a visible data plate?

  Yes

  No

  N/A

• Photo of data plate

  Media

• Boiler serial number

• Photo of serial number

  Media

• Boiler GC Number

• Photo of GC Number

  Media

• Does the property have existing heating controls?

  Yes

  No

  N/A

• Are the heating controls adequate?

  Yes

  No

  N/A

• Photos of heating controls

  Media

• Does the property have 50% TRVs in place?

  Yes

  No

  N/A

• Is the property single phase?

  Yes

  No

  N/A

• Photo of main supply

  Yes

  No

  N/A

• Is the properties earthing arrangements to current standards?

  Yes

  No

  N/A

• Photos of earthing arrangements

  Media

• Is the properties consumer unit adequate?

  Yes

  No

  N/A

• Photo of consumer unit

  Media

• Does the heating electrical circuit have RCD protection where applicable?

  Yes

  No

  N/A

• Photo of RCD protection

  Media

• Does the property have adequate safety devices Installed?

  Yes

  No

  N/A

• Photo of safety devices (Smoke / heat / C02 detectors)

  Media

Test & Commission

• CP1 Completed

  Select YES NO

  • YES
  • NO

• Photo of CP1

  Media

• Benchmark completed

  YES

  NO

• Photo of benchmark

  Media

Customer requirements

• Does this property have any special customer requirements?

  YES

  NO

• Details of customer requiremnts

Any other information

• Any other information regarding the customer?

• Any other information regarding the Installation?

• Any other photos

  Media

Sign off and management review

• Surveyor Signature

  Sign

• Customer Signature

  Sign