PIBI - Ventilation V1.0

• Client

  Livewest

  Sanctuary

  Other

• What Client?

• Conducted on

  Date

• Prepared by

  Select Danny Montgomery Chris Houghton Callam Taylor Sam Barnes Barry Griffiths Brian Hurran Lee Glenister Bill Coffin Other

  • Danny Montgomery
  • Chris Houghton
  • Callam Taylor
  • Sam Barnes
  • Barry Griffiths
  • Brian Hurran
  • Lee Glenister
  • Bill Coffin
  • Other

• Name of Competent Person

• Survey Type

  Ventilation PIBI

• First Line of Address

• Front Elevation Photo

  Media
• Location
  Address

• Project

  Select

Health & Safety Questions

• Is this the only energy efficiency measure for this property

  Yes

  No

• You must complete the following questions

Access Assessment

• Do you give consent for us to carry out works within your property?

  Yes

  No

• Reasoning?

• Resident Full Name and Signature

  Sign

• Is there an overhead main power cable to the property that needs sheathing before scaffold erected?

  Yes

  No

  N/A

• Photographic Evidence

  Media

• Are there any conservatories or out buildings that require a scaffold bridge for this job?

  No

  Yes

• Are there any restrictions to the property i.e. Low bridge, neighbours access required?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Does the property have a main pedestrian route or a public walkway directly on one of the elevations?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is there adequate parking close to the property?

  Yes

  No

• Comments,

• Photographic evidence

  Media

• Any parking restrictions i.e. Residents parking?

  Yes

  No

  Permit Zone

• Comments

• Photographic evidence

  Media

• Will the proposed works affect neighbouring properties?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Has the neighbouring property been notified of the imminent works?

  Verbal Notification

  Information Letter Posted

  Not Required - Part of Scheme

  To Be Done By Site Manager

• Date of notification given-

  Date

Occupant Assessment

• Is the property in a suitable condition for the proposed works to be carried out?

  Yes

  No

• Comments

• Photographic evidence

  Media

• Is the property highlighted as flagged or at risk?

  No

  Yes

• Comments

• Do the occupants have any physical disabilities that pose any significant risks?

  No

  Yes

• Comments

• Do the occupants have any learning difficulties or mental health issues where our activities may pose any significant risks?

  No

  Yes

• Comments

• Are there any potential risks regarding minors in the property?

  No

  Yes

• Comments

• Are there any potential risks regarding pets in the property?

  No

  Yes

• Comments

• Is there any presence of protected species (e.g., bats, birds butterflies, dormice) or plants that could be subject to special protection?

  No

  Yes

• Comments

• Is the property high risk of biological waste or vermin?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Does the resident use hypodermic needles?

  No

  Yes

• Where is the sharps bin located/comments

Asbestos Assessment

• Are we in receipt of or have access to the asbestos survey or register for this property ?

  Yes

  No

  Unknown

• Asbestos Assessment Needs to be Checked

• Comments

• Has asbestos been identified ?

  No

  Yes

  See Asbestos Report

  Possible

• Comments

• Photographic evidence

  Media

• Have the health and safety questions been completed on another survey

  Yes

  No

• You may proceed to the next page

• This health and safety section must be completed

Access Assessment

• Do you give consent for us to carry out works within your property?

  Yes

  No

• Reasoning?

• Resident Full Name and Signature

  Sign

• Is there an overhead main power cable to the property that needs sheathing before scaffold erected?

  Yes

  No

  N/A

• Photographic Evidence

  Media

• Are there any conservatories or out buildings that require a scaffold bridge for this job?

  No

  Yes

• Are there any restrictions to the property i.e. Low bridge, neighbours access required?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Does the property have a main pedestrian route or a public walkway directly on one of the elevations?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Is there adequate parking close to the property?

  Yes

  No

• Comments,

• Photographic evidence

  Media

• Any parking restrictions i.e. Residents parking?

  Yes

  No

  Permit Zone

• Comments

• Photographic evidence

  Media

• Will the proposed works affect neighbouring properties?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Has the neighbouring property been notified of the imminent works?

  Verbal Notification

  Information Letter Posted

  Not Required - Part of Scheme

  To Be Done By Site Manager

• Date of notification given-

  Date

Occupant Assessment

• Is the property in a suitable condition for the proposed works to be carried out?

