PPHS - All Measures Tech Survey/PIBI

• Date

  Date

• Tech Survey Prepared by

• Park Homeowner Name

• Park Home Address
  Address

Drawn Plans

• Please take a photo of the Distance Drawing and Ventilation Diagram

  Media

• Property Type

  Park Home Single

  Park Home Double

• Please take photos of all elevations of the property (all angles - 8 photos should cover it)

  Media

• Is there adequate skirt ventilation?<br><br>We need 1 skirt vent on each short end and 2 skirt vents on each long end (6 total)<br><br>*Photos required of the skirt vents (if applicable)

  Yes

  No

• What skirt ventilation strategy do we need to implement? Multiple Selections Allowed

  Select Install 1 New Skirt Vent on the Long Ends Install 2 New Skirt Vents on the Long Ends (either 2 on one side or 1 on each side) Install 3 New Skirt Vents on the Long Ends (2 on one side, 1 on the other side) Install 4 New Skirt Vents on the Long Ends (2 on both sides) Install 1 New Skirt Vent on the Short End Install 2 New Skirt Vents on the Short End (1 on each short end)

  • Install 1 New Skirt Vent on the Long Ends
  • Install 2 New Skirt Vents on the Long Ends (either 2 on one side or 1 on each side)
  • Install 3 New Skirt Vents on the Long Ends (2 on one side, 1 on the other side)
  • Install 4 New Skirt Vents on the Long Ends (2 on both sides)
  • Install 1 New Skirt Vent on the Short End
  • Install 2 New Skirt Vents on the Short End (1 on each short end)

• Fuel Type<br><br>*Photo required of fuel source

  Mains Gas

  Electricity

  LPG

  Oil

  Other ( Please State in notes)

• Are you doing an EWI Tech Survey / PIBI?

  Yes

  No

• Construction of Park Home Skin?

  Select Plywood Aluminum uPVC Cladding Therefore remove Other: See notes

  • Plywood
  • Aluminum
  • uPVC Cladding Therefore remove
  • Other: See notes

• Do any of the walls require plywood change?

  Yes

  No

• How many SQM require changing? Please also take photos of the areas that need replacing

• How many window sills will be required?

• What colour are the window sills? *1 photo required

  Select Brown Rosewood (red/brown) White Grey Other

  • Brown
  • Rosewood (red/brown)
  • White
  • Grey
  • Other

• Is the Park Home Soffit over 100mm on the Long ends?<br><br>*1 photo required with a tape measure measurement

  Yes

  No

• Is the Park Home Soffit over 100mm on the Short ends?

  Yes

  No

• What are we doing with the Apex? *Photos required of both sides

  Select Insulate both Apex's as it has an overhang Remove cladding and insulate both Apex's as it has an overhang Insulate Front Apex / Leave Rear Apex Insulate Rear Apex / Leave Front Apex No Overhang - Can't Insulate Apex's

  • Insulate both Apex's as it has an overhang
  • Remove cladding and insulate both Apex's as it has an overhang
  • Insulate Front Apex / Leave Rear Apex
  • Insulate Rear Apex / Leave Front Apex
  • No Overhang - Can't Insulate Apex's

• Chamfer Insulation (Comment in notes)

  Select Doors Bay Windows N/A

  • Doors
  • Bay Windows
  • N/A

• Width of park home in meters

• Length of park home in meters

• Size of Park Home SQM

• What is the height of the park home from the drip rail to the soffit in meters?

• Is there a Porch or Inverted/Recessed Porch? Please take photographs to showcase the porch area. In case there are any smaller areas, please include a photo with a tape measure for accurate measurement.

  Select Yes No

  • Yes
  • No

• Is the Porch to be included in the install?

  Select Yes - Insulate Inverted/Recessed Porch Yes - Insulate External Porch as there is adequate overhang Yes - Insulate the inside wall of the porch (specifically the original exterior wall which is now located inside the porch) as there isn't adequate overhang. Other: See notes

  • Yes - Insulate Inverted/Recessed Porch
  • Yes - Insulate External Porch as there is adequate overhang
  • Yes - Insulate the inside wall of the porch (specifically the original exterior wall which is now located inside the porch) as there isn't adequate overhang.
  • Other: See notes

• Any porch enabling works required? Take photos and add items in notes

  Select Yes - there are enabling works No - there are no enabling works

  • Yes - there are enabling works
  • No - there are no enabling works

• Is there a Conservatory?<br><br>Please take photographs to showcase the conservatory area. In case there are any smaller areas, please include a photo with a tape measure for accurate measurement.

  Yes

  No

• Is the Conservatory to be included in the install?

  Select Conservatory: Yes - Insulate the inside wall of the porch (specifically the original exterior wall which is now located inside the conservatory) Conservatory: No - Do not insulate the inside wall (the originial exterior wall) as there is a heating source Other: See notes

  • Conservatory: Yes - Insulate the inside wall of the porch (specifically the original exterior wall which is now located inside the conservatory)
  • Conservatory: No - Do not insulate the inside wall (the originial exterior wall) as there is a heating source
  • Other: See notes

• Any conservatory enabling works required? Take photos and add items in notes

  Select Yes - there are enabling works No - there are no enabling works

  • Yes - there are enabling works
  • No - there are no enabling works

Obstruction to insulation and how to deal with them

• *Electrical Works - Surveyor, please take photos of any items below

• Outside BT Telephone box or Incoming Wire from a pole?

