Information
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Document No.
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Audit Title
- Technical Survey
- Materials List
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Attended By
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Full Name of Surveyor
PROPERTY DETAILS
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Date
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School logo picture
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Academy details
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Office manager
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Address
SAFETY INFORMATION
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Any special customer requirements?
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If any of above chosen state more information
TECHNICAL SURVEY
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Technical Survey
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Type of Property
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Property Configuration?
- small single building
- medium single building
- medium multi floor
- multi buildings
- multi location
- large multi floor
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Pupil numbers
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Age of equipment if different clarify
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Number of plant rooms
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Hws system
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Hws photo
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Details of hws
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Property fuel supply
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Gas pipe size M3
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Gas PIpe picture ECV
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Gas Pipe size at the Gas Meter?
- 1/2" steel
- 3/4 steel
- 1" steel
- 1 1/4" steel
- 1 1/2" steel
- 2"steel
- other
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Location of GAS Meter?
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Existing Boiler Manufacturer & Model of Boiler?
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Location of Existing Boiler?
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Photo of Boiler
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Photo of boiler data plate
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ventilation requirements
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What is is existing FLUE Type?
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flue requirements for future install
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Photo of Flue
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Photo of New Flue location
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Please state the boiler FAULT/S
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Tank Fed or pressurised
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Type of Existing System?
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If "OTHER" Please state type of system
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Are there any building works required to the existing system if so please state?
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What materials are required to complete the building works stated above?
- Breeze Blocks
- Red Bricks
- Buff Bricks
- Other see photo
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Photo of lagging
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What is the pipe fabric & size to the existing radiators?
- Copper
- Plastic
- 15MM
- 10MM
- 8MM
- Other
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Do any of the existing Radiators need replacing?
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Would the property require installation of a NEW Radiator & Pipe work?
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DOES THE WORKS COMPLY WITH SALIX REQUIREMENTS 8Yrs
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What is the heating system configuation
- single pipe no control
- 2 pipe valve control
- mixed 2 and 1 pipe no control
- mixed pipe 1 and 2 valve control
- 2 pipe full individual control
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Is there any pipework in ducts advise condition
- YES
- NO
- N/A
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Condition of Pipework and lagging
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How many HOT Water outlets are there?
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- NO
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Are there any showers at the property, if Yes what Type?<br>
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What is the water flow rate at the kitchen sink? (L/M)
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NEW SYSTEM INFORMATION
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What type of Installation will this property require?
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What Installation is required?
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Make of proposed new boiler?
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If " OTHER" Please state
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Size of proposed new boiler give details in feedback
- less 60kw.condensing
- 60 -115kw condensing
- 1 115kw- 250kw floor condensing
- cascade 115 - 350kw
- oil boiler
- 35KW COMBI
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Location of NEW Boiler?
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Flue Type Required?
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What Type Condensate Installation is required?
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What Heating Controls are Required?
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Details of new hws if required
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Details of hws if been replaced
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Photos of HWS showing all controls, location
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State if you can think of any reason that this cylinder could not be removed from the property?
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Efficiency rating and energy saving of works and hours of use bill details
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Additional Photos
MATERIALS LIST
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Materials List
Materials List
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Type of Boiler?
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Horizontal Flue
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Vertical Flue Terminal?
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PLEASE NOTE WHERE A VERTICAL FLUE IS REQUIRED RELEVANT RISK ASSESSMENT TO IMPLIMENTED
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1M FLUE EXTENSION
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- NO
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FLUE 90 DEGREE BEND
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- NO
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FLUE 45 DEGREE BEND
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- NO
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FLUE SUPPORT CLAMP
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- NO