Mid & Post - Ventilation (Fans) V1.0

• Client

  Live West

  Curo

  Other

• Who

• Conducted on

  Date

• Survey Type

  Mid & Post Ventilation (Fans)

• Prepared by

  Select Jamie Wellman Curtis Armstrong Callam Taylor Electrician Sub Contractor Other

  • Jamie Wellman
  • Curtis Armstrong
  • Callam Taylor
  • Electrician
  • Sub Contractor
  • Other

• Name of Competent Person

• First Line of Address

• Location
  Address

• Project

  Select

Mid & Post Ventilation Install

• Kitchen

  Yes

  No

  N/A

• Current Extractor in place

  Yes

  No

  N/A

• Location of Extractor

  In Wall

  Window

  Ceiling

• Existing Extractor Fan Removed Photo

  Media

• Newly Fitted Extractor Fan

  Yes

  No

• Extractor Fan Flow Rate

• Requirements

• Does it Meet the Requirements

  Yes

  No

• Photo of Completed Install

  Media

• Does it Require Replacement

  Yes

  No

  N/A

• New Extractor to be Installed in Kitchen

• New Extractor to be Fitted in Wall or Window

  In Wall

  Window

  Ceiling

• Bathroom

  Yes

  No

  N/A

• Current Extractor in place

  Yes

  No

  N/A

• Location of Extractor

  In Wall

  Window

  Ceiling

• Existing Extractor Removed Photo

  Media

• Newly Fitted Extractor Fan

  Yes

  No

• Extractor Fan Flow Rate

• Requirements

• Does it Meet the Requirements

  Yes

  No

• Photo of Completed Install

  Media

• Does it Require Replacement

  Yes

  No

  N/A

• New Extractor to be Installed in Bathroom

• New Extractor to be Fitted in Wall or Window

  In Wall

  Window

  Ceiling

• W/C

  Yes

  No

  N/A

• Current Extractor in place

  Yes

  No

  N/A

• Location of Extractor

  In Wall

  Window

  Ceiling

• Existing Extractor Fan Removed Photo

  Media

• Newly Fitted Extractor Fan

  Yes

  No

• Extractor Fan Flow Rate

• Requirements

• Does it Meet the Requirements

  Yes

  No

• Photo of Completed Install

  Media

• Does it Require Replacement

  Yes

  No

  N/A

• New Extractor to be Installed in Bathroom

• New Extractor to be Fitted in Wall or Window

  In Wall

  Window

  Ceiling

• Any Overall Additional Photos

  Media

Assessment Sign off

• Competent Person Signature and Full name

  Sign