  Yes

  No

• Comments

• Photographic evidence

  Media

• Is the property highlighted as flagged or at risk?

  No

  Yes

• Comments

• Do the occupants have any physical disabilities that pose any significant risks?

  No

  Yes

• Comments

• Do the occupants have any learning difficulties or mental health issues where our activities may pose any significant risks?

  No

  Yes

• Comments

• Are there any potential risks regarding minors in the property?

  No

  Yes

• Comments

• Are there any potential risks regarding pets in the property?

  No

  Yes

• Comments

• Is there any presence of protected species (e.g., bats, birds butterflies, dormice) or plants that could be subject to special protection?

  No

  Yes

• Comments

• Is the property high risk of biological waste or vermin?

  No

  Yes

• Comments

• Photographic evidence

  Media

• Does the resident use hypodermic needles?

  No

  Yes

• Where is the sharps bin located/comments

Asbestos Assessment

• Are we in receipt of or have access to the asbestos survey or register for this property ?

  Yes

  No

  Unknown

• Asbestos Assessment Needs to be Checked

• Comments

• Has asbestos been identified ?

  No

  Yes

  See Asbestos Report

  Possible

• Comments

• Photographic evidence

  Media

• Use of a Step ladder/ladder

• Access and Egress

• Manual Handing

• Hand Tools/Power Tools

• Vibration

• Noise

• Dust

• House Keeping

• Lone Working

Electric Meter

• Has the meter information been captured on another PIBI?

  Yes

  No

• You can proceed to the next page

• 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)

• Is it a dual rate meter?

  Yes

  No

• Off Peak Night 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

Ventilation Survey

• What rooms are present in the property

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

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

Living Room

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

Dining Room

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

Bedroom 1

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

Bedroom 2

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

Bedroom 3

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

Bedroom 4

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

Bedroom 5

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

Kitchen

• Has Extractor Fan

  Yes

  No

  N/A

• Extractor Fan Location

  Wall

  Window

  Ceiling

• Attach photo’s of Vent Ducting in loft (if relevant)

  Media

• Is the Extractor Fan Working

  Yes

  No

• Extractor Fan Flow Rate (l/s)

• Requirements

• Does it Meet the Requirements

  Yes

  No

• Does it Require Replacement?

  Yes

  No

• Does it Require Replacement

  Yes

  No

  N/A

• New Extractor to be fitted

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

Bathroom

• Has Extractor Fan

  Yes

  No

  N/A

• Extractor Fan Location

  Wall

  Window

  Ceiling

• Attach photo’s of Vent Ducting in loft (if relevant)

  Media

• Is the Extractor Fan Working

  Yes

  No

• Extractor Fan Flow Rate (l/s)

• Requirements

• Does it Meet the Requirements

  Yes

  No

• Does it Require Replacement?

  Yes

  No

• Does it Require Replacement

  Yes

  No

  N/A

• New extractor to be fitted

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Why?

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

• Why?

W/C

• Has Extractor Fan

  Yes

  No

  N/A

• Extractor Fan Location

  Wall

  Window

  Ceiling

• Attach photo’s of Vent Ducting in loft (if relevant)

  Media

• Is the Extractor Fan Working

  Yes

  No

• Extractor Fan Flow Rate (l/s)

• Requirements

• Does it Meet the Requirements

  Yes

  No

• Does it Require Replacement?

  Yes

  No

• Does it Require Replacement

  Yes

  No

  N/A

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Why?

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

• Why?

Other

• Specify Room

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

Study

• Has Required Door Undercuts

  Yes

  No

  No Door

  N/A

• Door Requires Trimming

  Yes

  No

  N/A

• Has Purge Ventilation

  Yes

  No

  N/A

• Has Trickle Vents / Background Ventilation

  Yes

  No

  N/A

PIV System

• Is there a Positive Input Ventilation System

  No

  Yes

• What Room

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 non-compliance with the building regulations in relation to:

• Workmanship

• Materials

• Structural Stability

• Fire Safety

• Resistance to Moisture

• Any avoidable thermal bridging

• Any unsafe operation of combustion appliances

• Compromise the functionality of existing ventilation ducts/systems

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

• Any requirements stated by the supplier

Assessment Sign off

• Surveyor/Competent Person Signature and Full name

  Sign