MEGA SURVEY Work in progress - do not use!

• Conducted on

  Date

• Customer reference number

• Surveyor

• Customer name

• Geo-stamped Location of property
  Address

• Address including postcode

Property Type

• Year property Built

  Select

• No. Bedrooms

• House Type

  Select

• Property Type

  Select

• Exposure

  Select

• Number of storeys

• Property Height in meters

• Are any parts of the property Under Ground

  Yes

  No

• Describe the details of the underground sections

• Photographs of underground sections

  Media
Annotate drawing of underground sections - Repeat as neccessary

• annotate drawing form

  Drawing

Property Details

• Building construction type

  Select

• Notes:

• Has an asbestos risk survey been completed?

  Yes

  No

• Remedial action required before installation?

  Yes

  No

• Notes:

• Further Technical Investigation Required?

  Yes

  No

• Notes:

• Have any protected species been identified?

  Yes

  No

• Notes:

• Does the customer have a CO monitor in the property and is it in working order?

  Yes

  No

• Notes:

• Are there any combustion appliances within the property

  Yes

  No

• Does there current ventilation meet the requirements

  Yes

  No

• What additional ventilation is required

Additional ventilation - Room (repeat as required

• Room Name

• What additional ventilation is required

Access

• Surrounding Landscape Features

• Delivery Restriction

  Yes

  No

  N/A

• Notes

• Skip

  Yes

  No

• Notes

• Scaffolding Access

  Yes

  No

• Notes

• Has a working at height risk survey been completed?

  Yes

  No
Working At Height Risk Assessment - Repeat for each measure as necessary

• Is height work required

  Yes

  No

• Which activities require height work

  Select

• Detail activities here: For example: vertical flue to be installed through loft space and on roof

• Is access to a flat or pitched roof required

  Select Flat Pitched Both N/A

  • Flat
  • Pitched
  • Both
  • N/A

• Approximately how long will each activity take

• Can scaffolding be used

  Yes

  No

• Is it practicable for each activity

  Yes

  No

• Details of use, each activity it can be used for, how long, areas required etc.

• Can a Mobile Elevated Working Platform (MEWP) be used

  Yes

  No

• Is it practicable for each activity

  Yes

  No

• Details of use, each activity it can be used for, how long, areas required etc.

• Can a scaffold tower be used

  Yes

  No

• Is it practicable for each activity

  Yes

  No

• Details of use, each activity it can be used for, how long, areas required etc.

• Are ladders required and/or the most practicable option

  Yes

  No

• Justify your reasoning

• Are ladders for access or to be used as a working platform

• Access issues identified - select all that apply

  Select

• What action needs to be taken to negate these issues

• Are there any obstructions to the height work

  Select

• What action needs to be taken to negate these issues

• Height Issues

  Select

• What action needs to be taken to negate these issues

• Other H&S Issues for example: Asbestos, fragile roof, possible inclement weather etc.

• Is loft access required

  Yes

  No

• Is the loft hatch adequate for access

  Yes

  No

• Are there any issues with access to the hatch: for example, above stair case, in a cupboard etc.

  Yes

  No

• Is there an access ladder currently in place

  Yes

  No

• Is it in good working order and suitable for access

  Yes

  No

• Can our ladders achieve 1m of clearance into the loft space

  Yes

  No

• Is the loft part or fully boarded

  Yes

  No

• Is lighting adequate

  Yes

  No

• Is there enough height and room in the loft to work safely

  Yes

  No

• Are there any obstructions on the floor of the loft space

  Yes

  No

• Electric cables and pipework

  Yes

  No

• Damage to ceilings below, fragile ceilings

  Yes

  No

• Any further notes or action required

• Parking Restrictions

  Select

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.

  Yes

  No

  N/A

• Use of a ladder.

  Yes

  No

  N/A

• Working at height

  Yes

  No

  N/A

• Manual Handling.

  Yes

  No

  N/A

• Hand tools.

  Yes

  No

  N/A

• Vibration.

  Yes

  No

  N/A

• Noise.

  Yes

  No

  N/A

• House keeping.

  Yes

  No

  N/A

• Use of mobile elevation working platform (mewp) or a scaffold tower.

  Yes

  No

  N/A

• Lone worker.

  Yes

  No

  N/A

• Public Safety

  Yes

  No

  N/A

• Dust

  Yes

  No

  N/A

• Hot Works

  Yes

  No

  N/A

• Power Tools

  Yes

  No

  N/A

• Risk of fire

  Yes

  No

  N/A

• Electricity

  Yes

  No

  N/A

• Pets

  Yes

  No

  N/A

• Terrain - Slips, trips and falls

  Yes

  No

  N/A

• Busy road

  Yes

  No

  N/A

• Gas work

  Yes

  No

  N/A

• Waste or vermin

  Yes

  No

  N/A

• Telephone cables overhead

  Yes

  No

  N/A

• Risk to the environment - E.G waste water drains for spillages etc.

  Yes

  No

  N/A

Structure and Condition

• Is damp or condensation evident in the property?

  Yes

  No

• If the problem is condensation will the proposed installation cure the issue?

  Yes

  No

• Cancel the job

• Damp at property

  Select

• What do you believe the cause(s) to be

  Select

• Please detail how the problem(s) will be remedied

• Detailed photographs of issues

  Media

• Does the property require a more extensive structural survey?

