LCX Combined Measure Survey F253 V1.7

Title Page

Details

Conducted on
Prepared by
- Steve Britton
- Lee Glenister
- Rob Cooper
- Vince Stokes
- Sean Glossop
- Jez Illy
- Rob McKenna
- Alister Paisley
- David Fox
- Billy Wright
Client and Tenure
- Owner Occupier
- Exeter City Council
- Shal Housing
- Rooftop
- Alliance Homes
- Abri
- Magna
- Celtic Horizons
- Live West
- Other
- Privately Rented
Survey Type
- LCX Combined Measure Survey F253
First Line of Address
Front Elevation Photo
GPS

Resident and Occupancy Details

Customer Details

Resident Name
Resident Contact Number
Resident Email
Best Days for Installation / Days to Avoid
Current Energy Supplier
- Utilita
- British Gas
- EON
- EDF
- Octopus
- OVO
- nPower
- Scottish Power
- SSE
- Other
- Unknown
Which Supplier?
Is More Detailed Occupancy Information Required?
Is the occupancy considered typical for the property?
Over or Under Occupied?
How many people live in the property?
Is there a thermostat?
Is the thermostat maintained at a typical temperature?
Is this due to the thermostat temperature being considered higher or lower than typical?
Is the heating pattern considered typical for the property?
Is this due to the heating pattern being considered higher or lower than typical?
Does the customer utilise all heat emitters within each room that contains them?
Has the customer been made aware of the process of gathering personal data and relevant Data Protection policies?
Can you identify any existing Energy Efficiency Measures that have been installed?
Current Energy Efficiency Measures
Do you believe that all current Energy Efficiency Measures are being used correctly?

Basic Property Details

Property Type
What Type
Attachment
- Semi
- Detached
- Linked
- Mid Terraced
- End Terraced
- Ground Floor
- Top Floor
- Mid Floor
- Other
Building Finish
- Brick
- Painted Render
- Brick/Render
- Pebble Dash
- Recon Stone
- Spar
- Limestone/Sandstone
- Granite/Whinstone
- Faced brick in a high exposure area not suitable for cavity wall insulation
Construction Type
- Cavity Wall
- Solid Brick
- System Built
- Metal Frame
- Other
Structural Condition of Wall
Structural Issues/Remedial Works Required
Details of remedial works and photos
Photo of remedial works required
Age Band
- A - Pre 1900
- B - 1900 - 1929
- C - 1930 - 1949
- D - 1950 - 1966
- E - 1967 - 1975
- F - 1976 - 1982
- G - 1983 - 1990
- H - 1991 - 1995
- I - 1996 - 2002
- J -2003 - 2006
- K - 2007 - 2011
- L - 2012 onwards
Listed Building / Conservation Area
Has the Council Website Been Checked at Point of Survey?
Should the planning department be notified?
Number of Storeys
- 1
- 2
- 3
- 4
- 5
- 6
Floor Construction Type
- Solid
- Suspended Timber
- Suspended, Not Timber
- Unknown
Structural Condition of Floor
Structural Condition of Roof
Internal Inspection of Building Completed
What Condition is the Inside
- No Internal Issues Visible
- Damage to Ceiling
- Water Stain on Ceiling
- Low Level Damp Near Skirting Boards
- Black Mould in the Corners of the Rooms
- Black Mould on the Ceiling and Walls
- Condensation on the Windows and External Walls
Photographic Evidence
Number of Bedrooms
- 1
- 2
- 3
- 4
- 5
- 6
Number of Bathrooms
- 1
- 2
- 3
- 4
- 5
- 6
Main Heating Type?
- Mains Gas
- Oil
- Solid Fuel
- Electric
- Renewable Energy
- LPG
- Heating not working at the time of survey
Photographic Evidence
Secondary Heat source?
- Gas Fire with Flue
- Gas Fire with chimney
- Gas Fire Flush Fitted
- Open Fire with internal chimney
- Open Fire with external chimney
- Wood Burner
- Electric Effect Fire
- No other heating present
Photographic Evidence
Safety Monitors Present
- Smoke Alarm
- CO2 Alarm
- Fire Alarm
At the time of attending the property did you witness any protected animals/did the resident make you aware of any protected animals?
Give Details
On Site Parking
Where?
Any Access Issues
What Issues are Present

