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
- semi Detached
- Detached
- House Type Flat Ground
- House Type Flat First Floor
- Flat Ground Floor
- Flat First Floor
- Flat Second Floor
-
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?
- Electric
- Gas - LPG
- Solid Fuel
- ASHP
- GSHP
- NIBE
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 or fire 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?
- 1
- 2
- 3
- 4
-
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
-
undefined
