Title Page

  • Site conducted

  • Audit Title

  • Add media

  • Conducted on

  • Surveyed by

  • Property address
  • Add media

  • Client

  • Address

  • Resident name

  • Telephone no.

  • Property type

  • How many occupants?

  • How many bedrooms?

  • How many bathrooms?

  • Existing heating system

  • What is the Existing system fuel type

  • please advise on system in place? What is required to be done on this job?

  • Add media

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

  • Water pressure?

  • Proposed heating system

  • Add media

  • BBU removal required?

  • Fireplace removal block up required?

  • Does the property have cavity wall insulation?

  • Outside wall construction type?

  • Roof insulation thickness

  • Window construction type?

  • Loft tank to be removed?

  • Fuse board make & model?

  • Electric meter MPAN number?

  • Cost of electricity per KW usage

  • Image of fuse board

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

  • Fuse rate?

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

  • Is it looped

  • Is there a smart meter installed?

  • Is there a smart meter?

  • undefined

Cylinder cupboard

  • Depth

  • width

  • height

  • What size of cylinder will fit in space?

  • Add media

  • Discharge pipe route to outside, how will this be done?

  • Existing cylinder type?

  • Image of cylinder cupboard

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 ......... needs to be 28) State amount

  • Trunking Requirments

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

  • undefined

  • How many reflective surfaces?

  • Distance to nearest Neighbouring habitual room

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

Time clock/ Stat

  • Position of room thermostat

  • Existing Time clock/Roomstat

  • Add media

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

  • Max space available for radiator location

  • Existing Radiator size

  • Existing Radiator size

  • Add media

Hall

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size

  • Add media

Hall/Landing

  • Delete to suit Hall or Landing

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size

  • Add media

Dining room

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size

  • Add media

Kitchen

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Existing Radiator size

  • Add media

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

  • Add media

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

  • Add media

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

  • Add media

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

  • Add media

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

  • Add media

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

  • Add media

Other

  • Length

  • width

  • height

  • window sizes

  • Floor construction

  • Number of outside walls

  • Internal wall type

  • Max space available for radiator location

  • Add media

  • Please detail job requirements

  • Please enter job requirements

  • Draw the floor plan

Surveyor declarations

  • Customer informed that ..... are NOT responsible for decorating

  • Customer informed carpets are NOT the responsibility of .....

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

  • Customer informed laminate flooring is NOT the responsibility of .......

  • 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 .....

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

  • Customer informed that shower is NOT the responsibility of ......

  • 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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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.