  Yes

  No

• Provide details of why

Asbestos Risk Assessment

• Is an asbestos survey available for the property (Note: mainly commercial properties have these, however if social housing then one should be available or the customer may have had one carried out?)

  Yes

  No

• Does the survey say that there is any asbestos in ANY of the areas we may be working?

  Yes

  No

• Take photographs of the survey document and upload them here

  Media

• make general notes on the location of the asbestos

• Is the customer aware of any asbestos within the property

  Yes

  No

• Details of what the customer suspects is asbestos

• Photographs of suspected asbestos

  Media

• Will this suspected asbestos interfere with ANY of the work we will be undertaking

  Safe

  At Risk

• Has the customer had any asbestos removed

  Yes

  No

• Do they have a clean air certificate for this removal or any documented evidence from a contractor

  Yes

  No

• Take photos of this evidence

  Media

• Take a look at the property from an installation point of view. Can you identify any SUSPECTED asbestos that will effect the work being undertaken

  Yes

  No

• Photographs of suspected asbestos

  Media

• Detailed location of where this suspected asbestos is

• Explain to the customer that we may need to have a sample taken of suspected asbestos and further investigations by our Health & Safety department prior to any installations going ahead. Explain that there may be a small cost for this but the office will let them know.

Measure Selection

• Which measures are you surveying

  Select

Cavity Wall Survey

• Ring Beam

  Yes

  No

  N/A

• Parapet Wall

  Yes

  No

  N/A

• Floor Type

  Select
External Finishes - Each Elevation

• Elevation name - e.g Front, Rear, Right gable etc.

• Type

  Select

• Outer leaf capable of being weather resistant after installation?

  Safe

  At Risk

• Raked Joints

  Yes

  No

  N/A

• Depth of joint in mm

• Has the elevation suffered from dampness/water penetration?

  Yes

  No

  N/A

• has remedial work been carried out already to rectify

  Yes

  No

  N/A

• Is the customer willing for work to be carried out?

  Yes

  No

  N/A

• Has the property suffered from condensation?

  Yes

  No

  N/A

• Notes

• Are all guttering and downpipes in a good state of repair

  Yes

  No

  N/A

• Is there a finlock guttering system

  Yes

  No

  N/A

• is it lined?

  Yes

  No

  N/A

• Doors/window cills in good repair

  Yes

  No

  N/A

• Mastic seal to frames

  Yes

  No

  N/A

• Internal reveals sealed at door/window frames?

  Yes

  No

  N/A

• Is the cavity free of significant mortar and debris

  Yes

  No

  N/A

• Are wall ties free of significant mortar build-up

  Yes

  No

  N/A

• 3 scope holes must be drilled on each elevation and photographs of the cavity taken and uploaded here

  Media

Modifications to existing walls since the original construction of the building

• Doors

  Yes

  No

  N/A

• Windows

  Yes

  No

  N/A

• Inner lead removed on windows

  Yes

  No

  N/A

• Has an extension been built

  Yes

  No

  N/A

• Is it standard construction

  Yes

  No

  N/A

• Was it insulated during build

  Yes

  No

  N/A

• Partial or full fill

  Partial

  Full

Access and Obstruction

• Parking

  Select

• Neighbour access required

  Yes

  No

  N/A

• Oil tank

  Yes

  No

  N/A

• Shed or outbuilding

  Yes

  No

  N/A

Ventilation requirements

• External flue

  Yes

  No

  N/A

• Fire over 7kw

  Yes

  No

  N/A

• Existing combustion vents

  Yes

  No

  N/A

• Underfloor combustion vents

  Yes

  No

  N/A

• Are these sleeved

  Yes

  No

  N/A

• Timber suspended floor ventilators

  Yes

  No

  N/A

• Are they sleeved

  Yes

  No

  N/A

• What size are they

  Select

• How many are there

• Room Vents

  Yes

  No

  N/A

• Are they sleeved

  Yes

  No

  N/A

• What size are they

  Select

• How many are there

• Cavity vents

  Yes

  No

  N/A

• *Mark positions of all active ventilators and advise the customer of any additional requirements

Other

• Any areas to omit

  Yes

  No

  N/A

• DPC Continuous and effective

  Yes

  No

  N/A

• Interior cracks/openings allowing insulation ingress into the property?

  Yes

  No

  N/A

• Structural frame found in or across cavity >100mm

  Yes

  No

  N/A

• Wiring in cavity shielded or in conduit

  Yes

  No

  N/A

• Conservatory

  Yes

  No

  N/A

• Has a working at height survey been completed

  Yes

  No

  N/A

• Is there any suspected asbestos in the working area

  Yes

  No

  N/A

• have any protected species been identified

  Yes

  No

  N/A

• Does the customer have a CO³ Monitor and is it working

  Yes

  No

  N/A

General

• Not
  permitted:
  
  Rat trap bond or brick wall ties
  
  Structural faults (e.g. cracking, bowing)
  
  Vapour barrier
  
  Water penetration through parapet wall
  
  Penetrating or rising damp on inner leaf

• Ensure:
  
  A minimum of 3 holes per elevation must be drilled and a
  boroscope inspection carried out at each point at various locations
  to further confirm the condition and width of the cavity and identify drill holes on drawing
  