Loft Insulation Survey

Is Loft Insulation a Proposed Measure?
Is the Loft Accessible?
Is loft to be insulated.
- Yes loft requires topping up
- No Loft has sufficient insulation
- Unable to check due to the amount of tenants belongings.
Photo of loft and access point
Loft Hatch Size?
Area to be insulated.
Existing Depth.
- 0mm
- 12mm
- 25mm
- 50mm
- 70mm
- 80mm
- 100mm
- 125mm
- 150mm
- 170mm
- 200mm
- 250mm
- 270mm
- 300mm plus
Photo of existing depth.
Depth to be added.
- Existing over 250mm
- 100mm
- 150mm
- 170mm
- 200mm
- 250mm
- 270mm
- 300mm
Pipes and Tanks Present
Details of Pipes and Tanks to be insulated
Down lights present in ceiling?
Details of down lights, how many and there current location
Do they have halogen bulbs fitted.
Can you see the IP rating on the casing?
Please take a photo of the down light IP rating.
Are there any existing down light covers fitted?
If YES are they fire rated covers?
Electrical wiring free from visual defects?
Are there any high voltage cable's in the loft space.
If YES please select the type of cable in the loft space.
- Cooker cable
- Shower cable
- Immersion cable
- PV cable
In your opinion should loft be Rolled or Blown?
Loft Height at Centre
- 0.80 metres
- 0.90 metres
- 1.00 metres
- 1.20 metres
- 1.40 metres
- 1.50 metres
- 1.60 metres
- 1.80 metres and above.
Does a steel combustion flue pass through the loft space?
Relay of Insulation Required?
Loft hatch needing D/P
Loft vents required
Areas to be omitted
What Areas?
Does the loft have any boarding?
If YES can we insulate at lease 2/3 of the loft space?
Has the boarded area got insulation under it?
If not insulated under, are the joist tunnels tightly sealed with insulation at the ends?
Walkway required
Details of walkway
Loft clearance
Details of loft clearance
Additional notes
Why?
- No Hatch
- Hatch Blocked
- Hatch Over Stairs (Cannot Access Safely)
- Resident Refused Access
- Other
What?

Cavity Wall Insulation Survey

Cavity Wall Survey

Is Cavity Wall Insulation a Proposed Measure?
Required material.
Total area to be insulated.
Any Omitted Areas
Total area to be omitted.
Photos of omitted areas.
Material to be Extracted
- Yellow/White Fibre
- Foam
- Rockwool
- Loose Polystyrene Bead
- Debris / Rubble
- Over Bonded Bead
Average Cavity Depth
- 40mm
- 45mm
- 50mm
- 55mm
- 60mm
- 65mm
- 70mm
- 75mm
- 80mm
- 85mm
- 90mm
- 95mm
- 100mm
- 105mm
- 110mm
- 115mm
- 120mm
- 125mm
- 130mm
- 135mm
- 140mm
- 145mm
- 150mm
- 155mm
- 160mm
- 165mm
- 170mm
- 175mm
- 180mm
- 185mm
- 190mm
- 195mm
- 200mm
Please take a photo of the overall cavity width across a door or window reveal.
Please select the type of ventilation present, including extraction ventilation and trickle vents.
- Bedroom ventilation
- Combustion ventilation
- Bathroom ventilation or extraction fan
- Kitchen ventilation or extraction fan
- Pantry vents
- Underfloor vents
- Trickle vents
- None
Please take a photo of all vents and extraction fans fitted within the property including at least 2 photos of window trickle vents.
Do any of the air vents require sleeving or sealing up before installing the cavities.
If yes please select the air vents that require sleeving or sealing up.
- Bedroom ventilation
- Combustion ventilation
- Bathroom ventilation or extraction fan
- Kitchen ventilation or extraction fan
- Pantry vents
- Underfloor vents
- Trickle vents
- None
Adjoining properties insulated ?
Number of Cavity brushes required.
Location of Flue
- Front
- Rear
- Left from front
- Right from front
- Garage and/or outbuilding
- Other elevations
- N/A
Combustion core vent required.
Number of combustion vents required.

Front Elevation.

