Title Page
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Site conducted
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First Line of Address
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Conducted on
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Job Type
- EWI
- ROOF
- RWG
- FASCIAS
- WINDOWS
- DOORS
- CANOPY
- RENDER
PROPERTY DETAILS
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Property Type
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Sub Property Type
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Front Elevation
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Rear Elevation
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Orientation
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Front Elevation
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Rear Elevation
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Left Elevation
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Front Elevation
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Rear Elevation
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Right Elevation
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Orientation
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Front Elevation
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Rear Elevation
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Left Elevation
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Front Elevation
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Rear Elevation
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Right Elevation
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Front Elevation
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Rear Elevation
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Main Heating Type
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Please State Heating Type
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Appliance Type
- Gas Boiler
- Electric Storage Heaters
- Oil Boiler
- LPG Boiler
- Solid Fuel Boiler
- Electric Boiler
- Gas room Heaters
- Solid Fuel Room Heaters
- Electric Room Heaters
- Gas Fire with Back Boiler
- Gas Back Boiler to Radiators
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Position of Flue
- External
- Internal
- Front Elevation
- Rear Elevation
- Side Elevation
- Other
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Please state Location
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Photo of Gas meter
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Position of Flue
- External
- Internal
- Front Elevation
- Rear Elevation
- Side Elevation
- Other
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Position of Flue
- External
- Internal
- Front Elevation
- Rear Elevation
- Side Elevation
- Other
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Building Finish
- Exposed Brick
- Pebble Dash
- Other
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Render Finish
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Render Finish
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Mortar Colour
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External Wall Condition
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Photos
ITEMS TO BE AWARE OF
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TENANT POSSESSIONS TO BE AWARE OF
ACCESS
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On site Parking
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Client Instructions
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Neighbour Access Required
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Is Neighbour Aware
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Access Issues
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Please list Access Issues
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Photos Of Access Issues
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Access Equipment Required
- Ladders
- Scaffolding
- Conservatory Ladder
- Extraction Lance
- Installation Lance
- Other
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Please State Additional Equipment
INSPECTION SURVEY
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Survey Type
- Render & Cavity
- External Wall Insulation
LOFT INSULATION
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Total Area to be Insulated
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Photo of Loft Hatch
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Photo of Loft space
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Existing Insulation
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Photo of Loft
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Any Pipework require Lagging?
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Please state meters of pipework
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Loft Clearance
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Additional Notes
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Is the property in a good state of repair?
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Listed all Defects
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Is the Party Wall suitable to receive insulation?
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Is there anything obstructing direct access to the Party Wall area?
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Any access issues that may require internal drill and fill of Party Wall?
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Photos of obstructions
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Are there any openings in the internal gable walls?
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Photos of openings
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Photos of both internal gable walls!
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Additional Comments
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Additional Photos
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Basic Checks
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Pre Appointment Made With Occupant
Property Information
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Access Around Property
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Are There Any Scaffolding Access Issues?
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Is There Space For Skips (If Required)
Basic EWI Information
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System Used
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New Top Coat Finish Specification
- Silicon
- Dash
- Brick Slip
- Brick Slip Detailing
- Winter Grade Gramamin
- Other
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Current External Finish Condition
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Property Architype
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Non-Traditional Description
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Additonal Notes (If Required)
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Additional Photos (If Required)
Enabling Works
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Does a Water Tap Need To Be Removed?
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Number of Taps
- 1
- 2
- 3
- 4
- 5
- 5+
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Any Extractor Alterations?
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Any Gas Pipe Alterations?
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Any Satellite Dishes?
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Condition of
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No. Of TV Aerials
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No. Of External Lights
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Working Or Not Working
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Fence Post Alterations Required?
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Does the Property Need any Additional Ventilation Work in Preparation for Insulation Measure
Additional Notes
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Additional Notes
RISK ASSESSMENT
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Undertake Risk Assessment
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Type of Works
- Cavity Wall
- Loft
- EWI
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Overhead Electricity Cables Present?
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Western Power Needed?
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Type of Electricity Cabling?
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Does the Property have a Garage?
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Does the Property have a Porch?
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Does the Property have an Outside Tap?
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Does the Property have Finlock Gutters?
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Does the Property suggest that Asbestos could be Present?
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Access from Road/ Around Property
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Is there any Evidence of Vermin?
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Is there any Evidence of Protected Wildlife? (e.g. Bats)
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Use of a Mobile Tower Required?
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Working on Roof Required?
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Vibration Likely?
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High Noise Levels Likely?
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Working with Wet Cement/ Concrete/ Mortar required?
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Use of Mobile Elevation Working Platform (MEWP) required?
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If Obstructions present, can an extended Lance be used to Remedy?
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Electricity Required?
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Housekeeping Required
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Will Public Walkway be at Risk?
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Is neighbour access required?
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Safety Signage required?
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Have you checked the Asbestos Report?
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Access from Road/ Around Property
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Is there any Evidence of Vermin?
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Is there any Evidence of Protected Wildlife? (e.g. Bats)
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Vulnerable Person Present?
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Use of Ladders Required?
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Manual Handling Required?
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Electricity Required?
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Housekeeping Required
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Will Public Walkway be at Risk?
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Is neighbour access required?
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Safety Signage required?
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Electricity Cables present in Loft
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Working in Confined Spaces required?
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Use of Scaffold required?
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Overhead Electricity Cables Present?
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Western Power Needed?
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Type of Electricity Cabling?
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Does the Property have a Garage?
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Does the Property have a Porch?
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Does the Property have an Outside Tap?
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Does the Property have Finlock Gutters?
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Does the Property suggest that Asbestos could be Present?
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Access from Road/ Around Property
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Is there any Evidence of Vermin?
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Is there any Evidence of Protected Wildlife? (e.g. Bats)
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Use of a Mobile Tower Required?
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Working on Roof Required?
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Vibration Likely?
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High Noise Levels Likely?
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Working with Wet Cement/ Concrete/ Mortar required?
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Use of Mobile Elevation Working Platform (MEWP) required?
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If Obstructions present, can an extended Lance be used to Remedy?
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Electricity Required?
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Housekeeping Required
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Will Public Walkway be at Risk?
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Is neighbour access required?
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Safety Signage required?
DYNAMIC RISK ASSESSMENT
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Assessors Name
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Date Signed