  Concrete gutters capping cavity must be watertight
  
  Exposed ring beams or slabs must be waterproof
  
  Extra care taken to identify and measure natural stone cavity
  width, to establish the projection of stone work into the cavity

Remedial Actions

• Is any remedial action required

  Yes

  No

  N/A

• Cavity cleaning above DPC

  Yes

  No

  N/A

• How long will this take in hours

• Cavity cleaning below DPC

  Yes

  No

  N/A

• How long will this take in hours

• Cavity cleaning notes - Note the location of cleaning, which elevations and the m² of expected rubble in cavity

• Wall ties to isolate

  Yes

  No

  N/A

• Wall ties to remove

  Yes

  No

  N/A

Notes

• Survey notes

• Photographs

  Media
Drawing page repeat as required

• Drawing Page to annotate if required

  Drawing
Loft Insulation Survey - Repeat Survey for more than 1 loft at property

Loft Insulation.

• Is loft to be insulated.

  Select Yes loft requires topping up No Loft has sufficient insulation Unable to check due to the amount of tenants belongings.

  • 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

  Media

• Loft Hatch suitable Size and location?

• Loft Area. (m²)

• Area to be insulated. (m²)

• Loft Height at Centre (Flat, slope)

  Select <1.2m 1.5 - 1.8m 1.9 - 2.7m >2.7m

  • <1.2m
  • 1.5 - 1.8m
  • 1.9 - 2.7m
  • >2.7m

• Existing Depth.

  Select 0mm 12mm 25mm 50mm 70mm 80mm 100mm 125mm 150mm 170mm 200mm 250mm 270mm 300mm plus

  • 0mm
  • 12mm
  • 25mm
  • 50mm
  • 70mm
  • 80mm
  • 100mm
  • 125mm
  • 150mm
  • 170mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm plus

• Photo of existing depth. including tape measure

  Media

• Depth to be added.

  Select Existing over 250mm 100mm 150mm 170mm 200mm 250mm 270mm 300mm 400mm

  • Existing over 250mm
  • 100mm
  • 150mm
  • 170mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm
  • 400mm

• Pipes and Tanks Present

  Yes

  No

• Pipe sizes to be insualted

  Select 15mm 22mm 28mm

  • 15mm
  • 22mm
  • 28mm

• How many metres

• How many metres

• How many metres

• How many tanks

• Down lights present in ceiling(s)?

  Yes

  No

• Details of down lights, how many and there current location

• Do they have halogen bulbs fitted.

  Yes

  No

• Can you see the IP rating on the casing?

  Yes

  No

• Please take a photo of the down light IP rating.

  Media

• Are there any existing down light covers fitted?

  Yes

  No

• If YES are they fire rated covers?

  Yes

  No

• Are there any high voltage cable's in the loft space.

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

• Please select the type of cable in the loft space.

  Select Cooker cable Shower cable Immersion cable PV cable

  • Cooker cable
  • Shower cable
  • Immersion cable
  • PV cable

• In your opinion should loft be Rolled or Blown?

  Rolled

  Blown

• Does a steel combustion flue pass through the loft space?

  Yes

  No

• Does the existing loft insulation require a relay

  Yes

  No

• Loft hatch needing D/P

  Yes

  No

• Loft vents required

  Yes

  No

• Areas to be omitted

  Yes

  No

• Does the loft have any boarding?

  Yes

  No

• Can we insulate at lease 2/3 of the loft space?

  Yes

  No

• Has the boarded area got insulation under it?

  Yes

  No

• If not insulated under, are the joist tunnels tightly sealed with insulation at the ends?

  Yes

  No

• Walkway required

  Yes

  No

• Details of walkway

• Does the loft need clearing prior to installation

  Yes

  No

• Details of loft clearance. Can the customer do it themselves or will an additional fee be required for us to do it, how much is there to be cleared etc.

Notes and drawings

• Survey Notes

• Additional Photographs

  Media
Drawing Page repeat as required

• Annotate drawing as required

  Drawing

External Wall Survey

EWI Pre works Requirements

• Current Substrate type

  Select

• Condition of Substrate

  Good

  Fair

  Poor

  N/A

• Notes:

• Current condition of DPC

  Good

  Fair

  Poor

  N/A

• please indicate on drawing level of DPC

• Notes:

• Remedial action required before installation?

  Yes

  No

  N/A

• Notes:

• Further Technical Investigation Required?

  Yes

  No

  N/A

• Notes:

• Has a pull out test been completed?

  Yes

  No

  N/A

• Notes:

Construction Details (Thermal Continuity Requirements)

• Plinths

  Yes

  No

  N/A

• Measurements

• Cills

  Yes

  No

  N/A

• Measurements

• Reveals

  Yes

  No

  N/A

• Measurements

• Heads/Lintels

  Yes

  No

  N/A

• Measurements

• Facia/Soffit

  Yes

  No

  N/A

• Measurements

• Verge/Eaves

  Yes

  No

  N/A

• Measurements

• Window Surrounds

  Yes

  No

  N/A

• Measurements

• Party Wall

  Yes

  No

  N/A

• Measurements

• Outbuildings(Conservatories etc)