  Select Ok where it is Extend Relocate No Telephone wire/box

  • Ok where it is
  • Extend
  • Relocate
  • No Telephone wire/box

• TV/Sky?

  Select Ok where it is Bring out on Baton Relocated to Fascia No TV/Sky N/A

  • Ok where it is
  • Bring out on Baton
  • Relocated to Fascia
  • No TV/Sky
  • N/A

• Telephone/Aerial Wiring - Trunk or Bury?

  Select Trunk Bury N/A

  • Trunk
  • Bury
  • N/A

• Electrical Wiring - Trunk or Bury?

  Select Trunk Bury N/A

  • Trunk
  • Bury
  • N/A

• Electric box in use or Empty?

  Select In use Empty N/A

  • In use
  • Empty
  • N/A

• External electric socket, light switch or external junction box?

  Select Ok where it is Extend Relocate No External Electric Socket

  • Ok where it is
  • Extend
  • Relocate
  • No External Electric Socket

• Any other Electrical items that needs extending? (Leave comments in notes)

  Yes

  No

• *Gas Engineer Works - Surveyor, please take photos of any items below

• LPG Regulator and pipes?

  Select Ok where it is Extend Room to work Behind No LPG Regulator N/A

  • Ok where it is
  • Extend
  • Room to work Behind
  • No LPG Regulator
  • N/A

• External Water Tap?

  Select Ok where it is Extend Relocate No External Water Tap

  • Ok where it is
  • Extend
  • Relocate
  • No External Water Tap

• Is there a Boiler Flue? (photo required of Boiler Flue either on wall or roof)

  Yes

  No

• Does the Boiler Flue need extending? (photo required with measurement or 60mm insulation next to the flue)

  Select Yes - Extend Boiler Flue No

  • Yes - Extend Boiler Flue
  • No

• Pressure Release Valve

  Select Ok where it is Extend Relocate Can't see one on the wall N/A

  • Ok where it is
  • Extend
  • Relocate
  • Can't see one on the wall
  • N/A

• Soil Vent Pipe

  Select Yes No

  • Yes
  • No

• If AC unit - please take photo of the label (this also includes any external Oil Boilers)

  Photo taken

  N/A

• Any other pipework that needs extending? (Leave comments in notes)

  Select Yes No

  • Yes
  • No

• *Installer Works - Surveyor, please take photos of any items below

• Gate/Fence/Railing post adjustment (leave comments in notes)

  Select Adjust Work around Big enough gaps to add insulation N/A

  • Adjust
  • Work around
  • Big enough gaps to add insulation
  • N/A

• What material is the Gate/Fence made out of?

  Select Wood Metal Not sure (take photos)

  • Wood
  • Metal
  • Not sure (take photos)

• Is there a Hand Rail?

  Select Yes No

  • Yes
  • No

• Brick work (leave comments in notes)

  Select Cutback Box around with 10mm clearance Enough gap on brickwork to put insulation behind No brickwork N/A

  • Cutback
  • Box around with 10mm clearance
  • Enough gap on brickwork to put insulation behind
  • No brickwork
  • N/A

• Decking (leave comments in notes)

  Select Adjust Box with 10mm clearance No Decking N/A

  • Adjust
  • Box with 10mm clearance
  • No Decking
  • N/A

Extra Work

• *Extra Works - Surveyor, please take photos of any items below

• Shrubbery/Trellis/Bushes

  Select Yes - customer notified that they will need to trimback for the team No shrubbery / trellis / bush removal required Other: See notes

  • Yes - customer notified that they will need to trimback for the team
  • No shrubbery / trellis / bush removal required
  • Other: See notes

• Mock Tudor/Corner Quoins/Decorative Brick Features/Small Cladding

  Select Customer has been told that these will be removed and not put back on No decorative items to remove Other: See notes

  • Customer has been told that these will be removed and not put back on
  • No decorative items to remove
  • Other: See notes

• Is there anything else on the wall that might need moving or will impact the installation?

• Extra comments regarding the job

• Are you doing an UFI Tech Survey / PIBI?

  Yes

  No

• If you are doing just a single UFI what is the *width* of the home<br><br>Ignore if you answered this in the EWI section

  Answered EWI Section

  See measurement in the notes

• If you are doing just a single UFI what is the *length* of the home<br><br>Ignore if you answered this in the EWI section

  Answered EWI Section

  See measurement in the notes

• If you are doing just a single UFI what is the SQM?<br><br>Ignore if you answered this in the EWI section

  Answered EWI Section

  See measurement in the notes

• Is there a minimum of two accessible hatches, and are they situated opposite sides of the axle stands? <br><br>*Photo required of each hatch

  Yes

  No

• How many hatches need to be installed?

