Assessment Details
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Property address
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Conducted on
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Contract
Residents
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Are the residents elderly, disabled, vulnerable, require further assistance?
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Is there any disabled access that will be affected by the install of energy efficient measures? (Handrails, ramps, lighting etc)
External Hazards
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Is there a safe place to park works vehicles including contractors? ( Driveway, Road, Other)
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Is access and egress to the property clear from obstruction?
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Is there suitable access to the rear of the property for all measures to be delivered? (Scaffold, EWI , solar PV etc)
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Is the property's electrical supply provided by overhead lines?
Internal hazards
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Does the customer have any dogs that require isolating? (or other animals of concern)
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Is the resident a hoarder or are there stored items that require moving before retrofit measures can be installed?
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Does the resident smoke indoors?
Area of works
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Is access to the property free from obstruction? (cars, skips, building materials, rubbish etc)
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Is access to the work area clear from obstruction? (indoor/outdoor furniture, TV, electrical appliances, clothes, pets etc)
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Is the work area clean and hygienic/sanitary?
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Are all stairs clear, accessible and free from obstruction?
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Is the loft easily accessible? (for workers and materials)
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Does the loft require clearing before any works commence?
Asbestos
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Do any of the ceilings and/or walls have textured coatings? (artex etc)
- Kitchen
- Living Room
- Dining Room
- Hall
- Landing
- Bedroom 1
- Bedroom 2
- Bedroom 3
- Bedroom 4
- Bedroom 5
- Bedroom 6
- Bathroom
- Toilet
- En Suite / Shower Room
- Utility Room
- Other *
- No
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Do any of the energy efficient measures being recommended interact with a potential Asbestos Containing Material?
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Does the resident have any information relating to asbestos in the property?
Electrical Services
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Is the fuse board accessible?
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Are the electrics in good condition?
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Is there evidence of earth bonding? (green and yellow cables)
Gas Service
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Can you access the gas meter and is it clear from obstruction/stored items?
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Is the gas meter earth bonded?
Water service
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Can you access the water stop tap/stopcock?
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Is the stop tap earth bonded?
Customer Sign Off
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Have you explained all energy efficient measures and associated works to the customer?
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Does the customer have any further questions?
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Customer Sign Off
Surveyor sign Off
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Name
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Telephone Number
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Email address
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Additional notes