Cavity Depth.
- 40mm
- 45mm
- 50mm
- 55mm
- 60mm
- 65mm
- 70mm
- 75mm
- 80mm
- 85mm
- 90mm
- 95mm
- 100mm
- 105mm
- 110mm
- 115mm
- 120mm
- 125mm
- 130mm
- 135mm
- 140mm
- 145mm
- 150mm
- 155mm
- 160mm
- 165mm
- 170mm
- 175mm
- 180mm
- 185mm
- 190mm
- 195mm
- 200mm
Photo of the elevation inc Boroscope hole marked with an S.
Borescope Photos
Photo of DPC showing a tape measure
Is a French Drain Required?
Is the DPC bridged at any point on this elevation?
Photos of tape measure in the cavity.
Comments

Rear Elevation

Cavity Depth
- 40mm
- 45mm
- 50mm
- 55mm
- 60mm
- 65mm
- 70mm
- 75mm
- 80mm
- 85mm
- 90mm
- 95mm
- 100mm
- 105mm
- 110mm
- 115mm
- 120mm
- 125mm
- 130mm
- 135mm
- 140mm
- 145mm
- 150mm
- 155mm
- 160mm
- 165mm
- 170mm
- 175mm
- 180mm
- 185mm
- 190mm
- 195mm
- 200mm
Photo of the elevation inc Boroscope hole marked with an S.
Borescope Photos
Photo of DPC showing a tape measure
Is a French Drain Required?
Is the DPC bridged at any point on this elevation?
Photos of tape measure in the cavity.
Comments

Right hand elevation

Is there a right hand elevation on this property
Cavity Depth
- 40mm
- 45mm
- 50mm
- 55mm
- 60mm
- 65mm
- 70mm
- 75mm
- 80mm
- 85mm
- 90mm
- 95mm
- 100mm
- 105mm
- 110mm
- 115mm
- 120mm
- 125mm
- 130mm
- 135mm
- 140mm
- 145mm
- 150mm
- 155mm
- 160mm
- 165mm
- 170mm
- 175mm
- 180mm
- 185mm
- 190mm
- 195mm
- 200mm
Photo of the elevation inc Boroscope hole marked with an S.
Borescope Photos
Photo of DPC showing a tape measure
Is a French Drain Required?
Is the DPC bridged at any point on this elevation?
Photos of tape measure in the cavity.
Comments

Left hand elevation

Is there a left hand elevation on this property
Cavity Depth
- 40mm
- 45mm
- 50mm
- 55mm
- 60mm
- 65mm
- 70mm
- 75mm
- 80mm
- 85mm
- 90mm
- 95mm
- 100mm
- 105mm
- 110mm
- 115mm
- 120mm
- 125mm
- 130mm
- 135mm
- 140mm
- 145mm
- 150mm
- 155mm
- 160mm
- 165mm
- 170mm
- 175mm
- 180mm
- 185mm
- 190mm
- 195mm
- 200mm
Photo of the elevation inc Boroscope hole marked with an S.
Borescope Photos
Photo of DPC showing a tape measure
Is a French Drain Required?
Is the DPC bridged at any point on this elevation?
Photos of tape measure in the cavity.
Comments

Building extensions

Is there an extension on this property
Cavity Depth
- Yes please see post extraction report above.
- No, debris needs removing and wall ties cleaning and still a small amount of existing insulation to be removed.
- No, remedial works required before cavities refilled
- No, old insulation still present.
- Having scoped the cavities I'm unable to detect any issues with the existing cavity wall insulation.
Photo of the elevation inc Boroscope hole marked with an S.
Borescope Photos
Photo of DPC showing a tape measure
Is a French Drain Required?
Is the DPC bridged at any point on this elevation?
Photos of tape measure in the cavity on each elevation.
Comments

Additional Ventilation Questions if Funding is Available

Funding Questions

Is Funding Available?
Does the property meet the minimum acceptable ventilation requirements set out in PAS 2035?
Does the cooker have a hood which ventilates to the outside?
Is there an airing cupboard or drying room that is ventilated to the outside?
Is there a tumble dryer which is vented to the outside of the property?
Do all wet rooms have as a minimum some from of passive or purge ventilation? (opening windows, air bricks or trickle vents)
Do all wet rooms have closing doors?
Is there a passive ventilation system?
Is there a mechanical ventilation system? (Continuous mechanical extract ventilation, Continuous mechanical ventilation with heat recovery)
Is there evidence of intermittent heating to parts of the property ?e.g TRV's being turned down too low to unused areas.
Are there appropriate controls in place to regulate the heating in the property?(thermostat, programmer etc)
Is the thermostat set to a minimum of 10 Celsius in all parts of the property that are heated?
Is there evidence of clothes being dried in the property?
Are there more bedrooms than occupants?
Is there single glazing at the property?
Has the importance of behaviour to moisture and condensation been explained to the occupants and left behind?
Is there a condensation calculation required? If so what elements?

