Internal Survey Revised v2.6

• Job Number

• Conducted on

  Date

• Prepared by

• Location
  Address
Room

• Room use

  Select Porch/Vestibule Hallway Bathroom En Suite Kitchen Utility Room Living Room Dining Room Conservatory Bedroom

  • Porch/Vestibule
  • Hallway
  • Bathroom
  • En Suite
  • Kitchen
  • Utility Room
  • Living Room
  • Dining Room
  • Conservatory
  • Bedroom

• Floor level

• Room Dimensions (WxL)

• Heat Loss Perimeter

• Ceiling Height

• Any suspected Asbestos

  N/A

  Yes

  No

• Dangerous Gas or Electrical installations (Bare wires etc..)

  N/A

  Yes

  No

• Wall construction

  Solid Stone

  Timber Framed

  Orlit type construction

  Cavity/Traditional

  No Fines

• External wall depth

• Floor construction

  Solid/Concrete

  Suspended/Timber Joists

• Floor surroundings i.e. What is directly below the floor?

  Ground/Soil

  External Air/Vennel

  Heated Room

  Unheated Room

• Any visible cracks/movement (photograph if yes)

  N/A

  Yes

  No

• Any mould/damp/condensation (photograph if yes)

  N/A

  Yes

  No
Doors

• Door type

  Select Internal External

  • Internal
  • External

• Door Construction

  Select Timber uPVC/Metal Sliding Door Curtain/Fabric/Bead Saloon Style/Timber No door

  • Timber
  • uPVC/Metal
  • Sliding Door
  • Curtain/Fabric/Bead
  • Saloon Style/Timber
  • No door

• Width

• Height

• Area m2

• Orientation

  Select N/A (Internal Door) North South East West N/W N/E S/W S/E

  • N/A (Internal Door)
  • North
  • South
  • East
  • West
  • N/W
  • N/E
  • S/W
  • S/E

• Overshading

  Select N/A 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

  • N/A
  • 10%
  • 20%
  • 30%
  • 40%
  • 50%
  • 60%
  • 70%
  • 80%
  • 90%
  • 100%

• Glazing type

  Select N/A Single Glazing Double Glazing Triple Glazing

  • N/A
  • Single Glazing
  • Double Glazing
  • Triple Glazing

• Undercut/Overcut (10mm for airflow)

  N/A

  Yes

  No

• Draughtproofing and condition

  N/A

  Yes

  No

• Overall condition

  Good

  Fair

  Poor

  N/A

• Security/Locking

  N/A

  Yes

  No
Windows

• Window type

  Internal

  External

• Height

• Width

• Area m2

• Orientation

  Select N/A Internal unit North South East West N/W N/E S/W S/E

  • N/A Internal unit
  • North
  • South
  • East
  • West
  • N/W
  • N/E
  • S/W
  • S/E

• Over-shading i.e. Trees/Structures percentage

  Select N/A 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

  • N/A
  • 10%
  • 20%
  • 30%
  • 40%
  • 50%
  • 60%
  • 70%
  • 80%
  • 90%
  • 100%

• Glazing type

  N/A

  Single Glazing

  Double Glazing

  Triple Glazing

• Draught-proofing condition

  Good

  Fair

  Poor

  N/A

• Spacer type

  N/A

  Metal/uPVC

  Wood

• Trickle vents

  Select 1 2 3 4 N/A No

  • 1
  • 2
  • 3
  • 4
  • N/A
  • No

• Overall condition

  Good

  Fair

  Poor

  N/A

• Cill height

• Opening light/skylight etc..

