Title Page
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Client
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What Client?
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Conducted on
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Prepared by
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Name of Company & Competent Person
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Survey Type
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First Line of Address
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Front Elevation Photo
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Location
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Project
Mid & Post - Windows & Doors
Mid & Post - Windows & Doors
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What Rooms are having Windows or Doors Installed
- Living Room
- Dining Room
- Kitchen
- Bathroom
- W/C
- Bedroom 1
- Bedroom 2
- Bedroom 3
- Bedroom 4
- Bedroom 5
- Landing
- Hallway
- Office
- Other
Living Room
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Bathroom
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Other
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Specify Room
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Dining Room
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Kitchen
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
W/C
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Bedroom 1
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Bedroom 2
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Bedroom 3
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Bedroom 4
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Bedroom 5
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Office
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Landing
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Hallway
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Include Photo Evidence of Windows/Door MID INSTALL
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Include Photo Evidence of Windows/Door POST INSTALL
Thermal Bridging Mitigation
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Evidence any Thermal Bridging Mitigation Here
Ventilation PIBI
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A ventilation Mid & Post Install must be submitted with the Windows and Doors Mid & Post Install
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Has a ventilation Mid & Post been conducted
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A ventilation Mid & Post must be completed
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Ventilation Mid & Post will be provided
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Photo's of any core drilling must be included
EEM Specific Survey Information
EEM Information
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Have relevant checks been undertaken to determine if asbestos containing materials are present
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Is the nature and extent of the survey known to the customer and is it in line with their expectations
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Are the arrangements made for site access and installation materials storage adequate and appropriate for the installation to be undertaken
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The installation work will not result in non-compliance with the building regulations in relation to:
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Workmanship
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Materials
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Structural Stability
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Fire Safety
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Resistance to Moisture
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Any avoidable thermal bridging
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Any unsafe operation of combustion appliances
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Compromise the functionality of existing ventilation ducts/systems
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Compromise the functionality and/or safety of existing services (gas, electric, water, telephone, etc.)
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Any requirements stated by the supplier
Resident Sign Off
Resident Sign Off
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Confirm the resident is happy with the completed works
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Resident to Sign
Sign Off
Assessment Sign Off
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Surveyor/Competent Person Signature and Full name