  1

  2

• Once the drip rail has been removed will there be a gap from the park home to the skirting? (leave comments in notes)<br><br>*Please take a photo of measurement for the installers if applicable

  Yes

  No

  N/A

• Number of Jacks (8 required for a Single, 16 required for a double) - Please ensure jacks are supporting the chassis, we don't count jacks not on the chassis.

  Select 8 (or more) 16 (or more) The minimum number of Jacks is not present

  • 8 (or more)
  • 16 (or more)
  • The minimum number of Jacks is not present

• How many total additional Jacks are required?

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16

• What size jacks are required? (the quantity will generate below)

  Select Small Jack (10.5 inch - 15 inch / 26.67cm - 38.1cm) Medium Jack (12.5 inch - 15 inch / 31.75cm - 38.1cm) Large Jack (15 inch - 18.5 inch / 38.1cm - 46.99cm) Other (put size in notes)

  • Small Jack (10.5 inch - 15 inch / 26.67cm - 38.1cm)
  • Medium Jack (12.5 inch - 15 inch / 31.75cm - 38.1cm)
  • Large Jack (15 inch - 18.5 inch / 38.1cm - 46.99cm)
  • Other (put size in notes)

• How many small jacks are required?

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16

• How many medium jacks are required?

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16

• How many large jacks are required?

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16

• What is the condition of the jacks (photo required)

  Select Great (looks new 5/5) Good (no rust 4/5) Fair (slight rust 3/5) Not good (rusty 2/5) Heavily Corroded (needs replacement 1/5) No Access N/A

  • Great (looks new 5/5)
  • Good (no rust 4/5)
  • Fair (slight rust 3/5)
  • Not good (rusty 2/5)
  • Heavily Corroded (needs replacement 1/5)
  • No Access
  • N/A

• What is the condition of the chassis (photo required)

  Select Clean and Painted Light Rust Visible Consistent Rust Throughout Chassis Heavy Rust and Corrosion Throughout Chassis

  • Clean and Painted
  • Light Rust Visible
  • Consistent Rust Throughout Chassis
  • Heavy Rust and Corrosion Throughout Chassis

• UFI pre installation photos

• Please take photos of underneath the home to show the access and current condition (*minimum of 4 photos please from each hatch)

  Media

• Is the whole of the underfloor accessible?

  Yes

  No

  N/A

• Bottom of chassis to base of Park home (high point) ? (In cm)

• Bottom of chassis to base of Park home (low point) ? (In cm)

• Depth of timber joist to base of Park Home? (***Needed for U-Value Docs)

  Select 10mm 15mm 20mm 25mm 30mm 40mm 50mm 60mm 75mm 100mm If drastically different please state in notes

  • 10mm
  • 15mm
  • 20mm
  • 25mm
  • 30mm
  • 40mm
  • 50mm
  • 60mm
  • 75mm
  • 100mm
  • If drastically different please state in notes

• Are there any Dangers Visible? (this may include evidence of rodent activity, leaking pipes, exposed wiring)

  Yes

  No

• Please state the dangers

• Is there any pipe work that will require lagging as part of the installation?

  Yes

  No

• What size pipe is present?

  15mm

  22mm

  25mm

  Other - please state in notes

• How much pipe lagging will be required?

  Select 5m 10m 15m 20m 25m 30m 35m 40m Other - please state in notes

  • 5m
  • 10m
  • 15m
  • 20m
  • 25m
  • 30m
  • 35m
  • 40m
  • Other - please state in notes

• Does the Gas Pipe run under the floor?<br><br>*Please take photos if applicable

  Yes

  No

• What is the base made from?

  Concrete

  Gravel

  Mixture

• Is there pre existing insulation present?

  Yes

  No

• What is the condition of the insulation

  Select The insulation is thin and in very poor condition The insulation is very thin but in good general condition

  • The insulation is thin and in very poor condition
  • The insulation is very thin but in good general condition

• What type of insulation is there and how thick is it? (***Needed for U-Value Docs)

• Anything else to note for the under floor insulation install?

  Yes - See notes

  No

• *Under the home inspection for External Wall Insulation

• Once the drip rail has been removed will there be a gap from the park home to the skirting? (leave comments in notes)

  Yes

  No

  N/A

• Number of Jacks (8 required for a Single, 16 required for a double) *Please ensure jacks are supporting the chassis, we don't count jacks not on the chassis.