  N/A

  Yes

  No

• Security/Locking

  N/A

  Yes

  No
Radiators

• Radiator Type

  Select T10/Single Panel (SP) T20/Double Panel (DP) T11/K1/Single converter (SC) T21/P+/Double panel single converter (DSC) T22/K2/Double panel double converter (DC) T33/K3/Triple panel triple converter (TC)

  • T10/Single Panel (SP)
  • T20/Double Panel (DP)
  • T11/K1/Single converter (SC)
  • T21/P+/Double panel single converter (DSC)
  • T22/K2/Double panel double converter (DC)
  • T33/K3/Triple panel triple converter (TC)

• Site plan location/reference

  Select Porch/Vestibule Hallway Bathroom En Suite Kitchen Utility Room Living Room Dining Room Conservatory Bedroom

  • Porch/Vestibule
  • Hallway
  • Bathroom
  • En Suite
  • Kitchen
  • Utility Room
  • Living Room
  • Dining Room
  • Conservatory
  • Bedroom

• Controls

  Select TRV Yes No N/A (Centrally controlled) Digital TRV Storage Heating control

  • TRV
  • Yes
  • No
  • N/A (Centrally controlled)
  • Digital TRV
  • Storage Heating control

• Pipework size/type

  Micro bore Copper

  Copper 22mm

  Copper 15mm

  Plastic 15mm

  Plastic 22mm

• Defects i.e. leakages

  N/A

  Yes

  No
Underfloor

• Applicable

  N/A

  Yes

  No

• Void depth

• Joist depth

  135mm

  175mm

  125mm

• Joist width

  35mm

  50mm

  75mm

• Joist centres

  Select 350mm 400mm 500mm 600mm 700mm 800mm 900mm 1m 1.2m

  • 350mm
  • 400mm
  • 500mm
  • 600mm
  • 700mm
  • 800mm
  • 900mm
  • 1m
  • 1.2m

• Joist condition

  Good

  Fair

  Poor

  N/A

• Insulation type and depth

  Select Kingspan/Phenolic Board approx. 20-50mm Kingspan/Phenolic Board approx. 50mm and above Mineral Wool 50-100mm Mineral Wool 100mm - 150mm Mineral Wool 150mm - 200mm

  • Kingspan/Phenolic Board approx. 20-50mm
  • Kingspan/Phenolic Board approx. 50mm and above
  • Mineral Wool 50-100mm
  • Mineral Wool 100mm - 150mm
  • Mineral Wool 150mm - 200mm

• Ventilation i.e. subfloor

  N/A

  Yes

  No

• Any visible cracks/movement

  N/A

  Yes

  No

• Any Mould/damp/condensation

  N/A

  Yes

  No
Ventilation

• Is there a 10mm undercut/overcut on the doors

  N/A

  Yes

  No

• Is there any ventilation present in this room (if multiple vents please add note)

  Select Wall vent (non mechanical) Extractor vent Cooker Hood (circulating) Cooker Hood (Extracting) Combustion Vent Redundant Chimney vent

  • Wall vent (non mechanical)
  • Extractor vent
  • Cooker Hood (circulating)
  • Cooker Hood (Extracting)
  • Combustion Vent
  • Redundant Chimney vent

• Any fuel burning appliances in this room N.B. KW rating and type

Water use

• Applicable/not applicable

  N/A

  Yes

  No

• Type of Shower

• Low flow shower head

• Any flow restrictors on taps

• Low flush WC or Cistern restrictors

Lighting/Appliances/Cooking

• Number and type of fixed lights/lamps

• Appliances (i.e. Higher use)

  N/A

  Gas Cooking appliance

  Electric Cooking appliance
Rooms and spaces outside of the thermal envelope

• Is this room outside of the thermal envelope

  Select N/A Yes No

  • N/A
  • Yes
  • No

• How is this space used

• General condition of space

• Depth and condition of any insualtion

• If roof or loft space is there a membrane/felt present

  N/A

  Yes

  No

• If applicable please provide a brief description

• Is there adequate ventilation

  N/A

  Yes

  No

• Are there any signs of condensation/mould/rot

  N/A

  Yes

  No

• How is this space accessed

• Condition of door/hatch i.e. insulated

• Any Electrical/Gas supplies in this space

  N/A

  Yes

  No

• Any suspected Asbestos in this space

  N/A

  Yes

  No

Please take photo of your Site Plan/s and submit within this section

• Site Plan/s submitted

  YES