External Wall Insulation Survey

Is an external wall insulation survey required?
Number of elevations to be treated
- 1
- 2
- 3
- 4
- 5
- 6
Does the wall have cavity insulation?
If no, has the cavity been sealed at the perimeter?
Need for fire separation of the compartments/Boundaries defined:
EEM Design: Accounts for the Building Regulation requirements for fire:

EEM DESIGN:

Design accounts for building exposure:
Design accounts for loading in service e.g Impact:
Comments
Design eliminates thermal bridging:
Design minimises thermal bridging

Existing Finishes: External/Internal

Agrees with Retro fit Assessment and Design
External Finishes
- Stone
- Brick
- Sand & Cement Render
- Mass Concrete
- Dry dash
- Wet Dash
- Concrete Block
- Wood paint
- Tile Hanging
- Other
Please state other type of finish.
Internal: Colours & Textures
- Plaster skim
- Plaster board
- Sand and Cement
- Insulated Plaster Board
- Timber
- Other
Other internal finishes please specify:
- Wallpaper
- Paint
- Tiles
Comments:

Through Wall Construction

Internal to external surface layers
Overall Wall Thickness
Photo of wall thickness
Layer 1
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 2
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 3
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 4
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 5
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 6
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 7
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Has a second through wall construction been identified ?
Overall Wall Thickness
Photo of wall thickness
Layer 1
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 2
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 3
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 4
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 5
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 6
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 7
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Has a third through wall construction been identified ?
Overall Wall Thickness
Photo of wall thickness
Layer 1
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 2
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 3
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 4
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 5
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 6
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame
Layer 7
- Wallpaper
- Paint
- Plaster Skim
- Render
- Dense Concrete Block
- Lightweight Concrete Block
- Cavity
- Cavity Insulation
- Timber Frame
- Plywood
- Plasterboard
- Insulated Plasterboard
- Dry Dash
- Wet Dash
- Hanging Tile
- Brickwork
- Stone
- System built Concrete wall with cavity
- System built Concrete without cavity
- Metal Frame

Property Elevation Photos

Which Elevations exist on this property
- Front
- Rear
- Left from front
- Right from front
- Garage and/or outbuilding
- Other elevations
- N/A
Photos

Property Measurements:

Property Sketch Photos with Measures

Enabling

Satellite Dish works (qty)
TV Ariel (qty)
External Lights (qty)
Alarms (qty)
CCTV (qty)
Electric Cables (description and lm)
Satellite Cables (lm)
Electric Box (Type and qty)
BT Box (qty)
Gas Box (Type and qty)
Gas Flue (position and qty)
Gas Pipework (lm)
Condense Pipework (lm)
PRV (qty)
Overflow (qty)
External Tap (qty)
Downpipes (Number of downpipes and lm)
Soil and Vent Pipe (connections and lm)
Vent Pipe (lm)
Through soffit (Y/N)
Gates (Material and qty)
Fence panels (material and qty)
Fence posts (material and qty)
Walls (construction type and description)
Canopy/Porch (material and qty)
Vegetation (day work estimation)
Handrail (material and lm/brackets)
Grab rails (material and qty)
Scaffolding Bridge (qty)
Window Cills (over or under)
Insulated Plinth Detail (lm)

STRUCTURAL DEFECTS (E.g. Cracking, subsidence,weak or cored components):

Is there any evidence of structural defects ?
What are the Details?
Requires Competent Person e.g. Structural Engineer
Photos of Structural Defects
EEM Design:
Structural repairs included in the design before works start
Structural repair to be carried out by others before works start
Site pull-out tests undertaken for mechanical fixings
System fixing design calculated for all loading conditions ( wind,system weight etc.)
Design eliminates thermal bridging
Design minimises thermal bridging
Interface design details( weather seals etc.) comply with requirements of PAS 2030 2019

EXISTING RENDER:

Comments:
- No evidence of defects
- Defects apparent
Comments on apparent defects
Agrees with Retrofit Assessment/Design
Photo(s)
EEM Design:
Requires removal, partial removal, repair
Render repair included in the design
Render repair measure to be carried out by others prior to works.