  Select 8 (or more) 16 (or more) The minimum number of Jacks is not present

  • 8 (or more)
  • 16 (or more)
  • The minimum number of Jacks is not present

• What is the condition of the jacks *Photo required

  Select Great (looks new 5/5) Good (no rust 4/5) Fair (slight rust 3/5) Not good (rusty 2/5) Heavily Corroded (needs replacement 1/5) No Access N/A

  • Great (looks new 5/5)
  • Good (no rust 4/5)
  • Fair (slight rust 3/5)
  • Not good (rusty 2/5)
  • Heavily Corroded (needs replacement 1/5)
  • No Access
  • N/A

• What is the condition of the chassis *Photo required

  Select Clean and Painted Light Rust Visible Consistent Rust Throughout Chassis Heavy Rust and Corrosion Throughout Chassis

  • Clean and Painted
  • Light Rust Visible
  • Consistent Rust Throughout Chassis
  • Heavy Rust and Corrosion Throughout Chassis

• Is there an accessible loft

  Select Yes - but I'm not doing a PPHS loft survey today Yes - full survey No

  • Yes - but I'm not doing a PPHS loft survey today
  • Yes - full survey
  • No

• Please take photos of inside the loft here (please also take photos of all 4 corners) Also please take a back up video of the whole of the loft and whatsapp to 07423 629407 (office number) with the address

  Media

• Is there existing loft insulation?

  Yes

  No

• What is the thickness of the insulation? ***(2 Photos required with a tape measure in two different areas)

• What type of insulation?

  Blanket Insulation (loft roll)

  Loose-fill Insulation

  Blown-Fibre Insulation

  Sheet Insulation (Celotex)

  Vermiculite

• Current condition of the insulation

  Good

  Poor

• Loft measurements:

• Height - Highest point

• Length

• Width

• Is the loft clear or is there items/rubbish to be removed/relocated?

  Select Yes - large amount of items/rubbish to clear Yes - small amount of items/rubbish to clear No

  • Yes - large amount of items/rubbish to clear
  • Yes - small amount of items/rubbish to clear
  • No

• Is the loft boarded?<br><br>*Photo required

  Yes

  No

• Is the hatch insulated? (please take photo of the hatch door)

  Yes

  No

Electrical

• Are there downlights that need to be covered with a hood?

  Select No 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Other - see notes

  • No
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • Other - see notes

• Any cables running through the loft?

  Yes

  No

• What type of cables? (multi choice)

  Select Shower cable Cooker cable Mains incoming cable General cables - power + lighting Can't see any Other - see notes

  • Shower cable
  • Cooker cable
  • Mains incoming cable
  • General cables - power + lighting
  • Can't see any
  • Other - see notes

Pipework

• Any waterfed pipes run through the loft?

  Yes

  No

• Are these pipes insulated?

  Select Yes No - bring around 5 meters of lagging No - bring around 10 meters of lagging No - bring around 15 meters of lagging No - bring around 20 meters of lagging No - bring around 25 meters of lagging No - bring around 30 meters of lagging

  • Yes
  • No - bring around 5 meters of lagging
  • No - bring around 10 meters of lagging
  • No - bring around 15 meters of lagging
  • No - bring around 20 meters of lagging
  • No - bring around 25 meters of lagging
  • No - bring around 30 meters of lagging

• Any gas pipes run through the loft?

  Yes

  No

• Any water tanks in the loft? (Please take photos if there is a tank)

  Yes

  No

• Are they insulated?

  Yes

  No

• *Photo Required*<br><br>If the current insulation is less than or equal to 100mm have you filled out the Loft Declaration form, left the document in the loft and taken a photo?<br><br>3 x photos<br><br>1 x upclose so you can see all the details<br>1 x from standing on the loft ladder, showing the hatch and the document<br>1 x far away showing loft hatch, ladder and document in the background

  Yes

  No

Inside Inspection of the Park Home

• Is there a boiler?

  Yes

  No

• What is the make and model of the boiler? (please take a photo as well as a written description of the boiler make and model - this is for the Gas Engineer if he needs to extend the flue) Please also add the GC number (or take a clear photo so the Gas Engineers can see it)

• Please take a photo of the top part of the boiler to check the flue is attached correctly

  Media

• Just incase we need to install a Core Vent for the boiler, please take a photo of a wall where it could vent out of (must be in the room with the boiler) This if for non-condensing boilers, so if the boiler is new, there is no need for this photo.

  Media

• Is there room for a 6 inch Core Vent on this outside wall if required?

  Yes

  No

  N/A Boiler New

• Is there a drop hole (a vent) in the floor by the boiler? (photo required if there is one)

  Yes

  No

• Is there a gas or electric fire in any of the rooms?

  Gas Fire

  Electric Fire

  Log Burner or Back Boiler

  Oil Fire

  No Fire

• Please take a photo of the gas fire

  Media

• Is there a core vent?<br><br>*Must be an actual Core Vent

  Yes

  No

• Please inform the customer they will need a core vent

  I have informed customer

• Please take a photo of the electric fire and the socket/fuse spur it is wired into. We need to ensure that this is electric and not gas as a core vent is needed if there is a gas fire

  Media

• Please take a photo of the Log Burner or Back Burner

  Media

• Is there a core vent?<br><br>*Must be an actual Core Vent

  Yes

  No

• Please inform customer they will need a core vent

  I have informed customer

• Please take a photo of the Oil Fire

  Media

• Is there a core vent?

  Yes

  No

• Please inform the customer they will need a core vent

  I have informed customer

• How many bedrooms are there?

