PIBI - Windows & Doors V1.0

• Client

  Livewest

  Sanctuary

  Hafod Housing

  Other

• What Client?

• Conducted on

  Date

• Prepared by

  Chris Houghton

  Lee Glenister

  Danny Montgomery

  Other

• Name of Competent Person

• Survey Type

  Windows & Doors 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

• 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

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

  No

  Yes

• Comments

• Is there adequate parking close to the property?

  Yes

  No

• Comments

• Any parking restrictions i.e. Residents parking?

  Yes

  No

  Permit Zone

• Comments

• 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 the resident aware of any presence of protected species (e.g., bats, birds, mice) or plants that could be subject to special protection?

  No

  Yes

• Comments

• Is the property high risk of biological waste or vermin? (Add photo if required)

  No

  Yes

• Comments

• 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

• 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

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

  No

  Yes

• Comments

• Is there adequate parking close to the property?

  Yes

  No

• Comments

• Any parking restrictions i.e. Residents parking?

  Yes

  No

  Permit Zone

• Comments

• 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 the resident aware of any presence of protected species (e.g., bats, birds, mice) or plants that could be subject to special protection?

  No

  Yes

• Comments

• Is the property high risk of biological waste or vermin? (Add photo if required)

  No

  Yes

• Comments

• 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

Property Elevations

• Which Elevations exist on this property

  Select Front Rear Left from front Right from front Extension Other elevations

  • Front
  • Rear
  • Left from front
  • Right from front
  • Extension
  • Other elevations

• Specify

• Photo of Other Elevation

  Media

• Photo of Front Elevation

  Media

• Photo of Rear Elevation

  Media

• Photo of Left from Front Elevation

  Media

• Photo of Right from Front Elevation

  Media

• Photo of Extension Elevation(s)

  Media

External Inspection

• External existing issues e.g. blown bricks, missing mortar, damp, mould or vegetation growth

  Select No External Issues Visible Blown Bricks Missing Mortar Damp Mould Vegetation Growth Other

  • No External Issues Visible
  • Blown Bricks
  • Missing Mortar
  • Damp
  • Mould
  • Vegetation Growth
  • Other

• Photographic Evidence

  Media

• Which Elevations Have Issues

  Select Front Rear Left from front Right from front Extension Other elevations

  • Front
  • Rear
  • Left from front
  • Right from front
  • Extension
  • Other elevations

• Specify what issues are present

Roof

• Visual Condition of Roof Externally

  Good

  Fair

  Poor

  N/A

Internal Condition

Walls

• Construction Type

  Select Cavity Wall Solid Brick System Built Metal Frame Other

  • Cavity Wall
  • Solid Brick
  • System Built
  • Metal Frame
  • Other

• Visual Condition of Walls

  Good

  Fair

  Poor

  N/A

Flooring

• Floor Construction Detail

  Select Solid Concrete Suspended Timber Suspended, Not Timber Ground Bearing Concrete Other Unknown

  • Solid Concrete
  • Suspended Timber
  • Suspended, Not Timber
  • Ground Bearing Concrete
  • Other
  • Unknown

• Visual Condition of Floor

  Good

  Fair

  Poor

  N/A

Internal Inspection

• Internal existing issues e.g. condensation, damp, mould or signs of leaks

  Select No Internal Issues Visible Damage to Ceiling Water Leak/Stain on Ceiling Low Level Damp Near Skirting Boards Black Mould in the Corners of the Rooms Black Mould on the Ceiling and Walls Condensation on the Windows and External Walls Other

  • No Internal Issues Visible
  • Damage to Ceiling
  • Water Leak/Stain on Ceiling
  • Low Level Damp Near Skirting Boards
  • Black Mould in the Corners of the Rooms
  • Black Mould on the Ceiling and Walls
  • Condensation on the Windows and External Walls
  • Other

• Photographic Evidence

  Media

• What Rooms?

  Select Lounge Kitchen Bedroom 1 Bedroom 2 Bedroom 3 Bedroom 4 Bathroom W/C Office Other

  • Lounge
  • Kitchen
  • Bedroom 1
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bathroom
  • W/C
  • Office
  • Other

• Specify what issues are present

Other Areas

• Any Other Areas of the Property in Need of Maintenance that might affect the performance of the proposed EEM

  Yes

  No

Existing EEM's

• Any Existing Energy Efficiency Measures

  Select Cavity Wall Insulation 300mm+ Loft Insulation External Wall Insulation Heating Upgraded Thermostat Upgraded Other

  • Cavity Wall Insulation
  • 300mm+ Loft Insulation
  • External Wall Insulation
  • Heating Upgraded
  • Thermostat Upgraded
  • Other

• What Other Measures?

Existing Windows & Doors

• Existing Glazing Type

  Single

  Double (Pre 2001)

  Double (2002 +)

  Triple

• Is there any historic glass present

  Yes

  No

• What Rooms Have Windows or Doors

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

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

Living Room

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

Bathroom

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

Other

• Specify Room

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

Dining Room

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

Kitchen

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

W/C

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

Bedroom 1

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

Bedroom 2

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

Bedroom 3

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

Bedroom 4

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

Bedroom 5

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

Office

• Include General Room Photo's

  Media

• Photo's of All Windows & Doors in Room

  Media

• A ventilation PIBI must be submitted with the Windows and Doors PIBI.

• Has a ventilation PIBI been conducted

  Yes

  No

• A ventilation PIBI must be completed

• Ventilation PIBI will be provided to show:

• Wet room mechanical ventilation is working or will be replaced

• All rooms have or will have passive vents/trickle vents

• All habitable rooms have or will have the required door undercuts

• Use of a Step ladder/ladder

• Access and Egress

• Manual Handing

• Hand Tools/Power Tools

• Vibration

• Noise

• Dust

• House Keeping

• Lone Working

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

Resident Sign Off

• Has the Customer been made aware of the level of disruption and is happy for the works to go ahead?

  Yes

  No

• Resident to sign

  Sign

Assessment Sign off

• Surveyor/Competent Person Signature and Full name

  Sign