SERS DILAPIDATION SURVEY.

• Site conducted

  Select

• 

• PROPERTY ADDRESS :

• CARRIED OUT BY :

• Date of Inspection :

  Date

• DOCUMENT REFERENCE NUMBER :

PROPERTY INFORMATION :

• Name of Resident :

• Contact Number :

• Comments :

• Please take a photograph of each elevation.

  Media

• Property Type :

  House

  Bungalow

  Flat

  Named Elevation

• How many storeys / floors in the block of flats

• House Type :

  Detached

  Semi Detached

  End Terrace

  Mid Terrace

• Bungalow Type :

  Detached

  Semi Detached

  End Terrace

  Mid Terrace

• Please enter the reference name for this elevation.

• Number of Bedrooms :

  Select 1 2 3 4 5 6

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Construction Type :

  Select Traditional Brick / Block Cavity Non - Traditional

  • Traditional Brick / Block Cavity
  • Non - Traditional

• Enter Construction Type: Eg. BISF, No-Fine, Timber Frame etc.

• Has the DPC level been defined / identified

  Yes

  No

• Take photograph to show location of DPC.

  Media

• Identify DPC level / location before proceeding with EWI.

• Enter thickness of wall costruction :

• Does the property have existing Cavity Wall Insulation ?

  Yes

  No

• Are we required to install fire breaks in the system ?

  Yes

  No

• Has the location of fire breaks been agreed ?

  Yes

  No

• Do not commence EWI works until the location of fire breaks has been agreed.

• Is an external wall insulation fixing pull out test required ?

  Yes

  No

  Completed

  N/A

• Does the property require hammer testing ?

  Yes

  No

  Completed

  N/A

• Do you have a copy of the property asbestos management survey ?

  Yes

  No

• What is the thickness of the existing loft insulation ?

• Does the loft insulation require topping up ?

  Yes

  No

• Is the property subject to planning or in a conservation area ?

  Yes

  No

SERVICES AND UTILITIES :

• Soil and Vent Pipe

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Soil and Vent Material Type :

  Select Cast Iron Plastic Lead Presumed Asbestos Asbestos N/A

  • Cast Iron
  • Plastic
  • Lead
  • Presumed Asbestos
  • Asbestos
  • N/A

• Rainwater Downpipes

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Rainwater Downpipe Material Type :

  Select Cast Iron Plastic Lead Presumed Asbestos Asbestos N/A

  • Cast Iron
  • Plastic
  • Lead
  • Presumed Asbestos
  • Asbestos
  • N/A

• Waste Pipes Location

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Waste Pipe Material Type :

  Select Cast Iron Plastic Lead Presumed Asbestos Asbestos N/A

  • Cast Iron
  • Plastic
  • Lead
  • Presumed Asbestos
  • Asbestos
  • N/A

• Overflow Pipe Location :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Overflow Pipe Material Type :

  Select Plastic Copper

  • Plastic
  • Copper

• External Tap Location :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Gas Meter Location :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• External Gas Pipes Location :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Electric Meter Location :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Mains Electricity Cables :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Do we need to contact Electricity Supplier to alter or adapt power cables.

  Yes

  No

• Wall Brackets :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• External Lights :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Do the external lights comply with regulations

  Yes

  No

  Electrician to Confirm

• Security Alarm / Cameras

  Select Front Side Rear N/A

  • Front
  • Side
  • Rear
  • N/A

• Satellite Dish Location :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Television Aerial

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Telephone Wire Location :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Do we need to contact Openreach to alter or adapt telephone cables.

  Yes

  No

• Other cables (Please Specify)

  Front

  Side

  Rear

  N/A

ENERGY APPLIANCE AND VENTILATION

• Extractor Fan :

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Identify Extractor Fan Room Location

  Select Kitchen Bathroon Lounge Dining Room Bedroom Toilet En Suite Downstairs Upstairs

  • Kitchen
  • Bathroon
  • Lounge
  • Dining Room
  • Bedroom
  • Toilet
  • En Suite
  • Downstairs
  • Upstairs

• External Gas Vent (Maintained)

  Yes

  No

  N/A

• Identify External Gas Vent Location.

  Select Kitchen Bathroon Lounge Dining Room Bedroom Toilet En Suite Downstairs Upstairs

  • Kitchen
  • Bathroon
  • Lounge
  • Dining Room
  • Bedroom
  • Toilet
  • En Suite
  • Downstairs
  • Upstairs

• Other External Vents (Maintained)

  Select Front Side Rear Extention 1 Extention 2 Internal External N/A

  • Front
  • Side
  • Rear
  • Extention 1
  • Extention 2
  • Internal
  • External
  • N/A

• Identify Other External Vent Location.

  Select Kitchen Bathroon Lounge Dining Room Bedroom Toilet En Suite Downstairs Upstairs

  • Kitchen
  • Bathroon
  • Lounge
  • Dining Room
  • Bedroom
  • Toilet
  • En Suite
  • Downstairs
  • Upstairs

• Location of Energy Appliance / Boiler Flue

  Select Front Side Rear Roof Extention 1 Extention 2 Extention 3 N/A

  • Front
  • Side
  • Rear
  • Roof
  • Extention 1
  • Extention 2
  • Extention 3
  • N/A

• Location of Pressure Release Valve (PRV)

  Front

  Side

  Rear

  N/A

• Location of boiler condense Pipe

  Front

  Side

  Rear

  N/A

General :

• Door Canopy

  Select Front Side Rear N/A

  • Front
  • Side
  • Rear
  • N/A

• Is canopy being removed

  Yes

  No

• Boundary Wall / Fence Location

  Select Front Side Rear N/A

  • Front
  • Side
  • Rear
  • N/A

• Boundary Wall / Fence material type :

  Select Front Side Rear Timber Chainlink Block Brick Other

  • Front
  • Side
  • Rear
  • Timber
  • Chainlink
  • Block
  • Brick
  • Other

• Garden plants, shrubs or trees that require removal or relocation.

  Yes

  No

• Has the resident been advised.

  Yes

  No

• Any other items not previously identified.

  Select Front Side Rear Roof Extention 1 Extention 2 Extention 3 N/A

  • Front
  • Side
  • Rear
  • Roof
  • Extention 1
  • Extention 2
  • Extention 3
  • N/A

Statement :

• Do you have a copy of the supplier specification on site ?

  Yes

  No

• Please insert supplier specification reference number.

• Will the works result in a non-compliance with building regulations / requirements stated by the supplier.

  Yes

  No

• Will the works create any unavoidable thermal bridging.

  Yes

  No

• Will the works affect appliances that will result in the unsafe operation of combustion devices ?

  Yes

  No

• Will the works compromise the functionality of ventilation systems ?

  Yes

  No

• Will the works compromise the functionality or safety of any existing services ?

  Yes

  No

• Please give further information regarding the functionality or safety issue of existing services

• The EEM design eliminates or minimises cold bridging and is suitable for the property.

  Yes

  No

• Dilapidation Survey Completed By :

  Sign

• Completed On :

  Date