  Select 1 2 3 4 5 6 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • N/A

• Please take a photo of the Heating Controls / Thermostat

  Media

• What type of lights are in the park home (Please take a photo of 1 light)

  LED Lighting

  Halogen Lighting

Ventilation Strategy

• Extraction Ventilation:

• Does the Kitchen have an extractor fan or cooker hood?<br><br>*Please take a photo of the fan or the wall the fan would be installed on if no fan

  Yes - has fan

  No - requires a fan

  N/A

  Other - See Notes

• Does the fan work?

  Yes

  No

  N/A

• Does the cooker hood duct to outside?<br><br>*Photo required of cooker hood ducting outside - if already taken or it's not a cooker hood, ignore!

  Yes

  No

  N/A

• Does Bathroom 1 have an extractor fan?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes - has fan

  No - requires a fan

  N/A

  Other - See Notes

• Does the fan work?

  Yes

  No

  N/A

• Does the En-suite have an extractor fan?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A - there is no ensuite

• Does the fan work?

  Yes

  No

  N/A

• Does the Utility Room have an extractor fan?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A - there is no utility room

• Does the fan work?

  Yes

  No

  N/A

• Please list any additional Wet Rooms in the Park Home (Bathroom, WC, Utility Room, En-Suite etc)

  Select Bathroom 1 Bathroom 2 Bathroom 3 Ensuite 1 Ensuite 2 Ensuite 3 Kitchen Utility Room WC 1 WC 2 WC 3 Other N/A

  • Bathroom 1
  • Bathroom 2
  • Bathroom 3
  • Ensuite 1
  • Ensuite 2
  • Ensuite 3
  • Kitchen
  • Utility Room
  • WC 1
  • WC 2
  • WC 3
  • Other
  • N/A

• Does Bathroom 1 have an extractor fan?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Does Bathroom 2 have an extractor fan?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Does Bathroom 3 have an extractor fan? <br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Does Ensuite 1 have an extractor fan?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Does Ensuite 2 have an extractor fan? <br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Does Ensuite 3 have an extractor fan? <br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Does the Kitchen have an extractor fan or cooker hood?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Does the Utility Room have an extractor fan?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Does WC 1 have an extractor fan?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Does WC 2 have an extractor fan?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Does WC 3 have an extractor fan?<br><br>(Please take a photo of the fan or the wall the fan would be installed on if no fan)

  Yes

  No

  N/A

• Does the fan work?

  Yes

  No

  N/A

• Type in notes the other wet room name and take a photo of the fan or the wall the fan would be installed on

*For City Energy Only Jobs

• Have you let the customer know that the City Energy funder has said for dMEV continuous fans to be installed, so even if the customer already has fans, these will be replaced with the above fans

  Yes

  No

  N/A

Background Ventilation and Door Undercuts

• Does the Property have adequate background ventilation by means of window trickle ventilation or other room ventilation in habitable rooms?<br><br>***Please take photos here of the existing background ventilation and label the room in/on the photo

  Yes

  No

  N/A

• Please ask the customer if they would want a Window Trickle Vent or a Rectangle Wall Vent to be installed, and fill in the information below.

• Background Ventilation Strategy

  Select N/A Background Ventilation is adequate Install background vent to Bedroom 1 Install background vent to Bedroom 2 Install background vent to Bedroom 3 Install background vent to Dining Room Install background vent to Living Room Install background vent to Utility Room Install background vent to Study Install background vent to Bathroom 1 Install background vent to Bathroom 2 Install background vent to Ensuite 1 Install background vent to Ensuite 2 Install background vent to Kitchen Install background vent to WC Install background vent to (add room in notes) Install Window Trickle Vent to Bedroom 1 Install Window Trickle Vent to Bedroom 2 Install Window Trickle Vent to Bedroom 3 Install Window Trickle Vent to Dining Room Install Window Trickle Vent to Living Room Install Window Trickle Vent to Utility Room Install Window Trickle Vent to Study Install Window Trickle Vent to Bathroom 1 Install Window Trickle Vent to Bathroom 2 Install Window Trickle Vent to Ensuite 1 Install Window Trickle Vent to Ensuite 2 Install Window Trickle Vent to Kitchen Install Window Trickle Vent to WC Install Window Trickle Vent to (add room in notes)

  • N/A Background Ventilation is adequate
  • Install background vent to Bedroom 1
  • Install background vent to Bedroom 2
  • Install background vent to Bedroom 3
  • Install background vent to Dining Room
  • Install background vent to Living Room
  • Install background vent to Utility Room
  • Install background vent to Study
  • Install background vent to Bathroom 1
  • Install background vent to Bathroom 2
  • Install background vent to Ensuite 1
  • Install background vent to Ensuite 2
  • Install background vent to Kitchen
  • Install background vent to WC
  • Install background vent to (add room in notes)
  • Install Window Trickle Vent to Bedroom 1
  • Install Window Trickle Vent to Bedroom 2
  • Install Window Trickle Vent to Bedroom 3
  • Install Window Trickle Vent to Dining Room
  • Install Window Trickle Vent to Living Room
  • Install Window Trickle Vent to Utility Room
  • Install Window Trickle Vent to Study
  • Install Window Trickle Vent to Bathroom 1
  • Install Window Trickle Vent to Bathroom 2
  • Install Window Trickle Vent to Ensuite 1
  • Install Window Trickle Vent to Ensuite 2
  • Install Window Trickle Vent to Kitchen
  • Install Window Trickle Vent to WC
  • Install Window Trickle Vent to (add room in notes)

