Heating survey form

• Job No.

• Site name

• Client

• Conducted on

  Date

• Prepared by

• Location
  Address

Current boiler details

• Boiler make/model:

• Photo to be taken

  Media

• KW, BTU & G.C. NO.:

• Photo to be taken

  Media

• Location of boiler:

• Photo to be taken

  Media

Flueing, Pumps & Pipework

• Flue type (balanced/conventional/concentric - size/length/material):

• How many zones (heating/hot water - PQ/trade):

• How many pumps/zone valves (sizes & make/model):

• Pipework size & type (flow & return):

• Open vented or pressurised system (if open vented location/size of cold feed/expansion pipe):

Condensate & cold supply

• Nearest cold feed/nearest drain:

• Do we need a strap on boss?

  Yes

  No

• Do we need a condensate pump?

  Yes

  No

• Length of condensate?

Additional items

• Any other items:

  Select Microfill Expansion vessel Magnaclean Inline y strainer Other

  • Microfill
  • Expansion vessel
  • Magnaclean
  • Inline y strainer
  • Other

• Other:

Gas supply

• Type of fuel?

  LPG

  Natural gas

  Oil

• Meter size?

• Pipe size from meter?

• Pipe length from meter to boiler?

• Pipe size in boiler room?

Controls

• Existing controls supply?

  24v

  240v

• How many cylinder stats?

• How many room stats?

• Energy management system?

  Yes

  No

Boiler details

• Make & model of recommended boiler (KW & gas type)?

• Location of new boiler?

• Flue type?

  Horizontal

  Vertical

• Flue length in 1mtr sections?

• Number of 90º bends required?

• Number of 45º bends required?

• Number of brackets required?

• Terminal guard required?

  Yes

  No

Pipework details

• Pipework size & material?

• Photo to be taken:

  Media

Controls

• Number of honeywell single channel programmers ST9100c?

• Number of honeywell wired room stats?

• Number of cylinder stats?

• Number of wiring stations?

Access

• Boiler room access ok?

  Yes

  No

• If "No" then explain:

• Lifting equipment required?

• Ladders required?

  Yes

  No

Other details

• Power flush required?

  Yes

  No

• Magnaclean required?

  Yes

  No

• Inline Y strainer required?

  Yes

  No

  N/A

• New pump required? (Size?):

• Pump valves required? (Pipe size?):

• Low loss header required? (Size?):

• Gate valves required? (Size & amount?):

• Any building repairs required? (Detail):

• When the heating system is working do all the radiators work?

• Does the site run out of hot water?

• Have any repairs been carried out on the boiler/heating system?