Title Page
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Client
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Who?
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Conducted on
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Survey Type
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Prepared by
- Callam Taylor
- Onyx Comas
- Lee Glenister
- Mariusz Mikolajewski
- Simon Adolpho
- Freedom Energy
- Other
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Name of Competent Person
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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
Health & Safety
Health & Safety Questions
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Is this the only energy efficiency measure for this property
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You must complete the following questions
Access Assessment
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Do you give consent for us to carry out works within your property?
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Reasoning?
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Resident Full Name and Signature
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Is there an overhead main power cable to the property that needs sheathing before scaffold erected?
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Photographic Evidence
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Are there any conservatories or out buildings that require a scaffold bridge for this job?
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Are there any restrictions to the property i.e. Low bridge, neighbours access required?
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Comments
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Photographic evidence
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Does the property have a main pedestrian route or a public walkway directly on one of the elevations?
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Comments
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Photographic evidence
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Is there adequate parking close to the property?
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Comments,
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Photographic evidence
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Any parking restrictions i.e. Residents parking?
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Comments
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Photographic evidence
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Will the proposed works affect neighbouring properties?
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Comments
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Photographic evidence
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Has the neighbouring property been notified of the imminent works?
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Date of notification given-
Occupant Assessment
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Is the property in a suitable condition for the proposed works to be carried out?
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Comments
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Photographic evidence
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Is the property highlighted as flagged or at risk?
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Comments
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Do the occupants have any physical disabilities that pose any significant risks?
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Comments
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Do the occupants have any learning difficulties or mental health issues where our activities may pose any significant risks?
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Comments
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Are there any potential risks regarding minors in the property?
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Comments
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Are there any potential risks regarding pets in the property?
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Comments
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Is there any presence of protected species (e.g., bats, birds butterflies, dormice) or plants that could be subject to special protection?
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Comments
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Is the property high risk of biological waste or vermin?
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Comments
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Photographic evidence
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Does the resident use hypodermic needles?
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Where is the sharps bin located/comments
Asbestos Assessment
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Are we in receipt of or have access to the asbestos survey or register for this property ?
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Asbestos Assessment Needs to be Checked
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Comments
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Has asbestos been identified ?
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Comments
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Photographic evidence
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Have the health and safety questions been completed on another survey
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You may proceed to the next page
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This health and safety section must be completed
Access Assessment
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Do you give consent for us to carry out works within your property?
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Reasoning?
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Resident Full Name and Signature
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Is there an overhead main power cable to the property that needs sheathing before scaffold erected?
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Photographic Evidence
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Are there any conservatories or out buildings that require a scaffold bridge for this job?
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Are there any restrictions to the property i.e. Low bridge, neighbours access required?
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Comments
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Photographic evidence
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Does the property have a main pedestrian route or a public walkway directly on one of the elevations?
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Comments
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Photographic evidence
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Is there adequate parking close to the property?
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Comments,
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Photographic evidence
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Any parking restrictions i.e. Residents parking?
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Comments
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Photographic evidence
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Will the proposed works affect neighbouring properties?
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Comments
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Photographic evidence
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Has the neighbouring property been notified of the imminent works?
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Date of notification given-
Occupant Assessment
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Is the property in a suitable condition for the proposed works to be carried out?
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Comments
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Photographic evidence
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Is the property highlighted as flagged or at risk?
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Comments
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Do the occupants have any physical disabilities that pose any significant risks?
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Comments
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Do the occupants have any learning difficulties or mental health issues where our activities may pose any significant risks?
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Comments
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Are there any potential risks regarding minors in the property?
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Comments
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Are there any potential risks regarding pets in the property?
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Comments
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Is there any presence of protected species (e.g., bats, birds butterflies, dormice) or plants that could be subject to special protection?
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Comments
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Is the property high risk of biological waste or vermin?
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Comments
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Photographic evidence
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Does the resident use hypodermic needles?
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Where is the sharps bin located/comments
Asbestos Assessment
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Are we in receipt of or have access to the asbestos survey or register for this property ?
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Asbestos Assessment Needs to be Checked
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Comments
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Has asbestos been identified ?
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Comments
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Photographic evidence
PV Survey
PV Survey
Floorplan
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Photo of floorplan showing inverter location and cable penetration points (if applicable)
Supplier & MPAN
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Current Energy Supplier
- Utilita
- British Gas
- EON
- EDF
- Octopus
- OVO
- nPower
- Scottish Power
- Boost
- Other
- Unknown
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Which Supplier?
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Electricity Tariff Information
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What is the tariff name?
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On Peak Day Rate (pence per kWh)
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Is it a dual rate meter?
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Off Peak Night Rate (pence per kWh)
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Is the MPAN Number Present
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What is the MPAN Number
Roof Type
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Roof Style
- Gable Roof
- Hipped Roof
- Gambrel Roof (barn style)
- Flat Roof
- Mansard Roof
- Shed Roof
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Tile Type
- Plain tiles / Slates (solar limpets)
- Low profile Interlocking tiles / Redland Tiles (220 wide)
- Profiled Tiles (Standard)
- Flat Roof
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Tile Description (clay or concrete, interlocking or lapped)
- Clay
- Concrete
- Slate
- Interlocking
- Lapped
- Unknown
Roofing and Scaffold
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Scaffold Location
- Front
- Back
- Left Side
- Right Side
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Height of Eaves (Metres)
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Required Access to rear
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Location of rear access
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Where?