• I have checked with the customer about the age of the windows and the FENSA guarantee

  Select Windows are over 10 years old and customer is happy for Window Trickle Vents to be fitted Windows are under 10 years old and customer is aware the FENSA guarantee will be void if we install the Window Trickle Vent

  • Windows are over 10 years old and customer is happy for Window Trickle Vents to be fitted
  • Windows are under 10 years old and customer is aware the FENSA guarantee will be void if we install the Window Trickle Vent

• Does the Property have adequate background ventilation by means of Door undercuts of at least 7 600 mm2 beneath all internal doors, above the floor finish, to allow air to move through the dwelling in habitable rooms? ( approx 10mm gap)<br><br>***Please take photos of each habitable room door undercut (With the DOOR CLOSED!) and label the room in/on the photo

  Yes

  No

  N/A

• What doors will need adjusting?

  Select Bedroom 1 Door Bedroom 2 Door Bedroom 3 Door Kitchen (Door 1) Kitchen (Door 2) Bathroom Door En-Suite Door 1 En-Suite Door 2 En-Suite Door 3 WC Door 1 WC Door 2 Living Room (Door 1) Living Room (Door 2) Dining Room (Door 1) Dining Room (Door 2) Utility Room Door Study Door Other (type in notes)

  • Bedroom 1 Door
  • Bedroom 2 Door
  • Bedroom 3 Door
  • Kitchen (Door 1)
  • Kitchen (Door 2)
  • Bathroom Door
  • En-Suite Door 1
  • En-Suite Door 2
  • En-Suite Door 3
  • WC Door 1
  • WC Door 2
  • Living Room (Door 1)
  • Living Room (Door 2)
  • Dining Room (Door 1)
  • Dining Room (Door 2)
  • Utility Room Door
  • Study Door
  • Other (type in notes)

Questions to ask Customer

• Colour code (please select the colour code and take a photo of the back of the colour card) PLEASE INFORM THE CUSTOMER - that we will strive to give them the colour they have chosen. However, if the work is scheduled between October 1st and April 1st, we will be applying a White 365 Top Coat, as it dries in just 6 hours, and that's the exclusive colour available during that period.

  Select Cream (OC80) (White 365 from 1st Oct to 1st April) Green (GR71) (White 365 from 1st Oct to 1st April) Grey (CG56) (White 365 from 1st Oct to 1st April) White (WH89) (White 365 from 1st Oct to 1st April) Yellow (LY78) (White 365 from 1st Oct to 1st April) N/A - No EWI being installed Other

  • Cream (OC80) (White 365 from 1st Oct to 1st April)
  • Green (GR71) (White 365 from 1st Oct to 1st April)
  • Grey (CG56) (White 365 from 1st Oct to 1st April)
  • White (WH89) (White 365 from 1st Oct to 1st April)
  • Yellow (LY78) (White 365 from 1st Oct to 1st April)
  • N/A - No EWI being installed
  • Other

• Have you let the customer know that any Cladding, Mock Tudor, Corner Quoins, Columns or Decorative Brick Features will be removed and not put back on?

  Yes

  N/A

  Other: See notes

• Have you let the customer know that we don't paint the soffits, we only Top Coat the walls we insulate?

  Select Yes - Customer is fine the soffit will not be painted, they will sort out after our install Yes - Customer is interested in us colour matching the soffits with the same colour. Please can the office give them a phone call Yes N/A Other: See notes

  • Yes - Customer is fine the soffit will not be painted, they will sort out after our install
  • Yes - Customer is interested in us colour matching the soffits with the same colour. Please can the office give them a phone call
  • Yes
  • N/A
  • Other: See notes

• Have you let the customer know that they will need to cutback any shrubbery or plants before we start works?

  Yes

  N/A

  Other: See notes

• Have you let the customer know the condition of the chassis?

  Yes

  N/A

  Other: See notes

• Have you let the customer know that we will be putting down floor protection around the home, so some grass may get damaged & decorative items will need to be moved

  Yes

  N/A

  Other: See notes

• If the customer has an AC unit, does the customer have an engineer they could recommend to move the pipework?

  Yes

  N/A

  Other: See notes

• Is there anything that needs to be taken off and will be put back on?

• **Important** Are there any accessibility considerations/requirements to be aware of? I.e. does the customer require the handrail to be installed at M&R stage due to potential injury, are they disabled and require certain items to be fixed back to the wall?

• Boiler Marketing for Platinum! When was your last boiler service?