PRESENCE OF DAMP (RISING, PENETRATING OR CONDENSATION):

Comments
Comments on damp
Photo(s)
EEM Design:
Damp treatment included in the design
Damp treatment measure to be carried out by others prior to works starting.

FROST DAMAGE:

Comments
- No evidence of weathering damage
- Evidence of weathering damage
Photo(s)
EEM Design:
Frost repair included in the design
Frost repair measure to be carried out before

DETAIL/LOCATION OF MOVEMENT JOINTS:

Are there Movement Joints
- No movement joints in existing or required by EEM
- Movement joints in existing
- New movement joints required
Comments of movement joints
Photo(s)
EEM Design:
Included in the design
Design eliminates Thermal bridging
Design minimises Thermal bridging
Interface design details (weather seals etc.) comply with the requirements of PAS 2030 2019

MOSS/LICHEN/MOULD/IVY or EFFLORESCENCE

Is MOSS/LICHEN/MOULD/IVY or EFFLORESCENCE present
Comments of growth
Photo(s)
EEM Design:
Remediation included in the design
Design eliminates cold bridging
Design minimises cold bridging
Interface design details (weather seals etc.) comply with requirements of PAS 2030 2017

WINDOWS/DOOR MATERIAL:(Timber/PVC/Other):

Photo(s):
Window material type
- UPVC
- Timber
- Metal
- Composite
Window Renewal
Door material type
- UPVC
- Timber
- Metal
- Composite
External Door Renewal
EEM Design:
Design eliminates Thermal bridging
Design minimises Thermal bridging
Interface design details (weather seals around cill, window frame etc.) comply with requirements of PAS 2030/2019
Comments:

EXTERNAL SERVICES/ATTACHMENTS TO THE WALLS e.g (Satellite dish, lights):

Photo(s)
EEM Design:
Design eliminates Thermal bridging
Design minimises Thermal bridging
Interface design details (weather seals around cill, window frame etc) comply with requirements of PAS 2030/2019
Comments:

EXTERNAL ELECTRICAL CABLES/EQUIPMENT:

Photo(s)
EEM Design:
Design eliminates Thermal bridging
Design minimises Thermal bridging
Design details (Penetration,fixings, weather seals etc.) comply with requirements of PAS 2030 2019
Comments:

EWI ABUTMENT TO EAVES & ROOFS:

Photo(s)
EEM Design:
Design eliminates Thermal bridging (full continuity between wall and the roof insulation)
Design minimises Thermal bridging (partial continuity between wall and roof insulation)
Interface design details (weather seals etc.) comply with the requirements of PAS 2030/2019
Comments:

EWI ABUTMENT TO OTHER STRUCTURES (Conservatories extensions, garden walls, gate posts etc):

Photo(s)
EEM Design:
Design eliminates Thermal bridging
Design minimises Thermal bridging
Interface design details (weather seals etc.) comply with requirements of PAS 2030/2019
Comments:

RAIN WATER AND DRAINAGE PIPES:

Photo(s):
EEM Design:
Can existing Pipework be moved ?
Design eliminates Thermal bridging
Design minimises Thermal bridging
Design details (Penetrations, fixings, weather seals, mounting blocks etc.) comply with the requirements of PAS 2030/2019
Comments:

DAMP PROOF COURSE(DPC) PROVISION AND LOCATION:

Photo(s) of DPC (Each Elevation)
EEM Design:
Design eliminates Thermal bridging
Design minimises Thermal bridging
Design details (E.g Insulated plinth below DPC) complies with requirements of PAS 2030/2019
Comments (including any insulated plinth detail and location)

ARCHITECTURAL FEATURES (e.g. protruding stone work, tile sills, soldier courses):