  Yes

  No

  N/A

• Measurements

• Other

  Yes

  No

  N/A

• Description

• Measurements

Ventilation requirements

• External flue

  Yes

  No

  N/A

• Fire over 7kw

  Yes

  No

  N/A

• Existing combustion vents

  Yes

  No

  N/A

• Underfloor combustion vents

  Yes

  No

  N/A

• Are these sleeved

  Yes

  No

  N/A

• Timber suspended floor ventilators

  Yes

  No

  N/A

• Are they sleeved

  Yes

  No

  N/A

• What size are they

  Select

• How many are there

• Room Vents

  Yes

  No

  N/A

• Are they sleeved

  Yes

  No

  N/A

• What size are they

  Select

• How many are there

• Cavity vents

  Yes

  No

  N/A

• *Mark positions of all active ventilators and advise the customer of any additional requirements

Related Building Work and External Features

• *Please indicate features on drawing

Item

• Rainwater Goods

  Select

• Vents and Overflows

  Select

• Sat Dish

  Select

• TV Aerial

  Select

• Soil and Waste

  Select

• Boiler Flues

  Select

• Greenery

  Select

• Gates and Fences

  Select

• Electrical Equipment

  Select

• Residents’ fixtures and fixings

  Select

• Other - please specify

  Select

• Boiler Type:

• Boiler Location:

• Core Vent Required?

  Yes

  No

• Notes

Drawings and Photographs

• Photgraphs

  Media
Drawing Section Repeat as neccessary

• Annotate drawing page

  Drawing

• Is the property suitable for RIR Insulation?

  Yes

  No

  N/A

• Provide details and reasoning why

• Provide photographic evidence to support your reasoning

  Media

• Is 100% of the measure able to be installed?

  Yes

  No

  N/A

• Is the omitted area(s) already insulated

  Yes

  No

  N/A

• Why cant these areas be insualted

• What insualtion is fitted to these areas and is it compliant with current building regs and PAS 2035?

Room in Roof Type as per Stroma RdSAP guide

• Please circle type by annotating the picture

  Drawing

• Room is accessed by a permanent fixed staircase

  Yes

  No

Photographs

• Take photographs of the following. When submitting they must be clearly dated and labelled and will form part of photo packs as shown.
  If you are unable to take a photo – e.g. no access to side of property – please provide photos to evidence the reason

• Plan drawing

  Media

File Name EPOP

• Property Type (showing detachment). Include Front elevation, Rear Elevation, Side elevations and Roof Line

  Media

• DPC

  Media

• Wide angle of each bedroom

  Media

File name PMHS

• Main heating source

  Media

• Gas/electric meter (if Oil photo of tank/bottles)

  Media

• All flues, vents and heaters

  Media

File name PICP (All rooms to be labelled e.g Bedroom 1 slopes)

• Fixed staircase

  Media

• Evidence of common wall height less than 1.8m

  Media

• Pre-install wide angle photos from inside the RID (if multiple rooms within RIR photos of all rooms must be provided)

  Media

• Dormer windows (internal & external)

  Media

• Gable walls

  Media

• Party walls

  Media

• Slopes

  Media

• Bathroom/Shower room

  Media

• Residual loft space

  Media

• Stud walls

  Media

• Flat ceiling

  Media

• Mechanical vents

  Media

• Existing hatches or new hatches to be installed locations

  Media

• Live water tanks and pipes

  Media

• High-ampere cables

  Media

• Loft warning sign(s)

  Media

• Detailed site plan (not to scale - draw each element that is to be insulated)

  Media
Annotate grid form for drawings if required

• Add drawing

  Drawing

What RIR Elements are present

• If any elements are not to be 100% insulated please provide supporting reason

RIR Questions

• Are there any water tanks and/or pipes present in the loft space or residual loft space, that require insulating?

  Yes

  No

• What insulation is required

  15mm

  22mm

  28mm

• Are there any tanks that require insualting

  Yes

  No

• What type

  Select

• Is a walkway required to access water tanks?

  Yes

  No

  N/A

• Mark all water tanks on site plan

PAS2030:2019 and specific Annex Information

• Room in Roof Insulation will be installed in compliance with PAS2030:2019 and Annex B12 of this PAS.

Elements of Roof Room

• Annotate with measurements

  Drawing

• Flat Ceiling already insulated

  Yes

  No

• What insulation is already there in mm

• Area to be treated

  Yes

  No

• What thickness is to be installed (mm)

• What material is to be used

• What is the area (m²)

• Party Wall already insulated

  Yes

  No

• What material and process is to be used

• What is the area (m²)

• Sloping Ceiling already insulated

  Yes

  No

• What insulation is already there in mm

• Area to be treated

  Yes

  No

• What depth is to be installed in mm

• What material is to be used

• What is the area (m²)

• Gable Wall already insulated

  Yes

  No

• What insulation is already there in mm

• Area to be treated

  Yes

  No

• What depth is to be installed in mm

• What material is to be used

• What is the area (m²)

• Stud Wall already insulated

  Yes

  No

• What insulation is already there in mm

• Area to be treated

  Yes

  No

• What depth is to be installed in mm

• What material is to be used

• What is the area (m²)

• Is there a residual loft space

  Yes

  No

• Residual Loft Space already insulated

  Yes

  No

• What insulation is already there in mm

• Area to be treated

  Yes

  No

• What is to be installed and how much (m²)

• What material is to be used

• What is the area (m²)