• How old is your boiler

  Select 1 year old 2 years old 3 years old 4 years old 5 years old 6 years old 7 years old 8 years old 9 years old 10 years old 11 years old 12 years old 13 years old 14 years old 15 years old Other see notes

  • 1 year old
  • 2 years old
  • 3 years old
  • 4 years old
  • 5 years old
  • 6 years old
  • 7 years old
  • 8 years old
  • 9 years old
  • 10 years old
  • 11 years old
  • 12 years old
  • 13 years old
  • 14 years old
  • 15 years old
  • Other see notes

• Anything additional needed to mention?

• Customer Signature

• I understand and have been explained to, what the installation of Wall Insulation / Underfloor Insulation / Loft Insulation on my property entails and involves

  Sign

Risk Assessment

• Any additional risks/hazards to be added to the Risk Assessment:

  Yes - See Notes

  No

EPC - Band Jump Clarification

• The purpose of this document is to outline the reasons why the current property is incapable of jumping two bands and to explain how implementing certain measures will prove advantageous for the said property.

• Pre-Install EPC:

  Select (G) 1 (G) 2 (G) 3 (G) 4 (G) 5 (G) 6 (G) 7 (G) 8 (G) 9 (G) 10 (G) 11 (G) 12 (G) 13 (G) 14 (G) 15 (G) 16 (G) 17 (G) 18 (G) 19 (G) 20 (F) 21 (F) 22 (F) 23 (F) 24 (F) 25 (F) 26 (F) 27 (F) 28 (F) 29 (F) 30 (F) 31 (F) 32 (F) 33 (F) 34 (F) 35 (F) 36 (F) 37 (F) 38 (E) 39 (E) 40 (E) 41 (E) 42 (E) 43 (E) 44 (E) 45 (E) 46 (E) 47 (E) 48 (E) 49 (E) 50 (E) 51 (E) 52 (E) 53 (E) 54 (D) 55 (D) 56 (D) 57 (D) 58 (D) 59 (D) 60 (D) 61 (D) 62 (D) 63 (D) 64 (D) 65 (D) 66 (D) 67 (D) 68 (C) 69 (C) 70 (C) 71 (C) 72 (C) 73 (C) 74 (C) 75 (C) 76 (C) 77 (C) 78 (C) 79 (C) 80 (B) 81 (B) 82 (B) 83 (B) 84 (B) 85 (B) 86 (B) 87 (B) 88 (B) 89 (B) 90 (B) 91 (A) 92 (A) 93 (A) 94 (A) 95 (A) 96 (A) 97 (A) 98 (A) 99 (A) 100

  • (G) 1
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  • (F) 21
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  • (E) 39
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  • (D) 55
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  • (C) 69
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  • (B) 81
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  • (A) 92
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  • (A) 94
  • (A) 95
  • (A) 96
  • (A) 97
  • (A) 98
  • (A) 99
  • (A) 100

• Predicted Post-Install EPC:

  Select (G) 1 (G) 2 (G) 3 (G) 4 (G) 5 (G) 6 (G) 7 (G) 8 (G) 9 (G) 10 (G) 11 (G) 12 (G) 13 (G) 14 (G) 15 (G) 16 (G) 17 (G) 18 (G) 19 (G) 20 (F) 21 (F) 22 (F) 23 (F) 24 (F) 25 (F) 26 (F) 27 (F) 28 (F) 29 (F) 30 (F) 31 (F) 32 (F) 33 (F) 34 (F) 35 (F) 36 (F) 37 (F) 38 (E) 39 (E) 40 (E) 41 (E) 42 (E) 43 (E) 44 (E) 45 (E) 46 (E) 47 (E) 48 (E) 49 (E) 50 (E) 51 (E) 52 (E) 53 (E) 54 (D) 55 (D) 56 (D) 57 (D) 58 (D) 59 (D) 60 (D) 61 (D) 62 (D) 63 (D) 64 (D) 65 (D) 66 (D) 67 (D) 68 (C) 69 (C) 70 (C) 71 (C) 72 (C) 73 (C) 74 (C) 75 (C) 76 (C) 77 (C) 78 (C) 79 (C) 80 (B) 81 (B) 82 (B) 83 (B) 84 (B) 85 (B) 86 (B) 87 (B) 88 (B) 89 (B) 90 (B) 91 (A) 92 (A) 93 (A) 94 (A) 95 (A) 96 (A) 97 (A) 98 (A) 99 (A) 100

  • (G) 1
  • (G) 2
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  • (E) 39
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  • (D) 55
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  • (B) 81
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  • (A) 92
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  • (A) 99
  • (A) 100

• Please state the reason for why the property is unable to jump 2 bands with the current measures

• What measures are required to do the 2 band jump?

  Select EWI UFI Loft ASHP Solar LED Lights TTZC (Time and Temperature Zone Control) Upgrade Heating Controls Upgrade Boiler Double Glazing Other - See Notes

  • EWI
  • UFI
  • Loft
  • ASHP
  • Solar
  • LED Lights
  • TTZC (Time and Temperature Zone Control)
  • Upgrade Heating Controls
  • Upgrade Boiler
  • Double Glazing
  • Other - See Notes

Permissions

• Who owns the park home site?