Photo(s)
EEM Design:
Design eliminates Thermal bridging
Design minimises Thermal bridging
Design details (Penetrations, fixings, weather seals,etc.) comply with requirements of PAS 2030 2019
Comments:

Ventilation Survey

Is a Ventilation Survey Required?
Living Room?
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
Dining Room?
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
Bedroom 1?
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
Bedroom 2?
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
Bedroom 3?
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
Bedroom 4?
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
Bedroom 5?
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
Study?
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
Other Specify?
What Room
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
Kitchen?
Has Extractor Fan
Is the Extractor Fan Working
Extractor Fan Flow Rate
Does it Require Replacement?
Does it Require Replacement
New Extractor to be Installed in Kitchen
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
Bathroom?
Has Extractor Fan
Is the Extractor Fan Working
Extractor Fan Flow Rate
Does it Require Replacement?
Does it Require Replacement
New Extractor to be Installed in Bathroom
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos
W/C?
Has Extractor Fan
Is the Extractor Fan Working
Extractor Fan Flow Rate
Does it Require Replacement?
Does it Require Replacement
New Extractor to be Installed in W/C
Has Required Door Undercuts
Door Requires Trimming
Has Purge Ventilation
Has Trickle Vents / Background Ventilation
Photos

PV Survey

Is a PV Survey Required

Roof Type

Roof Style
- Gable Roof
- Hipped Roof
- Gambrel Roof (barn style)
- Flat Roof
- Mansard Roof
- Shed Roof
Tile Type
- Plain tiles / Slates (solar limpets)
- Low profile Interlocking tiles / Redland Tiles (220 wide)
- Profiled Tiles (Standard)
- Flat Roof
Tile Description (clay or concrete, interlocking or lapped)
- Clay
- Concrete
- Slate
- Interlocking
- Lapped
- Unknown

Roofing and Scaffold

Scaffold Location
- Front
- Back
- Left Side
- Right Side
Height of Eaves?
Required Access to rear?
Location of rear access
Where?
Length (along gutter) Metres
Height (up roof slope) Metres
Pitch ° degrees
Height of Roof Above Eaves?
Orientation from South (south = 0º East = West =+) degrees
Is the Loft Accessible?
Roof type
Size of Purlin
Number of Purlin supports
Maximum Unsupported Rafter Length
Size of Rafters/Top Chord of Truss
Number of Trusses/Rafters
Rafter/Truss Centres
Timber Condtion
Felt Condition
Observations (e.g holes in felt around gas flue)
Loft Condition
- Clear
- Cluttered
- Tenant Agreed to clear loft
- Area Around Hatch Blocking Access
Any Issues With Loft access
Loft Headroom Meters
- 0.80 metres
- 0.90 metres
- 1.00 metres
- 1.20 metres
- 1.40 metres
- 1.50 metres
- 1.60 metres
- 1.80 metres and above.
Temporary Loft Light Required
Temporary Loft Walkway Required
Why?
- No Hatch
- Hatch Blocked
- Hatch Over Stairs (Cannot Access Safely)
- Resident Refused Access
- Other
Notes

Electrics

Consumer Unit Make and Model (e.g. Crabtree, Starbreaker)
- Crabtree
- Starbreaker
- Hager
- Lewden
- MK
- Schneider
- Other
- Unable to Access
What Brand?
Breaker Type
Location
- Under Stairs
- Front Hallway
- Cupboard
- Other
- Under Sink
- Unknown
Where?
Distribution Board Upgrade Required
Spare Way for PV
Additional Garage DB Required for PV
Earthing to Gas Meter
Gas Meter Location
- Under Stairs
- Front Hallway
- Cupboard
- Other
- Under Sink
- Unknown
Where?
Earthing to Water Main
Water Main Location
- Under Stairs
- Front Hallway
- Cupboard
- Other
- Under Sink
- Unknown
Where?
Earthing Type

Import Meter Type

Meter Type
Does Meter require changing?
Make and Model of Meter
Meter Serial Number
Is the MPAN Number Present
What is the MPAN Number
Is there room for the 4 pole isolation switch next to the existing meter
Import Meter Location
Where is it?
Generation Meter Location (Proposed)
Where shoud it be located?