• RIR Floor Area m²

Dormer Windows - repeat section as neccessary

• Are there dormer windows

  Yes

  No

• Anotate

  Drawing

• Must they be insulated from above or below

  Above

  Below

Flat Ceilings

• U-value should meet Standard for Renovation of Thermal Elements Table 3, Section 5 of Building Regulations Approved Document L1B in England & Wales

• Is there a horizontal ceiling within the roof void

  Yes

  No

• If no go to next section

• Does the roof space have acceptable working space (>1.2m)

  Yes

  No

• Is it already insulated to current building regulations

  Yes

  No

• What percentage of the element is being insulated

• If less than 100% of the element is to be insulated, state why and confirm how the installation will remain compliant with PAS2030:2019 in terms of thermal bridging and condensation risk

• Flat ceilings target U Value W/m²k

• Can the void be accessed safely

  Yes

  No

• Is a hatch or over boarding insulation required

  Hatch

  Overboarding

• Cross flow ventilation in the roof void will be maintained or delivered by (tick as appropriate)

  Select

• Given the above answer can cross flow ventilation across the timber roof members be assured

  Yes

  No

• If No, advise householder and do not proceed with installation until remedied

• How many 1200mm long walkboards are needed (if any)?

• How many existing hatches are present?

• How many new hatches (if any) are needed to allow access?

• Referring to NHBC Technical Guidance Document ‘Loft Hatches and Fire Resistance - December 2008 (7.2/18)’ – How many (if any) new hatches need to be fire rated?

Sloping Ceilings

• Are there sloping ceilings

  Yes

  No

  N/A

• Go to next section

• What percentage of element is being insulated?

• If less than 100% of the element is to be insulated, state why and confirm how the installation will remain compliant with: PAS 2030 2019 : in terms of thermal bridging and condensation risk:

• Sloping ceiling target U Value W/m²k

• OVERBOARDING ONLY INSULATION SYSTEM (where existing ceiling covering<br>is to remain) U-value should meet Standard for Renovation of Thermal Elements<br>Table 3, Section 5 of Building Regulations Approved Document L1B<br>This method consists of a layer of insulation fitted over the entirety of the sloping<br>ceiling, itself covered with a 12.5mm plasterboard c/w vapour barrier

  Compliant

  Non-Compliant

  N/A

• Installation method chosen matches system designers specification

  Yes

  No

  N/A

• If No to, provide evidence of alternative method of installation approved by system designer? Evidence attached

Stud Walls

• What percentage of the element is being insulated?

• condensation's condensation risk

• Remember: Any hatches or doors on stud walls must also be 100% insulated

• Are the dwarf walls formed in the studwork?

  Yes

  No

  N/A

• If access is present or can be formed through studwork walls, the reverse of the studs can be insulated. Heads of studs must be insulated to prevent thermal bridging. Will this method be employed?

  Yes

  No

  N/A

• How many existing hatches are present?

• How many new hatches (if any) are needed to allow access?

• Referring to NHBC Technical Guidance Document ‘Loft Hatches and Fire Resistance - December 2008 (7.2/18)’ – How many (if any) new hatches need to be fire rated?

• Masonry Common Walls

  Yes

  No

  N/A

• Have the masonry common walls been previously insulated using SWI/CWI?

  Yes

  No

  N/A

• If yes, do not insulate further and refer to POMI

• If no to, clad masonry wall with a layer of insulant, itself covered by a layer of 12.5mm plasterboard c/w vapour barrier. Will this method be employed?

  Yes

  No

  N/A

• Stud Wall Materials target U Value W/m²k

• If Installation method wont achieve manufacturers instruction provide evidence of alternative method of installation approved by system designer? Evidence attached

Gable Walls

• U-value should meet Standard for Renovation of Thermal Elements Table 3 Section 5 of Building Regulations Approved Document L1B (Wall – external or internal insulation)

• What percentage is being insulated

• If less than 100% of the element is to be insulated, state why and confirm how the installation will remain compliant with PAS2030:2019 in terms of thermal bridging and condensation risk:

• Has the gable wall(s) previously been insulated with SWI / CWI?

  Yes

  No

  N/A

• If no, clad wall with a layer of insulant, itself covered by a layer of<br>12.5mm plasterboard c/w vapour barrier. Will this method be employed?

  Yes

  No

  N/A

• Gable wall materials target U Value W/m²k

• If Installation method wont achieve manufacturers instruction provide evidence of alternative method of installation approved by system designer? Evidence attached

• If yes, do not insulate further and refer to POMI, section

Party Walls

• Does the party wall adjoin another heated space

  Yes

  No

  N/A

• Is the wall solid

  Yes

  No

  N/A

• If yes there is no requirement to insulate the element further. Refer to POMI, section.

• Yes

  No

  N/A

• Is the wall solid

  Yes

  No

  N/A

• treat like a gable wall. Clad wall with a layer of insulant, itself covered by a layer of 12.5mm plasterboard c/w vapour barrier. Will this method be employed?

  Yes

  No

  N/A

• if the wall is cavity, will this be filled?

  Yes

  No

  N/A

• What percentage of the wall will be insualted

• If less than 100% of the element is to be insulated, state why:

• If Installation method wont achieve manufacturers instruction provide evidence of alternative method of installation approved by system designer? Evidence attached

Dormer Cheeks and Ceilings

• U-value should meet Standard for Renovation of Thermal Elements Table 3 Section 5 of Building Regulations Approved Document L1B (note differing U value requirements for ceiling and wall elements)

• Is there a dormer window within the room in roof?

