Title Page
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Client
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Prepared by
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Job/Contract number
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Installation address
Customer details
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Customer Name
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Customer Telephone Number
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Customer email
Risk Assessment
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Are there any Potential Asbestos Containing Materials present ?
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Is there a safe workaround to avoid disturbing Asbestos Containing Materials
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Is Scaffolding Required ?
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Is Parking available at the Property
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Are there parking charges in operation
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Are there any obstructions on or around the Property
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Are there any animals kept at the property that may be considered dangerous
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Is there any working at heights involved
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Will permissions be required for working in a neighbouring Property e.g access to garden
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Are there any signs of Health Hazards e.g Animal Fowling, discarded needles, excessive rubbish
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Will there be anyone present within property that would require Respite care
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Will there be any Children within the property
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Will any Persons with Visual Impairments or Hearing Difficulties be present
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Are there any Gas Bottles present within the Property e.g Medical Qxygen
Building Details
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House Type
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Detachment Type
- Detached
- End Terrace
- Mid Terrace
- G/F Flat
- 1st Floor
- 2nd Floor
- 3rd Floor
- Semi
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Front Elevation
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Rear Elevation
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Side Elevations
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Main Wall Thickness
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EWI Thickness if any
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Main External Wall Construction Type
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Main External Wall Material Finish
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External Door Type
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Internal Wall Type
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Party Wall Type
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Ground Floor Type
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Intermediate Floor Construction
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Window Type
- Single
- Double
- Triple
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Roof Type
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Is there Insulation within the joists/rafters
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Is current loft insulation sufficient?
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How many rolls are required and what depth?
Existing Heating Type
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Existing Fuel Type
- Electric Storage
- Gas
- LPG
- Oil
- No Central Heating
- Electric Wet
- Solid Fuel
- Air Source Heat Pump
- Ground Source Heat Pump
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Photo of existing Heating Source
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Photo of existing Domestic Hot Water Cylinder
Occupancy Information
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Number of Bedrooms
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Number of Occupants of Property
Existing Electrical Detail
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Clear Photo of all Consumer Units
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Are there Spare Ways in the Consumer Unit
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Clear Photo of Cable Head showing the rating label
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Type of Earthing System
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Is there an MI Installed
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Clear Photo of Electricity Meter
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Is the supply looped
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Is there Solar PV
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Please take Photo of PV Array
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Is there an EVCP
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Please take Photo
Planning & Proposed Locations
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Is the property in a Listed or Conservation Area
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Will the install fall under permitted Development
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Are there any other planning issues to consider
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Location of Heat Pump
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Water management arrangements for condensate from ASHP
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Are there any alterations to paths required
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Position of New DHW Cylinder
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Internal dimensions of cupboard where either cylinder is being located
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Is the proposed location suitable for the weight of the DHW Cylinder
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Are there any cupboard alterations required
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Dimension of Cupboard Door
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Is External Trunking Required
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Length of Trunking Required
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Primary Flow and Return Pipework distance to DHWC
Radiator Locations
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Photo of existing Lounge Radiator Location
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Space available for additional Lounge Rad
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Photo of existing Kitchen Radiator Location
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Space available for additional Kitchen Rad/Downflow
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Photo of existing Hall Radiator Location
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Photo of existing Bathroom Radiator Location
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Space available for additional Bathroom Rad/Downflow
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Photo of existing Bedroom Radiator 1 Location
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Photo of existing Bedroom 2 Radiator Location
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Photo of existing Bedroom 3 Radiator Location
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Photo of existing Landing Radiator Location
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Photos of any other rooms within the property that require to be Heated along with room information
Condition Photos
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Photos of Floor Coverings Ground Floor
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Photos of Floor Coverings First Floor
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Photos of any obvious existing cosmetic damage
Floor Plans
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Photo of Ground Floor Layout
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Photo of First Floor Layout
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Is there laminate flooring in any areas?
Heating Engineer Media
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Screenshots from app
Battery
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Proposed battery location
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Proposed cable route to battery
PV Array Location
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Photo of proposed location of PV Array
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Size of roof
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Pitch of roof in degrees
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Is there any shading within 10m of the Array if so please not distance from property
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Is scaffold required
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Photo of access requirement
Heat Recovery Information
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Photo of Kitchen fan including isolator
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Photo of Bathroom fan including isolator
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Can existing cores be reused?
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Photo showing external grill for fans
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Are there any signs of dampness / black mould etc
- Yes
- No
- N/A
Tenant Responsibilty's
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Has the customer been made aware of areas to be cleared?
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Has the customer made made aware of the upheaval involved in job?
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Has the customer been made aware that laminates and hardwood floorings are their responsibility to lift before install can commence?
Sign-Off
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Surveyor Signature
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Tenant Signature