Inspection of CWI

• Client Name.

• Report Title

• Location.
  Address

• Tenure.

  Select Owner occupier Local Authority Housing Association Privately Rented

  • Owner occupier
  • Local Authority
  • Housing Association
  • Privately Rented

• What weather zone is the property located

  Weather zone 1

  Weather zone 2

  Weather zone 3

  Weather zone 4

• Survey conducted by.

  Jordan Jones

  Jack Powell

  Mark Griffiths

• Type of Survey?

  Select Failed Insulation Debris removal Cavity cleaning Wall tie inspection Insulation Inspection Cavity Wall Insulation

  • Failed Insulation
  • Debris removal
  • Cavity cleaning
  • Wall tie inspection
  • Insulation Inspection
  • Cavity Wall Insulation

• Property Type?

  Select Mid-Terrace End terrace Semi-detached Detached Ground Floor Flat Middle Floor Flat Top Floor Flat Masonette Bungalow House Commercial Building

  • Mid-Terrace
  • End terrace
  • Semi-detached
  • Detached
  • Ground Floor Flat
  • Middle Floor Flat
  • Top Floor Flat
  • Masonette
  • Bungalow
  • House
  • Commercial Building

• Construction age of the building?

  Post 1940's

  Post 1960's

  Post 1980's

  Post 1920's

• Have you done an internal inspection of the building?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Building Finish.

  Select Brick Painted Render Brick/Render Pebble Dash Recon Stone Spar Limestone/Sandstone Granite/Whinstone

  • Brick
  • Painted Render
  • Brick/Render
  • Pebble Dash
  • Recon Stone
  • Spar
  • Limestone/Sandstone
  • Granite/Whinstone

• Structural Condition.

  Select Very good Good Poor Very poor

  • Very good
  • Good
  • Poor
  • Very poor

• External Condition of the building.

  Select Very good Good Poor Very poor

  • Very good
  • Good
  • Poor
  • Very poor

• Remedial Works Required.

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If yes please give details of remedial work required plus photos.

Access

• On site parking.

• Client Instructions.

• Access Issues.

  Yes

  No

  N/A

• Access Equipment Required.

  Select None Ladders Scaffold Board for Flat Roof Scaffolding Conservatory Ladder Roof Ladder

  • None
  • Ladders
  • Scaffold Board for Flat Roof
  • Scaffolding
  • Conservatory Ladder
  • Roof Ladder

Details

• Total area to be extracted, cleaned or inspected.

• Material to be installed/extracted

  Select Yellow/White Fibre Foam Rockwool Loose polystyrene bead Debris None

  • Yellow/White Fibre
  • Foam
  • Rockwool
  • Loose polystyrene bead
  • Debris
  • None

• What is the condition of the installed material

  Good

  Fair

  Poor

  N/A

• Are there any cracks in the render or brickwork

  Yes

  NO

  N/A

• If yes please explain

  Yes

  NO

  N/A

Property Elevations.

• Photo of elevation s

  Media

• Boroscope Photos.

  Media

Summary

• Surveyors Findings

• Jordan Jones

  Jack Powell

  Mark Griffiths

Dynamic Risk Assessment.

• Reversing vehicle.

  Yes

  No

  N/A

• Asbestos.

  Yes

  No

  N/A

• Overhead electricity cables.

  Yes

  No

  N/A

• Use of a step ladders or ladder.

  Yes

  No

  N/A

• Use of a mobile tower.

  Yes

  No

  N/A

• Manual Handling.

  Yes

  No

  N/A

• Working on a roof.

  Yes

  No

  N/A

• Hand tools.

  Yes

  No

  N/A

• Vibration.

  Yes

  No

  N/A

• Noise.

  Yes

  No

  N/A

• Electricity/Generator

  Yes

  No

  N/A

• Compressed air.

  Yes

  No

  N/A

• House keeping.

  Yes

  No

  N/A

• Working with wet cement, concrete and mortar.

  Yes

  No

  N/A

• Use of mobile elevation working platform (mewp).

  Yes

  No

  N/A

• Lone worker.

  Yes

  No

  N/A