PIBI - LEL V1.0

Details

• Client Name.

  Live West

  Sanctuary

  Hafod Housing

  Other

• What Client

• Conducted on

  Date

• Survey conducted by.

  Callam Taylor

  DT Electrical

  Freedom Energy

  Surveyor

  Other

• Name of Competent Person

• Survey Type

  LEL PIBI

• First line of the Address.

• Front Elevation Photo

  Media
• Location.
  Address

• Project

  Select

Electric Meter

• Current Energy Supplier

  Select Utilita British Gas EON EDF Octopus OVO nPower Scottish Power Boost Other Unknown

  • Utilita
  • British Gas
  • EON
  • EDF
  • Octopus
  • OVO
  • nPower
  • Scottish Power
  • Boost
  • Other
  • Unknown

• Which Supplier?

• Electricity Tariff Information

  Yes

  No

• What is the tariff name?

• On Peak Day Rate (pence per kWh)

• Import Meter Type

  Electronic Credit Meter

  Key Budget Meter

  Dial Credit Meter

  Smart Meter

• Make and Model of Meter

  Secure Liberty 100

  Landis GYR E470

  Aclara SGM1412-B

  Other

• What Model?

• Meter Serial Number

LED Lighting Survey

Rooms in Property

• What rooms are present in the property

  Select Living Room Hallway Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bedroom 5 Kitchen Bathroom Dining Room External Study W/C Other

  • Living Room
  • Hallway
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bedroom 5
  • Kitchen
  • Bathroom
  • Dining Room
  • External
  • Study
  • W/C
  • Other

Living Room

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Dining Room

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Bedroom 1

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Bedroom 2

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Bedroom 3

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Bedroom 4

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Bedroom 5

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Kitchen

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Bathroom

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

W/C

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Other

• Specify Room

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Study

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Hallway

• Does this room have a LED light fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting in this room

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present in the room

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Details of down lights, how many etc

• Do they have halogen bulbs fitted.

  Yes

  No

• Do they exhibit signs of visual damage

  Yes

  No

• Fitting requires replacement

• Can you see the IP rating on the casing?

  Yes

  No

• Are the existing down lights fire rated?

  Yes

  No

• Are there fire rated hoods fitted?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

External Lighting

• Does the outside have any LED lights fitted currently

  Yes

  No

• Are we proposing to change the bulb or fitting outside

  Yes

  No

• Conduct earth fault loop test (if changing fitting or bulb)

  Safe

  At Risk

• Result of test

• What type of fitting is present outside

  Select Bayonet (B22) Mini Bayonet Downlights Edison (E27) Fluorescent GU12 Fitting GU5 Fitting Other

  • Bayonet (B22)
  • Mini Bayonet
  • Downlights
  • Edison (E27)
  • Fluorescent
  • GU12 Fitting
  • GU5 Fitting
  • Other

• What type

• Electrical wiring free from visual defects?

  Yes

  No

  N/A

Loft

• Is the Loft Accessible?

  Yes

  No

  N/A

• Any evidence of electric wiring trapped between insulation?

  Yes

  No

  N/A

• Are there any low voltage cable's in the loft space.

  Yes

  No

  N/A

• Specify

• Loft Height at Centre

  Select 0.80 metres 0.90 metres 1.00 metres 1.20 metres 1.40 metres 1.50 metres 1.60 metres 1.80 metres and above.

  • 0.80 metres
  • 0.90 metres
  • 1.00 metres
  • 1.20 metres
  • 1.40 metres
  • 1.50 metres
  • 1.60 metres
  • 1.80 metres and above.

• Are lighting connector blocks present in the loft

  Yes

  No

• Why?

  Select No Hatch Hatch Blocked Hatch Over Stairs (Cannot Access Safely) Resident Refused Access Other

  • No Hatch
  • Hatch Blocked
  • Hatch Over Stairs (Cannot Access Safely)
  • Resident Refused Access
  • Other

• What?

• Safety monitors present.

  Select Smoke Alarm Fire Alarm CO2 Alarm

  • Smoke Alarm
  • Fire Alarm
  • CO2 Alarm

• Are they working

  Yes

  No

EEM Information

• Have relevant checks been undertaken to determine if asbestos containing materials are present

  Yes

• Is the nature and extent of the survey known to the customer and is it in line with their expectations

  Yes

• Are the arrangements made for site access and installation materials storage adequate and appropriate for the installation to be undertaken

  Yes

• The installation work will not result in a non-compliance with the building regulations in relation to:

• Workmanship

• Materials

• Structural Stability

• Fire Safety

• Resistance to Moisture

• Avoidable thermal bridging

• Any unsafe operation of combustion appliances

• Functionality of existing ventilation ducts/systems

• Functionality and/or safety of existing services (gas, electric, water, telephone, etc.)

• Any requirements stated by the supplier

• Use of a Step ladder/ladder

• Access and Egress

• Manual Handing

• Hand Tools/Power Tools

• Vibration

• Noise

• Dust

• House Keeping

• Lone Working

Assessment Sign off

• Competent Person Signature and Full name

  Sign