  Yes

  No

  N/A

• Go to next section

• What percentage of dormer cheeks is being insulated?

• If less than 100% of the element is to be insulated, state why:

• What percentage of dormer ceilings is being insulated?

• If less than 100% of the element is to be insulated, state why:

• Clad elements with a layer of insulant, itself covered by a layer of 12.5mm plasterboard c/w vapour barrier. Will this method be employed?

  Yes

  No

  N/A

• If no, what insulation method will be employed in its place. Show how this will meet the requirements

• Dormer Cheeks and Ceilings Materials – Target U Value W/m²k

Residual Loft Spaces

• U-value should meet Standard for Renovation of Thermal Elements Table 3 Section 5 of Building Regulations Approved Document L1B

• Is there a residual loft space present?

  Yes

  No

  N/A

• Is existing insulation ≤ 100mm?

  Yes

  No

  N/A

• If yes, this element will need further insulation.

• what is the total area of residual loft space where existing insulation is ≤ 100mm?

• Residual Loft Space Materials – Target U Value W/m²k

• Go to next section

  Yes

  No

  N/A

• Go to next section

All Elements

• Detail below any alterations required to electrical or other services to ensure full compliance with building regulations. For example: Sockets, radiators, fitted wardrobes, wall units – How are you going to deal with them? Kitchens and bathrooms noted in alternative section

• Services

  Select

• How many sockets are there

• What needs to be done to prepare the room

• Photos of sockets

  Media

• How many radiators

• What needs to be done to prepare the room

• Photos

  Media

• What work needs to be done to prepare the room

• Photos

  Media

• What work needs to be done to prepare the room

• Photos

  Media

• What needs to be done to prepare the room

• Photos

  Media

• What else is required

• Photos

  Media

• Any of the areas of the RIR require thinner insulation

  Yes

  No

• Details here

  Yes

  No

  N/A

Percentage of Measure Installed (POMI)

• Is 100% of the RIR being installed

  Yes

  No

• What is the reason for not achieving 100%

Notes

• Additional Notes

• Additional Photographs

  Media
Drawing Section - Repeat as required

• Annotate Drawing Form

  Drawing

• Is the property suitable for IWI?

  Yes

  No

• Provide details and reasoning why

• Provide photographic evidence to support your reasoning

  Media
Room(S) - Repeat this section for each room

• Room Name

• Is this room suitable for IWI?

  Yes

  No

• Elements/Junctions to be insulated - select all that apply

  Select

• Net area of walls to be insulated (m²)

• Depth of reveal (mm)

• Linear metres per room

• How many

• Additional works to be done walls

  Select

• Notes on physical condition – Include all remedial works:

• Physical condition of external wall and finishes

• Floor construction

  Select

• Notes of physical condition of floor – including details of any remedial works required:

• Treatment of intermediate floor zones?

  Yes

  No

• Why is this room unsuitable for IWI

Plumbing, electrical and woodwork

• Do any radiators need to be removed or replaced?

  Yes

  No

• Provide details

• Provide photographs

  Media

• Is there a boiler in the room

  N/A

  To be removed and refitted

  To be removed and replaced

• Provide details

• Provide photographs

  Media

• Do any gas meter / electrical distribution board need to be moved

  Yes

  No

  N/A

• Provide details

• Provide photographs

  Media

• Do you need to work around bathroom fittings / extractor fans?

  Yes

  No

  N/A

• Provide details

• Provide photographs

  Media

• Are there any other issues?

  Yes

  No

  N/A

• Provide details

• Provide photographs

  Media

• Will skirting boards need to be removed and replaced?

  Yes

  No

  N/A

• How many meters

• Photos

  Media

• Will skirting boards need to be removed and refitted?

  Yes

  No

  N/A

• How many meters

• Photos

  Media

• Will dado rails need to be removed and replaced?

  Yes

  No

  N/A

• How many meters

• Photos

  Media

• Will dado rails need to be removed and refitted?

  Yes

  No

  N/A

• How many meters

• Photos

  Media

• Will coving need to be removed and replaced?

  Yes

  No

  N/A

• How many meters

• Photos

  Media

• Will coving need to be removed and refitted?

  Yes

  No

  N/A

• How many meters

• Photos

  Media

Notes and Photographs

• Additional Notes

• Photographs

  Yes

  No

  N/A
Drawing section repeat as required

• Annotate drawing as necessary

  Drawing

Pitched Roof Insulation Survey

• Is the existing roof space ventilation adequate

  Yes

  No

• Can we add additional ventilation

  Yes

  No

• What ventilation can we add

• Are roof timbers free from rot and infestation

  Yes

  No

• Provide details and remedial work required

• Are any metal structural roof members free from visible signs of corrosion

  Yes

  No

• Provide details and remedial work required

• Is electrical wiring free from visible defects, e.g. damaged cables, trailing cables, exposed conductors

  Yes

  No

• Provide details and remedial work required

• Are there any visible signs of water penetration

  Yes

  No

• Provide details and remedial work required

• Are there any visible signs of leakage from water components e.g. pipework, cisterns, tanks etc

  Yes

  No

• Provide details and remedial work required

• Are all guttering and wastewater goods in good condition and sound (without signs of leakage)?

