Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Overview
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Property Reference
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Address
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Client Name
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Dwelling Type
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Number of Bedrooms
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Age of Property (Age Band)
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Build Form
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Property Main Construction Wall Type
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System Supplier and Specification Details
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Pull Out Tests Required
Floor And Wall Construction / Main Building
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Floor Plan Wall Type
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Are You Proposing To Insulate Any Cavity Party Walls
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Total Gross Area (M2)
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Total Deductions (M2)
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Total Area To Be Insulated (M2)
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Floor-type
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Roof structure
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Damaged patio or flagging present?
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Damp check confirmation "I confirm that all internal rooms and external elevations been checked and that no areas of existing damp present, other than those caused solely by condensation"?
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Loft present?
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DPC Present?
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Fuel Burning Appliances Present?
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Any protected species present?
Floor and Wall Construction / Main Building / Elevations
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How many external elevations are there
Elevation 1
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What Elevation Is This
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Wall Type
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External Insulation Required
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Insulation Thickness To Be Installed
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External Finish
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Internal Finish
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Door or Window Reveal Present
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Number of Vents
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Number of Extractors
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Satellite Dish Present
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External Tap Present
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Overhead Electricity Cables Present
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External Lights Present
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Telephone Line Present
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Boiler Flue Present
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Customer Finish Colour Preference
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Customer Finish Texture Preference
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Alarm Box Present
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Extension of Existing Roof Required
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Loose Substrate To Be Removed
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Insulated Render Area for Elevation (M2) - sketch and table of measurements included
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Oversills Required
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Rainwater Goods Present
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Guttering Present
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Soil or Vent Present
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Scaffolding Required
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Notes
Elevation 2
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What Elevation Is This
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Wall Type
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External Insulation Required
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Insulation Thickness To Be Installed
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External Finish
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Internal Finish
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Door or Window Reveal Present
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Number of Vents
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Number of Extractors
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Satellite Dish Present
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External Tap Present
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Overhead Electricity Cables Present
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External Lights Present
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Telephone Line Present
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Boiler Flue Present
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Customer Finish Colour Preference
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Customer Finish Texture Preference
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Alarm Box Present
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Extension of Existing Roof Required
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Loose Substrate To Be Removed
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Insulated Render Area for Elevation (M2) - sketch and table of measurements included
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Oversills Required
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Rainwater Goods Present
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Guttering Present
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Soil or Vent Present
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Scaffolding Required
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Notes
Elevation 3
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What Elevation Is This
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Wall Type
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External Insulation Required
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Insulation Thickness To Be Installed
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External Finish
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Internal Finish
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Door or Window Reveal Present
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Number of Vents
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Number of Extractors
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Satellite Dish Present
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External Tap Present
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Overhead Electricity Cables Present
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External Lights Present
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Telephone Line Present
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Boiler Flue Present
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Customer Finish Colour Preference
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Customer Finish Texture Preference
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Alarm Box Present
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Extension of Existing Roof Required
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Loose Substrate To Be Removed
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Insulated Render Area for Elevation (M2) - sketch and table of measurements included
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Oversills Required
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Rainwater Goods Present
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Guttering Present
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Soil or Vent Present
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Scaffolding Required
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Notes
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Number of elevations with a door or window reveal
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Floor and Wall Construction / Extensions
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How many Extensions present?
PAS 2035
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Are You Undertaking PAS2035
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Following investigation, will the proposed installation compromise the functionality of existing air supply/extract ventilation ducts/systems
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Following investigation, will the proposed installation result in unsafe operation of a combustion appliance?
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Following investigation, will the proposed installation result in noncompliance with the building regulations, eg in relation to workmanship, materials, fire safety, resistance to moisture?
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The building survey has been undertaken in accordance with the standard industry checklist.
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Prior to the EEM design being undertaken, a full and detailed building survey has been undertaken by a competent person.
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Thermal performance calculations undertaken.
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Condensation risk analysis.
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Ventilation requirements and standard / bespoke drawing details.
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The main components of the system, including the fixing type / method, the insulation type and thickness, the reinforcing coat and type of reinforcement and the finish.
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The proposed details for the main interfaces cold bridging (meter boxes, reveals, roofline).
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Base detail with particular reference to below DPC, seals at windows / doors, seals to penetrations, fixing and sealing of surface mounted structures, interfaces with roof, junctions between the system and other finishes and/or other EEMs.
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The installation to the EEM specification practical and achievable given the particular EWI system chosen for the project and the specific building construction, site concerns and other EEMs planned for the property
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Will installation result in avoidable thermal bridging?
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Compromise the functionality and/or safety of exiting services (gas, water, electric, telephone etc)?
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Will the proposed installation be non-compliant with any requirements specified by the EEM Specifier?
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I confirm that the condition of the substrate is suitable for the works to commence
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Is there any pre-existing damage to the areas that will be accessed by the installation operatives?
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Customer Name
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Customer Signature
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Signature Date
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We confirm that this building has been assessed according to the Technical Requirements (Operative)
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Operative Signature
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Signature Date
