PWB UNDERFLOOR INSULATION SURVEY

• Customer name and contact number

• Conducted on

  Date

• Prepared by

  Ryan Mcleod

  Paul Mclean

  Cameron Paterson

  Cat Williams
• Location
  Address

• Is there access to underfloor

  Yes

  No

  N/A

Underfloor Insulation

• Is Underfloor Survey being carried out

  Yes

• Area m2 to be insulated

• Depth of underfloor mm

• Is there working pipes to be insulated

  Yes

  No

  Unable to validate

• Does additional hatches need cut

  Yes

  No

• Is there any gaps in the floor around service penetrations, e.g. pipework, cabling etc. to be sealed

  Yes

  No

• If possible take photos

  Media

• Is the moisture content of the timber joists less than 20%?

  Yes

  No

  N/A

  Unable to validate

• Refer to Operations Supervisor to see if we can continue with survey

• Is there a fully functioning DPC in the walls surrounding the area being to be insulated?

  Yes

  No

  Unable to validate

• Refer to Operations Supervisor for investigation

• Does cross-flow ventilation exists beneath the floors in the form of openings on opposite walls in accordance with the requirements of Part C of the Building Regulations?

  Yes

  No

• Is there any evidence of damp, rot, mould, infestation or other issues with timber exposed to the underfloor space?

  Yes

  No

• Are the floorboards in good condition and firmly fixed, without any significant cracks, splits and missing fixings?

  Yes

  No

Underfloor Dynamic Risk Assessment

• Is UFI dynamic risk assessment needed

  Yes

• PPE to be worn

  Select Gloves Bump cap Protective clothing Ear protection( when using tools) Dust mask Safety specs Ladder ties Harness Safety boots

  • Gloves
  • Bump cap
  • Protective clothing
  • Ear protection( when using tools)
  • Dust mask
  • Safety specs
  • Ladder ties
  • Harness
  • Safety boots

• Use of a Step ladder/ladder

  Yes

  No

• Access and Egress

  Yes

  No

• Manual Handing

  Yes

  No

• Hand Tools/Power Tools

  Yes

  No

• Vibration

  Yes

  No

• Noise

  Yes

  No

• Dust

  Yes

  No

• House Keeping

  Yes

  No

• Lone Working

  Yes

  No

• 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.

  Yes

  No

• Please provide details if you have answer no.

• Is there sufficient room to work in

  Yes

  No