  Yes

  No

• Provide details and remedial work required

Sloping Roof Room Ceilings

• Will the existing ceiling covering be removed?

  Yes

  No

• Yes

  No

  N/A

• BETWEEN RAFTER AND OVERBOARDING SYSTEM (where existing ceiling covering is to be removed) U value should meet Standard for New Thermal Elements (Table 2, Section 5 Building Regulations, Approved Document L1B)

  Drawing

• Can a layer of insulant be friction fitted between the rafters?

  Yes

  No

• Can a layer of insulant, itself covered with a layer of 12.5mm plasterboard, be fitted over the entirety of the exposed ceiling area with vapour barrier?

  Yes

  No

• What depth of insulation can be fitted? (mm)

• What square meterage requires insulation and boarding? (m²)

• Can cross flow ventilation be assured following friction fitted insulant layer?

  Yes

  No

• What ventilation strategyproceedings is required to allow the work to proceed

Can cross flow ventilation be assured following friction fitted insulant layer?

• U value should meet Standard for Renovation of Thermal Elements (Table 3, Section 5 Building Regulations, Approved Document L1B)

  Drawing

• Will a layer of insulation be fitted over the entirety of the sloping ceiling area, itself covered with a layer of 12.5mm plasterboard with vapour barrier?

  Yes

  No

• What depth of insulation layer can be fitted? (mm)

• What square meterage requires treatment? (m²)

• Insulation system / material to be used?

• Areas to be omitted

  Yes

  No

• Why?

• Can the required U Value for this element be acheived?

  Yes

  No

Construction Measurements

• Can the loft areas be accessed?

  Yes

  No

• Pitched roof joist centres (mm)

• Pitched roof joist depth (mm)

• Loft joist centres (mm)

• Loft joist depth (mm)

• Finish required:

  Select

• Is there any high-capacity cabling (10mm/32 amp e.g. shower or oven) in any of the areas to be treated?

  Yes

  No

• Can cabling be SAFELY lifted above insulation to be installed?

  Yes

  No

• Detail electrical works required if high-capacity cabling cannot be safely lifted over insulation to be installed:

• Is lighting installed in the loft, or other areas due to be treated?

  Yes

  No

• Is task lighting required?

  Yes

  No

• Service Enabling Works – Are there Telecoms / Broadband / Satellite cabling etc. that will need to be moved?

  Yes

  No

• Heating and Plumbing – Are there any radiators that will need to be moved?

  Yes

  No

• How many

• Is there any heating or plumbing system pipework that will need to be extended or moved?

  Yes

  No

• Details of pipework including sizing

• Will the installation result in avoidable Thermal Bridging?

  Yes

  No

• Provide details

Notes

• Survey notes

• Photographs

  Media
Drawing section repeat as required

• Drawing Page to annotate if required

  Drawing

Flat Roof Survey

External Roof Details:

• Existing Roof Covering Material

  Select

• Roof Construction

  Select

• Provide details of roof construction

• Roof Width in metres

• Roof length in metres

• Angle of roof pitch in degrees

• Roof height from ground in metres

• Estimated age of roof in years

Internal Construction

• Is structure support accessible?

  Yes

  No

• Joist Centres in mm

• Joist dimensions

• Cross beam

• Other

Notes

• Take notes here:

• Photographs

  Media
Drawings Section repeat as required

• Annotate drawing here

  Drawing

FRI Measure Specific Details: (this section must be completed for compliance with PAS 2019):

• Will the proposed installation compromise the functionality of existing air supply/extract ventilation ducts/systems?

  Yes

  No

  N/A

• If yes, provide details below:

• Will the proposed installation affect the functionality of installed services (gas, electricity, water, telecommunications, etc.)?

  Yes

  No

  N/A

• If yes, provide details below:

• Has the extent of the area and elements to be insulated been identified?

  Yes

  No

  N/A

• If no, provide details below:

• Are timbers free from rot and/or infestation?

  Yes

  No

  N/A

• If no, provide details below:

  Yes

  No

  N/A

• Has the existence of appropriate roof internal ventilation arrangements been identified?

  Yes

  No

  N/A

• If no, provide details below:

• The condition of the ceiling (if applicable)?

  Yes

  No

  N/A

• If no, provide details below:

• Are the metal structural roof members free from visible signs of corrosion?

  Yes

  No

  N/A

• If no, provide details below:

• Is the electrical wiring free from visible defects, e.g. damaged cables, trailing cables and exposed conductors?

  Yes

  No

  N/A

• If yes, provide details below:

• Survey under construction

• Survey under construction

Type of installation

• Measure type

  Select

• Record these details and move onto the rest of the survey

• Current Boiler Type

  Select

• Suggested new boiler type

  Select

• Location of new boiler

  Select

• How many current radiators are there

• How many TRV's are there

• How many TRV's are working

• Is there a cylinder and what size is it

• Cylinder location and photo

• Current heating controls

  Select

• Are new heating controls required

  Yes

  No

  N/A

• Is the property suitable for first time central heating?

  Yes

  No

  N/A

• Move onto the rest of the survey and design system with best outcome for the customer in mind

• Carry out a diagnostic check of the boiler and ascertain if a repair is economically viable, if not survey for replacement or upgrade.