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Front of Property Orientation in ° Degrees
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Is the Loft Accessible?
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Roof type
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Size of Purlin (mm)
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Number of Purlin Supports Front
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- N/A
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Number of Purlin Supports Back
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- N/A
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Number of Purlin Supports Side
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- N/A
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Maximum Unsupported Rafter Length (Metres)
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Length along the gutter (Metres)
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Height up the roof slope (Metres)
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Height of Roof Above Eaves (Metres)
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Pitch ° Degrees
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Size of Rafters/Top Chord of Truss (mm)
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Rafter/Truss Centres (mm)
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Number of Trusses/Rafters
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Timber Condition
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Felt Condition
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Observations (e.g damaged felt, stained timber, holes in felt around gas flue etc)
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Loft Condition
- Clear
- Cluttered
- Tenant Agreed to clear loft
- Area Around Hatch Blocking Access
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Is the inverter to be fitted in the loft space?
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Is There a Smoke Detector in the Loft
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New Smoke Detector to be Fitted in Loft (if inverter to be installed in loft)
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What is the Make and Model
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Does it Need Replacing With Client Specified Model
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Does the loft require boarding to access the PV inverter
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Length of boarding from hatch required
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Any Issues With Loft access
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What Issues?
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Loft Headroom Meters
- 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.
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Temporary Loft Light Required
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Temporary Loft Walkway Required
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Why?
- No Hatch
- Hatch Blocked
- Hatch Over Stairs (Cannot Access Safely)
- Resident Refused Access
- N/A - Ground Floor Flat
- Other
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Why
- No Hatch
- Hatch Blocked
- Hatch Over Stairs (Cannot Access Safely)
- Resident Refused Access
- N/A - Ground Floor Flat
- Other
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Notes
Electrics
Consumer Unit
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Consumer Unit(s) Make and Model
- Fusebox
- Crabtree
- Hager
- MK
- MEM
- Newlec
- Lewden
- Wylex
- Legrand
- Schneider
- Other
- Unable to Access
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What Brand?
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Location
- Under Stairs
- Front Hallway
- Cupboard
- Kitchen
- External - To Front
- External - To Rear
- External
- Other
- Under Sink
- Unknown
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Where?
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Breaker Type
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Consumer Unit(s) Visually Compliant?
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Distribution Board Upgrade or Garage DB Required
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Spare Way for PV
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Additional Garage DB Required for PV
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Replacement Consumer Unit(s) Required
Earthing
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Earthing to Gas Meter
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Gas Meter Location
- Under Stairs
- Front Hallway
- Cupboard
- Kitchen
- External - To Front
- External - To Rear
- External
- Other
- Under Sink
- Unknown
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Where?
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Earthing to Water Main
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Water Main Location
- Under Stairs
- Front Hallway
- Cupboard
- Kitchen
- External - To Front
- External - To Rear
- External
- Other
- Under Sink
- Unknown
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Where?
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Earthing Type
Import Meter Type
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Meter Type
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Does Meter require changing?
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Make and Model of Meter
- Secure Liberty 100 Series
- Landis GYR E470
- Aclara SGM1416-B
- Kaifa MA120
- EDMI ES-12B
- Other
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What Model?
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Meter Serial Number
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Mains Fuse Size
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Specify
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Is there room for the 4 pole isolation switch next to the existing meter
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Import Meter Location
- Next to DB
- External - To Front
- External - To Rear
- External - To Side
- External
- Other
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Where is it?
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Generation Meter Location (Proposed)
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Where shoud it be located?
Photovoltaic System Proposed
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Recommended Proposed Inverter Location(s)
- Loft
- Next to DB
- External
- Cupboard
- Under Stairs
- Kitchen
- Other
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Where should is be located?
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Can a 600 x 780 board fit on wall and through internal roof access
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Maximum AC cable run length from Consumer Unit to Inverter
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Is there a Hot Water Cylinder
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Is a PV Diverter Required
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Photo of PV Diverter Placement
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Will there be Battery Storage
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Size of Proposed Area
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Distance to DB
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Proposed Battery Location
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Photo of Proposed Location
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Is Bird Mesh a Recommendation
Photo Checklist
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Property Elevations, Wide Angled & Scaffold Access
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Suitable Roof Elevation Close Up inc gutter
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Proposed Inverter Location
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Loft Access and Roof Void
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Satellite Dish (if any) including closeup of bracket
Shading Considerations
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Is a shading assessment required?
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Why?
- Not Required (No Shading Present)
- Unable to Access
- Weather (Raining, Windy etc)
- To be carried out at time of install
- Other
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Notes
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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Are the arrangements made for site access and installation materials storage adequate and appropriate for the installation to be undertaken
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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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The installation work will not result in a 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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Functionality of existing ventilation ducts/systems
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Runctionality and/or safety of existing services (gas, electric, water, telephone, etc.)
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Any requirements stated by the supplier
Sign Off
Assessment Sign off
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Competent Person Signature and Full name