Photovoltaic System Proposed

Proposed Inverter Location
Where should is be located?
Can a 600 x 780 board fit on wall and through internal roof access
Approx AC cable run length from Consumer Unit to Inverter
Cellular Networks Checked with Good Signal?
- O2
- Vodaphone
- BT EE
- 3
- Other

Photo Checklist

Property Elevations, Front Door & Scaffold Access
Suitable Roof Elevation Close Up including gutter
Proposed Inverter Location
Roof Void if relevant including TV ariel
Consumer Unit and Close up of Breakers
Electricity Meter & Mains Fuse / Earth in Meter Box
Water main bond
Gas Main bond (if applicable)
Satellite dish (if any) including closeup of bracket

Shading

Has SunEye Survey been completed
Why?
Notes
Notes

Air Source Heat Pump Survey

Is an Air Source Heat Pump Survey Required
Water Pressure
BBU Removal Required
Photographic Evidence
Fireplace Removal/Block up Required
Photographic Evidence
Window Material Type
Loft Water Tank Removal
Electricity Cost per kWh
Fuse Board and Main Fuse Cut Out Rating
Main Fuse Cut Out Rating
Is the mains service looped? (2 cables, 1 coming out to neighbours propoerty)
Photographic Evidence
Smart Meter Installed?
Electric Meter Photographic Evidence

Cylinder Cupboard

Door Size
Cupboard Depth, Width & Height
Photographic Evidence of Cylinder Cupboard
What Size of Cylinder Will Fit
How will the Dischage Pipe Route to Outside be done
Existing Cylinder Type

Proposed Heat Pump

Bracket Type
Proposed Location
Proposed Location Photo
ASHP Soak Away Required
Recommendation
Pipework Upgrade to 28mm Required? (Daikin Requires 28mm). State length.
Trunking Requirements
Can the External Unit be Installed 1m from Boundary
Recommended Solution
How Many Reflective Surfaces
Distance to Nearest Habitable Room
From Assessment Area What Barrier is in Place

Thermostat

Current Thermostat Position
Photo of Current Location
Proposed Thermostat Position
Photo of Proposed Location

Existing Heating

How Many Storage Heaters/Radiators Need to be Removed?
Storage Heater Serial Number (For Asbestos Purposes)

Room Details

Floor Construction Type
Floorplan Showing Individual Room Sizes and Ceiling Height
Living Room
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Hallway
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Dining Room
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Upper Floor Hallway/Landing
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Bedroom 1
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Bedroom 2
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Bedroom 3
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Bedroom 4
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Bedroom 5
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Study
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Kitchen
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Bathroom
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
W/C
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Other Specify
What Room
Window Sizes
Number of Outside Walls
Internal Wall Type
Max Space Available for Radiator (Length, Height)
Existing Radiator Size
Photo
Job Requirements

Declarations

Customer Informed

LCX Not Responsible for Decorating
LCX Not responsible for Carpets
LCX Not Responsible for Laminate Flooring and Customer must Remove Prior to Works
LCX Not Responsible for Loose Ornaments, Mirrors, Pictures etc. Customer must Remove Prior to Works
Customer Informed if Shower is NOT Compatible with ASHP
LCX Not Responsible for Shower

Customer Declaration

DECLARATION: I understand what what is due to be carried out and I agree to the positions of the pipe-work, radiators, cylinder, external unit and room thermostat.
I agree to the use of the welfare facilities in my property
Customer Signature

Risk Assessment and Sign Off

Access Assessment

Does the main power cable to the property need sheathing before scaffold erected?
Photographic Evidence
Are there any restrictions to the property i.e. Low bridge, neighbours access required?
Comments
Photographic Evidence
Are there any conservatories or out buildings that require a scaffold bridge for this job?
Is the property location a main pedestrian route and/or a public walkway?
Comments
Photographic evidence
Is parking available, adequate for the size of vehicle and close to the property?
Comments
Photographic evidence
Do parking restrictions exist i.e. Residents parking?
Comments
Photographic evidence
Will the proposed works affect neighbouring properties?
Comments
Photographic evidence
Has the neighbouring property been notified of the imminent works?
Date of notification given

Asbestos Assessment

Are we in receipt of or have access to the asbestos survey or register for this property ?
Comments
Has asbestos been identified ?
Comments
Photographic evidence

Assessment Sign off

Surveyors Signature and Full name