Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Property details

  • Property type:

  • Age of property:

  • Wall type:

  • Floor type:

  • Roof type:

  • Roof insulation:

  • Window type;

  • Age of windows:

  • Water heating at property:

  • Number existing Electric Storage Heaters at the property:

  • Image of basic floor plan

Electrical Supply

  • Is property served by Economy 7?

  • Location of electric meter:

  • Type of Meter:

  • Image of electric meter:

  • Image of Economy 7 meter if in separate location:

  • Location of electrical display board:

  • Are there any spare breakers:

  • Is there a form of isolation:

  • Image of electrical display board:

  • Image of customers electricity bill:

Existing Electric Storage Heaters

    Existing Electric Storage Heaters
  • Location

  • Number of existing Storage Heaters in the room

  • Type of ESH1:

  • Image of ESH1:

  • Image of fused spur for ESH1:

  • Location of closest permanent power supply to ESH1:

  • Distance from closest permanent power supply to ESH1:

  • Image of closest permanent power supply to ESH1:

  • Type of ESH1:

  • Image of ESH1:

  • Image of fused spur for ESH1:

  • Location of closest permanent power supply to ESH1:

  • Distance from closest permanent power supply to ESH1:

  • Image of closest permanent power supply to ESH1:

  • Type of ESH2:

  • Image of ESH2:

  • Image of fused spur for ESH2:

  • Location of closest permanent power supply to ESH2:

  • Distance from closest permanent power supply to ESH2:

  • Image of closest permanent power supply to ESH2:

  • Room Width (m):

  • Room Length (m):

  • Room Height (m):

  • Combined length of external walls (m):

  • Combined length on internal walls (m):

  • External door present:

  • External door area (m2):

  • Window area (m2):

  • Is space above heated:

  • Is space below heated:

  • Open fire place present

Habitable Rooms Without Existing Electric Storage Heaters

    Habitable room without existing electric storage heater
  • Location

  • Room Width (m):

  • Room Length (m):

  • Room Height (m):

  • Combined length of external walls (m):

  • Combined length of internal walls (m):

  • External door present:

  • External door area (m2):

  • Window area (m2):

  • Is space below heated:

  • Is space above heated:

  • Open fire present;

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.