QMF 531 External Wall Insulation Pre-Installation Building Inspection Form

• Conducted on

  Date

• Contract

• Prepared by

Customer Information

• Contact Name:

• Address:

• Telephone:

• Email:

Project Details

• Project Reference:

• Specifier's Contact Details:

• Product Type:

Following investigation and assessment, will the EWI installation work:

• Result in non-compliance with the Building Regulations, e.g. in relation to workmanship; materials; structural ability; fire safety; resistance to moisture?

  Yes

  No

  N/A

• Result in the unsafe operation of combustion appliances?

  Yes

  No

  N/A

• Compromise the functionality of existing ventilation ducts/systems?

  Yes

  No

  N/A

• Compromise the functionality and/or safety of existing services? (gas, electric, water, telephone, etc.)

  Yes

  No

  N/A

• Will the proposed installation be non-compliant with any requirements stated by the supplier?

  Yes

  No

  N/A

• Is the type and condition of the building structure suitable for the works to commence?

  Yes

  No

  N/A

• What is the extent of the external surface area to be covered?

• Will the site layout or conditions impair the execution of the works?

  Yes

  No

  N/A

• Have relevant checks have been undertaken to determine if asbestos containing materials are present?

  Yes

  No

  N/A

• The pre-installation building inspection shall be accompanied by evidence that the findings of the pre-installation building inspection have been independently checked by an appropriately qualified person (see B1-13) prior to commencement of installation, with at least a randomly selected 1 in 10 of those checks (minimum of 1) including physical inspection of the building by an appropriately qualified person. the appropriately qualified person shall: Be independent and not an employee of the inspector or of the Installer of the EWI, or a peer installer Not be paid by results nor remunerated only where an assessment is found to be valid Ensure that each inspection checked includes a unique identifier and the names of the persons who completed the inspection and the check.

General

• Is there any potential for moisture build up as a result of the installation?

  Yes

  No

  N/A

• Will the functionality and/or safety of installed services (gas, electricity, water, telecommunications etc.) be affected in any way as a result of the installation?

  Yes

  No

  N/A

• Is there any potential risk in relation to the ongoing performance of installed services? (If YES liaison with measure specifiers and/or service providers will need to take place).

  Yes

  No

  N/A

• This Building Inspection must be carried out in conjunction with the full Design Specification and the prepared Method Statement.

• From the findings of this building inspection, is the installation able to be carried out in line with the full Design Specification?

  Yes

  No

  N/A

• From the findings of this building inspection, is the Method Statement suitable and complete?

  Yes

  No

  N/A

• Is there any evidence that any form of protected species would be disturbed by the installation process?

  Yes

  No

  N/A

• NOTE: Any changes needing to be made or problems encountered as a result of this building inspection are required to be discussed with the Retrofit Coordinator, Designer and/or customer as appropriate and agreement reached on how to proceed before work commences.

Carbon Monoxide and other Safety Alarms

• Where carbon monoxide (CO) or other safety alarms have already been installed at the designated location, the building inspector should enquire of the customer whether or not they have been tested in accordance with the alarm system design specification and/or the manufacturer's instructions.

• Alarms Present?

  Yes

  No

  N/A

• Location:

• Type of Alarm:

• Test Result:

Does the customer understand the nature and extent of the work?

• Does the customer understand the nature and extent of the work?

  Yes

  No

  N/A

• Have they been made aware of any disruption that may be caused

  Yes

  No

  N/A

• Does the customer have any particular requests or requirements?

  Yes

  No

  N/A

• Are the arrangements for site access and the storage of installation materials adequate and appropriate?

  Yes

  No

  N/A

• Is there any other information which would help ensure the smooth running of the installation process?

  Yes

  No

  N/A

• This building inspection and its findings, including those relating to the suitability and completeness of the installation method statement, the EEM specification and any customer-related issues, shall be made by the Assessor and retained by the Installer, with a copy being made available to the Retrofit Coordinator.

Customer Sign Off

• By signing the below, you agree to the following statements:
  • We have explained and you are aware of the nature and extent of the installation and this meets your expectations
  • The arrangements we have made for site access and installation materials storage are adequate and appropriate for the installation to be undertaken
  • The intended days and hours of working are acceptable
  

• Customer Signature:

• Date:

  Date

• Building inspection carried out by:

  Yes

  No

  N/A

• Signed:

• Date:

  Date

• Independent inspection carried out by:

  Yes

  No

  N/A

• Signed:

• Date:

  Date