  Select Aldingbourne Park Avondale Park Beechfield Park Berkley Site Site Climping Park Site Deanland Wood Site East Beach Park Fangrove Park Forest Way Grange Park Grange Park Haulfryn Site Havenwood Site Henderson Park Longacre Park McAllister Site Milfarm Residential Park Home Estate Site Moorgreen Park Park Home Living Site Roundstone Park Silver Lakes Starglade Site Tingdene Site The Marigolds The Willows Turners Hill Site Willowbrook Park Other (add in notes)

  • Aldingbourne Park
  • Avondale Park
  • Beechfield Park
  • Berkley Site Site
  • Climping Park Site
  • Deanland Wood Site
  • East Beach Park
  • Fangrove Park
  • Forest Way
  • Grange Park
  • Grange Park
  • Haulfryn Site
  • Havenwood Site
  • Henderson Park
  • Longacre Park
  • McAllister Site
  • Milfarm Residential Park Home Estate Site
  • Moorgreen Park
  • Park Home Living Site
  • Roundstone Park
  • Silver Lakes
  • Starglade Site
  • Tingdene Site
  • The Marigolds
  • The Willows
  • Turners Hill Site
  • Willowbrook Park
  • Other (add in notes)

• Double check but these parks don't require a permission to work

• Double check but these sites *REQUIRE a permission to work

• Permission to Work Required?

  Yes

  No

  N/A

Documents Required

• Please select the managing agent

  Select City Energy: LAD 3 Agility Eco: LAD 3 Agility Eco: HUG Test Valley Amber Living Other

  • City Energy: LAD 3
  • Agility Eco: LAD 3
  • Agility Eco: HUG
  • Test Valley
  • Amber Living
  • Other

• Photo of the signed Purchase Agreement (PPHS Purchase Agreement/Contract)

  Media

• Photo of the signed City Energy Contract

  Media

Have you got the following evidence? (PLEASE DO NOT ATTACH HERE - send separately via Google Drive or upload straight to the CRM)

• Proof of Income: 3 months Bank Statements (most recent 3 months statements, and all pages to be uploaded)

  Yes

  No

  N/A

• Source of income (Like DWP Pension)

  Yes

  No

  N/A

• Proof of Ownership (original paperwork if possible and not a pitch fee review - pitch agreement usually fine)

  Yes

  No

  N/A

• Just a reminder, we will need
  
  EPC rating of an E, F or G

• Other (If there is anything else required you can add it here)

  Yes

  No

  N/A

• Photo of the signed Purchase Agreement (PPHS Purchase Agreement/Contract)

  Media

• Photo of the signed Warmer Homes Contract<br><br>(Please Genius Scan these and email them to your project manager, thanks!)

  Yes

  No

Have you got the following evidence? (PLEASE DO NOT ATTACH HERE - send separately via Google Drive or upload straight to the CRM)

• Proof of Income: *For the whole household<br><br>Payslips or Pension Statement ONLY

  Yes

  No

• Along with the above, we also need 3 months Bank Statements (most recent 3 months statements, and all pages to be uploaded)

  Yes

  No

• Proof of Ownership (original paperwork if possible and not a pitch fee review - pitch agreement usually fine)

  Yes

  No

• Utility Bill (dated within 6 months)

  Yes

  No

• Other (If there is anything else required you can add it here)

  Yes

  No

  N/A

• Photo of the signed Purchase Agreement (PPHS Purchase Agreement/Contract)

  Media

• Photo of the signed Warmer Homes Contract<br><br>(Please Genius Scan these and email them to your project manager, thanks!)

  Yes

  No

Have you got the following evidence? (PLEASE DO NOT ATTACH HERE - send separately via Google Drive or upload straight to the CRM)

• Proof of Income: *For the whole household<br><br>Payslips, Pension Statement or P60

  Yes

  No

• Along with the above, we also need 3 months Bank Statements (most recent 3 months statements, and all pages to be uploaded)

  Yes

  No

• Proof of Ownership (original paperwork if possible and not a pitch fee review - pitch agreement usually fine)

  Yes

  No

• Utility Bill (dated within 6 months)

  Yes

  No

• Other (If there is anything else required you can add it here)

  Yes

  No

• Photo of the signed Purchase Agreement (PPHS Purchase Agreement/Contract)

  Media

Have you got the following evidence? (PLEASE DO NOT ATTACH HERE - send separately via Google Drive or upload straight to the CRM)

• Proof of Income: 3 months Bank Statements (most recent 3 months statements, and all pages to be uploaded)

  Yes

  No

• Proof of Ownership (original paperwork if possible and not a pitch fee review - pitch agreement usually fine)

  Yes

  No

• Other (If there is anything else required you can add it here)

  Yes

  No

• Lucky you, we don't need any documents!

• Other (If there is anything else required you can add it here)

  Yes

  No

  N/A

• Other (If there is anything else required you can add it here)

  Media