Title Page

  • Audit Title

  • Add media

  • Conducted on

  • Surveyed by

  • Property address
  • is the property a flat? if so what floor?

  • Client

  • Address

  • Resident name

  • Telephone no.

  • Property type

  • How many occupants including Adults and Children

  • How many bedrooms?

  • How many bathrooms?

  • Existing heating system

  • Take photos of heating unit

  • What is the Existing system fuel type?

What is the water pressure condition at the main cold water tap at kitchen sink?

  • Water pressure?

  • take photo of flow rate

  • Proposed heating system

  • BBU removal required?

  • Fireplace removal block up required?

  • Does the property have cavity wall insulation?

  • Outside wall construction type?

  • Roof insulation thickness

  • TAKE PHOTO OF MEASUREMENT DEPTH OF INSULATION

  • Are the windows Single double or triple glazed

  • Window construction type?

  • Loft tank to be removed?

Electrics

  • Fuse board make & model?

  • Take Photos of fuse board include MCB< RCDS

  • What is the main fuse rating?

  • What is the Fuse cut out rating, take a picture

  • Electric meter MPAN number?

  • photo of Meter Lable

  • Cost of electricity per KW usage

  • Is it looped

  • Is the service looped? is there 2 cables, 1 coming out (looped supply to Neighbour)

  • Is there a smart meter?

  • take Photo of smart meter installed?

Cylinder

  • Depth Of Cupboard

  • width Of Cupboard

  • height Of Cupboard

  • Image of cylinder cupboard

  • Does the Cylinder need replacing

  • What type of existing cylinder?

Heat Pump

  • Air source heat pump bracket type

  • Position of air source heat pump

  • Image of proposed location for heat pump

  • ASHP soak away required

  • Does the pipe work need to be upgraded to 28mm ( If pipe work is for Daikin needs to be 28) State amount

  • Trunking Requirments

  • Can the heat Pump be fitted 1m from the boundary fence/wall?

  • Distance to nearest Neighbouring habitual room

  • How many reflective surfaces?

  • take picture of heat pump

  • From The assessment area what type of barrier is in place?

Time clock/ Stat

  • Position of room thermostat

  • take picture of existing stat and if new location is required take photo of this also

Existing heating

  • How many storage heaters/radiators to be removed?

  • Storage heater serial number (for asbestos info)

Lounge

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • Max space available for radiator location

  • picture of radiator and of wall

Hall

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • Max space available for radiator location

  • picture of radiator and of wall

Hall

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • Max space available for radiator location

  • picture of radiator and of wall

Dining room

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • Max space available for radiator location

  • picture of radiator and of wall

Kitchen

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • picture of radiator and of wall

Bedroom 1

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • picture of radiator and of wall

Bedroom 2

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • picture of radiator and of wall

Bedroom 3

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • picture of radiator and of wall

Bedroom 4

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • picture of radiator and of wall

Bathroom 1

  • Shower Type

  • Will The Shower be Changed

  • What tiles will need to be replaced as we can only do 1 or 2 best match possible.

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • picture of radiator and of wall

Bathroom 2

  • Shower Type

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • picture of radiator and of wall

Other

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size K1, K2, K3, downflow heater, Kickspace heater.

  • Please detail job requirements

  • Please enter job requirements

  • Draw the floor plan

Surveyor declarations

  • Customer informed that LCX are NOT responsible for decorating

  • Customer informed carpets are NOT the responsibility of LCX.

  • Customer to remove any laminate flooring prior to any work being carried out.

  • Customer informed laminate flooring is NOT the responsibility of LCX

  • Customer to remove any loose ornaments, mirrors, pictures etc. prior to work being carried out

  • Customer informed any loose ornaments etc. are NOT the responsibility of LCX

  • Customer informed if shower is NOT compatible with ASHP being installed

  • Customer informed that shower is NOT the responsibility of LCX

  • I have been offered the option of a Thermostatic shower instead of the Electric shower.

  • I Have chosen the Thermostatic shower. I understand that the making good Tiles may not match exactly and cosmetically different.

  • Surveyor signature

Customer declaration

  • DECLARATION: I understand what work is due to be carried out and I agree to the position of the pipe-work, radiator positions, boiler location and the location of the room thermostat.

  • I agree to the welfare facility’s to be used in my property.

  • Customer Signature

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