Title Page
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Customers contact details.
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Conducted on
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Prepared by
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Location
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Images of front and rear of property
Loft Survey details
Loft Insulation Survey
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Is a loft survey required
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Does loft have adequate ventilation if no a risk assessment will open please complete.
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Please take 3 moisture readings must be below 20%
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Does loft feel drafty?
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Is there evidence of damp/mould if yes loft not acceptable.
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Can any daylight be seen in soffit or roof tiles. Please add images if daylight is seen.
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Does loft smell of damp/mould ?
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Existing depth.
- 0mm
- 12mm
- 25mm
- 50mm
- 70mm
- 80mm
- 100mm
- 125mm
- 150mm
- 200mm
- 250mm
- 270mm
- 300mm plus
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Please take a photo of the existing insulation depth.
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Clear images of loft
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Image of moisture readings in 3 locations
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Loft Height at Centre?
- 0.80 metres
- 0.90 metres
- 1.00 metres
- 1.20 metres
- 1.40 metres
- 1.50 metres
- 1.60 metres
- 1.80 metres and above.
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Pipes and tanks present.
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Area to be Insulated.
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Depth to be added.
- 100mm
- 150mm
- 200mm
- 250mm
- 270mm
- 300mm
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Loft hatch size.
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Photo of loft access.
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Does Loft hatch need D/P installing?
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Is moisture readings below 20%
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Contact office to see if we can progress with insulation measure
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Images of Pipes and tanks to be insulated.
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Spot lights present in ceiling?
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Images of each room that contains spot lights
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Walkway required.
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Loft clearance required.
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Details of loft clearance.
Dynamic Risk assessment Loft.
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If loft survey being carried out do risk assessment
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PPE to be worn
- Gloves
- Bump cap
- Protective clothing
- Ear protection( when using tools)
- Dust mask
- Safety specs
- Ladder ties
- Harness
- Safety boots
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Use of a Step ladder/ladder
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Access and Egress
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Manual Handing
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Hand Tools/Power Tools
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Vibration
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Noise
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Dust
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House Keeping
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Lone Working
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I have assessed the condition on site ensuring there is adequate ventilation and no evidence of damp and no remedial works required. Unless listed below,there are no additional significant hazards observed that are not addressed in the generic risk assessment for the work to be undertaken.
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Please provide details if you have answer no.
Pre-Installation building inspection form
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As a minimum the pre-installation building inspection shall investigate and determine as far as practicable:
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Pre-existing damage to the areas that will be accessed by the installation operatives;
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The extent of the area and elements to be insulated;
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It is important to report on the condition of the roof and in particular if the roof is suitable for the works to commence in relation to:
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Existence of appropriate roof space ventilation arrangements;
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The roof space being free from rodents/pests and protected species, e.g. bats;
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Timbers free from rot and/or infestation;
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The condition of the ceiling.
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Metal structural roof members being free from visible signs of corrosion;
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Electrical writing is free from visible defects, e.g. damaged cables, trailing cables, exposed conductors;
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No visible signs of water penetration; and no visible signs of leakage from water system components, e.g. pipework
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Be non-compliant with any requirements stated by the designer/specifier;
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Compromise the functionality of existing air supply/extract ventilation ducts/systems;
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Result in unsafe operation of a combustion appliance;
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Will the site layout or conditions impair the execution of the works in relation to appropriate access to the property and to the roof space; and the roof space being free from stored items, boarding etc;
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Will the installation to be undertaken result in non-compliance with the Building Regulations, eg. In relation to workmanship; materials; structural stability, fire safety; resistance to moisture
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Is the installation to the EEM specification practical and achievable given the particular Loft Insulation system chosen for the project and the specific building construction, site concerns and other EEM's planned for the property (See also Measures interaction matrix).
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Has the person appointed to undertake pre-installation inspections familiarized themselves with the guidance provided in BS 7913 Guide to the conservation of historic buildings and BS 5250 Code of Practice for the control of condensation in buildings?
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Has the pre-installation building inspection revealed potential installation problems?
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NOTE: In the event that the pre-installation building inspection reveals potential installation problems, the Retrofit Installer shall notify the Retrofit Coordinator and any relevant statutory authorities and work with the Retrofit Coordinator, as necessary, to develop a mutually agreed solution. Installation shall not commence until such a solution has been agreed by the Retrofit Coordinator and confirmed with the Client.
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Has the Retrofit Installer provided information as to the location and timing of forthcoming pre-installation building inspections to the Retrofit Coordinator and to any relevant certification body, and make arrangements for the inspection to be assessed, upon request by that body if it wishes to do so.
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This Building Inspection must be carried out in conjunction with the full Design Specification and the prepared Method Statement and any specific pre-installation inspection requirements from the relevant measure-specific Annex of PAS2030:2019
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From the findings of this building inspection, is the installation able to be carried out in line with the retrofit design and has it been reviewed as part of the pre-installation building inspection? (If the answer is No then the Retrofit Installer shall request appropriate amendment of the retrofit design or the provision by the Retrofit Coordinator of written confirmation that installation can proceed without amendment.
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From the findings of this building inspection, is the Method Statement suitable and complete and has it been checked as part of the pre-installation building inspection.
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Is there any evidence that any form of protected species (e.g. bats, birds, butterflies, dormice) or plants that could be subject to special protection are found to be present at the designated location would be disturbed by the installation process?
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NOTE: Any changes needing to be made or problems encountered as a result of this building inspection are required to be disclosed to the Retrofit Installer and the Retrofit Coordinator
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Have relevant checks been undertaken to determine if asbestos containing materials are present
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Confirmation that the condition of the substrate is suitable for the works to commence and where all or any of the substrate does not fulfil the requirements for installation, preparation of proposals for adaptations to be made or additional preparation undertaken that will be necessary in order that works can commence.
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Confirmation that all instances of potential non-compliance identified in the pre-installation building inspection shall be documented and referred to the design source for resolution. Any design adjustments, special adaptations and/or additional preparation requirements shall be confirmed as acceptable in writing, by the system supplier and/or design source.
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Confirmation that the EEM design documentation shall be amended to include any specified changes to the installation, the installation method statement modified accordingly and the pre-installation building inspection records updated to provide documentary evidence that the intended modified installation will address all the issues identified in the pre-installation building inspection and meets the requirements of all parties.