Boiler details

• Enter details of Boiler Position

• Boiler Position

  Media

• Gas Meter Position

• Flue Type

  Vertical

  Horizontal

  Vertical Slate Roof

• Condensate

  Internal

  External

  Pump

• Length of Gas Run in meters

Electrical Details

• Position of Thermostat

• Distribution Board

• Board Type Model

• Type of Board Protection

  Rewirable (3036) Wylex type

  Wylex plug in MCB

  Single RCD 16th Edition

  Dual RCD 17th Edition

  Dual RCD 18th Edition

• Picture of Board

  Media

• Earth bonding to gas

  Yes

  No

  N/A

• Size

  4mm

  6mm

  10mm

• Earth bonding to water

  Yes

  No

  N/A

• Size

  4mm

  6mm

  10mm

• Electrical Work Required for Instalation

• Is there a possibility of this property containing any Asbestos Materials ( if so State Where )

Radiator Pipework Details

• Type of pipework

  Copper

  Plastic

• 15mm

  Off

  On

• 10mm

  Off

  On

• 8mm

  Off

  On
Room details - add each room indivually

• Room description and photo

• Radiator(s)

  Media

• Height

  15

  21

  27

• Type of Rad

  SC

  DC

  DPX

• Width

  Select 11 17 21 25 29 33 37 41 45 49 53 57 61 69 77 85

  • 11
  • 17
  • 21
  • 25
  • 29
  • 33
  • 37
  • 41
  • 45
  • 49
  • 53
  • 57
  • 61
  • 69
  • 77
  • 85

• Valve Type

  15mm Trv

  10mm Trv

  8mm Trv

  Wheelhead

• Number of External Walls

  1

  2

  3

  4

  5

• Space Above Room

  Heated Room

  Roof Space No Insulation

  Roof Space with Insulsulation

  Flat Roof no Insulation

  Flat Roof with Insulation

• Room Dimensions Length / Width / Height

Notes and additional photographs

• Additional photographs

  Media

• Detail notes here and upload site plan, drawings etc.

• Is a quote required

  Yes

  No

• Boiler recommendation

Drawing section repeat as neccessary

• Annotate drawing as required

  Drawing

Current Heating Controls

• Are there currently heating controls at the property

  Yes

  No

  N/A

• What are the current Heating Controls in place - select all that apply

  Select

• How many radiators have TRV's

• How many are currently working

• Where are the current controls situated

• Are they in working order

  Yes

  No

  N/A

• Do they need to be replaced

  Yes

  No

  N/A

New Heating Controls

• How many TRV's will be required

• What type of heating controls will be installed

  Select

Electrical Details

• Distribution Board

• Board Type Model

• Type of Board Protection

  Rewirable (3036) Wylex type

  Wylex plug in MCB

  Single RCD 16th Edition

  Dual RCD 17th Edition

  Dual RCD 18th Edition

• Picture of Board

  Media

• Electrical Work Required for Instalation

• Is there a possibility of this property containing any Asbestos Materials ( if so State Where )

Notes and additional photographs

• Additional photographs

  Media

• Detail notes here and upload site plan, drawings etc.

• Is a quote required

  Yes

  No

• Heating Control Recommendation

Drawing section repeat as required

• Annotate drawing as required

  Drawing

• Survey under construction

• Survey under construction

• Survey under construction

Ventialtion Assessment

• Are there any visible signs of surface condensation or damp?

  Yes

  No

  N/A

• Does the property meet the minimum acceptable ventilation requirements set out in PAS 2035?

  Yes

  No

  N/A

• Does the cooker have a hood which ventilates to the outside?

  Yes

  No

  N/A

• Is there an airing cupboard or drying room that is ventilated to the outside?

  Yes

  No

  N/A

• Is there a tumble dryer which is vented to the outside of the property?

  Yes

  No

  N/A

• Do all wet rooms have as a minimum some from of passive or purge ventilation? (opening windows, air bricks or trickle vents)

  Yes

  No

  N/A

• Do all wet rooms have closing doors?

  Yes

  No

  N/A

• Is there a passive ventilation system?

  Yes

  No

  N/A

• Is there a mechanical ventilation system? (Continuous mechanical extract ventilation, Continuous mechanical ventilation with heat recovery)

  Yes

  No

  N/A

• Is there evidence of intermittent heating to parts of the property ?e.g TRV's being turned down too low to unused areas.

  Yes

  No

  N/A

• Are there appropriate controls in place to regulate the heating in the property?(thermostat, programmer etc)

  Yes

  No

  N/A

• Is the thermostat set to a minimum of 10 Celsius in all parts of the property that are heated?

  Yes

  No

  N/A

• Is there evidence of cloths being dried in the property?

  Yes

  No

  N/A

• Are there more bedrooms than occupants?

  Yes

  No

  N/A

• Is there single glazing at the property?

  Yes

  No

  N/A

• Has the importance of behaviour to moisture and condensation been explained to the occupants and left behind?

  Yes

  No

  N/A

• Is there a condensation calculation required? If so what elements?

  Yes

  No

  N/A

Declaration

• Surveyor’s Declaration – To confirm that the survey has been completed in compliance with the requirements of PAS 2030:2019, Building Regulations and any additional requirements stated by the manufacturer(s) of material(s) used.

• Surveyors Signature

  Sign

• Date

  Date