Title Page

  • Conducted on

  • Have you completed a POWRA?

  • Do not proceed until POWRA is completed

  • Prepared by

  • Location
  • Site name

Description of building

  • Brief description of building

  • Number of beds

Building Fabric

  • Is the exterior of the building in good condition

  • Describe faults

  • Provide photographs

  • Are the windows

  • Are they airtight and in good condition

  • Please describe faults

  • Please provide Photos

  • Are exterior doors in good condition?

  • Are they

  • Please provide photos

Lighting

Lighting

  • What lighting is used on site

  • Number and location

  • Please add photographs

  • What energy reduction measures are suitable?

Lighting Controls

  • Are there lighting controls

  • Please add photographs

  • What energy reduction measures are suitable?

Heating

  • How is the building heated

  • Description of system

  • Please add photographs including manufacturers plates if possible

  • What energy reduction measures are suitable?

Hot Water

Hot Water

  • How is hot water produced

  • Please add photographs

  • Please add photographs of manufacturers details, plant size, any metering, buffer tanks etc.

  • What is the temperature of the circulated water

  • What energy reduction measures are suitable?

Plant Room

  • Please list other pieces of significant plant

  • Please add photographs

  • Is there a BMS on site

  • Please provide description of system

  • Please provide photos

  • What energy reduction measures are suitable?

Utility Meters

  • Please indicate what utility meters are on site

  • Please provide photographs of all meters

  • Are there any Sub-Meters on site

  • Is the data collected on site by BMS or similar

  • Please provide photographs

Water Services

  • Is water metered

  • Please photograph water meter

  • Measure flow from taps and shower heads

  • What energy reduction measures are suitable?

Renewables

  • Are there any renewable technologies on site?

  • What technologies could be installed

  • Roof or Ground mounted

  • Size of area

  • Photographs if available

  • Is suitable storage area available for fuel

  • Size of area

  • Photographs of area

  • Please list technologies on site and confirm status

  • Please add photographs

Compliance

  • Does the building have a current EPC

  • Please upload copy of EPC and Advisory Report to file from https://www.ndepcregister.com/

  • Does the building have installed Air Conditioning >12kW

  • Is the system > 5 years old

  • Is there a current TM44 report available

  • Upload copy of certificate and report to file from https://www.ndepcregister.com/

  • Does the building require a Display Energy Certificate?

  • Is a current DEC displayed in a prominent place, full colour and A3 in size

  • Upload copy of certificate and report to file from https://www.ndepcregister.com/

Anything else?

  • Any other site information or opportunities

  • Describe other opportunities

  • Please add photographs

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.