Survey Dev 18.12.12v2

• Document No.

• Street Address
  Address

• Date Survey Completed

  Date

• Surveyed By

  Luke Bristo

Street Information

• Street Address
  Address

• Total Properties on Street

• Street Overall Safety Details

• Sensitive Building Issues

• Environmental Issues

• Traffic Management Requirements

• Road Widths

• Speed Limit

  Select 20 mph 30 mph 40 mph 50 mph 60 mph National Speed Limit

  • 20 mph
  • 30 mph
  • 40 mph
  • 50 mph
  • 60 mph
  • National Speed Limit

• Footway Widths

• Footway Type

  None

  Single

  Double

• Refuse Collections Days

  Select Monday Tuesday Wednesday Thursday Friday Saturday Sunday

  • Monday
  • Tuesday
  • Wednesday
  • Thursday
  • Friday
  • Saturday
  • Sunday

• Parking for Welfare Exhib Unit

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Property Type

  Select Detached House Semi Detached House Terrace Purpose Built Flat Converted Flat Bungalow Other

  • Detached House
  • Semi Detached House
  • Terrace
  • Purpose Built Flat
  • Converted Flat
  • Bungalow
  • Other

• OSV Found

  Yes

  No

• Is an appointment required?

  Yes

  No

• Reason Appointment Required (if applicable)

  Select Optant Appointment - Internal Optant Appointment - Possible Joint Supply Optant Appointment - Prove Supply Optant Appointment - Consent Form Required UMP Appointment - Possible Joint Supply UMP Appointment - Internal UMP Appointment - Prove Supply UMP Appointment - Consent Form Required Commercial Appointment - Internal Commercial Appointment - possible Joint Supply Commercial Appointment - Prove Supply Commercial Appointment - consent Form Requird Ad Hoc Apointment - Internal Ad Hoc Appointment - Possible Joint Supply Ad Hoc Internal - Prove Supply Ad Hoc Appointment - Consent Form Required Removal Appointment - Internal Removal Appointment - Possible Joint Supply Removal Appointment - Prove Supply Removal Appointment - Consent Form Required

  • Optant Appointment - Internal
  • Optant Appointment - Possible Joint Supply
  • Optant Appointment - Prove Supply
  • Optant Appointment - Consent Form Required
  • UMP Appointment - Possible Joint Supply
  • UMP Appointment - Internal
  • UMP Appointment - Prove Supply
  • UMP Appointment - Consent Form Required
  • Commercial Appointment - Internal
  • Commercial Appointment - possible Joint Supply
  • Commercial Appointment - Prove Supply
  • Commercial Appointment - consent Form Requird
  • Ad Hoc Apointment - Internal
  • Ad Hoc Appointment - Possible Joint Supply
  • Ad Hoc Internal - Prove Supply
  • Ad Hoc Appointment - Consent Form Required
  • Removal Appointment - Internal
  • Removal Appointment - Possible Joint Supply
  • Removal Appointment - Prove Supply
  • Removal Appointment - Consent Form Required

• OSV Location

  Public Carriageway

  Public Footpath

  Public Verge

  Private

  Internal

• Material Type

  Select n/a 6mm DBM 10mm DBM 10mm SMA 14mm SMA HRA Concrete Topsoil and Seed Turf Flags Blocks Special Surfaces Sandcarpet Unmade

  • n/a
  • 6mm DBM
  • 10mm DBM
  • 10mm SMA
  • 14mm SMA
  • HRA
  • Concrete
  • Topsoil and Seed
  • Turf
  • Flags
  • Blocks
  • Special Surfaces
  • Sandcarpet
  • Unmade

• OSV Depth

  N/A

  0-0.7m

  0.71-1.15m

  >1.15m

• Existing Damage?

  Yes

  No

• Existing Damage Photos ( if applicable)

  Media

• Existing Damage Details (if applicable)

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• Unmeterable?

  Yes

  No

  N/A

• Unmeterable Reason - Internal ( if applicable)

  Select Communal Hot Water Communal Laundry/Other Rooms Communal Taps Pipework Material/ Condition More than 1 Meter Required Pipework/ISV Boxed In Pipework/ISV Behind Appliances No Room To Install Meter Shared Internal Pipework/ISV No Safe Location for Meter

  • Communal Hot Water
  • Communal Laundry/Other Rooms
  • Communal Taps
  • Pipework Material/ Condition
  • More than 1 Meter Required
  • Pipework/ISV Boxed In
  • Pipework/ISV Behind Appliances
  • No Room To Install Meter
  • Shared Internal Pipework/ISV
  • No Safe Location for Meter

• Unmeterable Reason - External ( if applicable)

  Shared OSV

  OSV in Dangerous Location

  Unable tonInstall in Private Property

  Engineering Issue

• Number of Bedrooms

• Number Of Occupants

• Work Required To Install Meter (if unmeterable)

• Consent form completed if works in private?

  Yes

  No

  N/A

• Survey Job Code

  Select OP7 - Initial Survey OP4, OP5, OP6 or ."No Work" Survey UMP Survey - Survey for Works Leading to a Dig In or Screw In UMP Melco Survey - Survey for Work Leading to a Melco UUM7 - Initial Survey UM4, UM5, UM6, or "No Work"Survey UM8 - Investigation where an Account Cannot be Metered within the Scope of the Program C1 - Survey Commercial Meter R1 - Survey for Relocation of Meter and completion. of proforma D11 - Survey for Ad Hoc Meter

  • OP7 - Initial Survey OP4, OP5, OP6 or ."No Work" Survey
  • UMP Survey - Survey for Works Leading to a Dig In or Screw In
  • UMP Melco Survey - Survey for Work Leading to a Melco
  • UUM7 - Initial Survey UM4, UM5, UM6, or "No Work"Survey
  • UM8 - Investigation where an Account Cannot be Metered within the Scope of the Program
  • C1 - Survey Commercial Meter
  • R1 - Survey for Relocation of Meter and completion. of proforma
  • D11 - Survey for Ad Hoc Meter

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public Carriageway

  Public Footpath

  Public Verge

  Private

  Internal

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public Carriageway

  Public Footpath

  Public Verge

  Private

  Internal

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public Carriageway

  Public Footpath

  Public Verge

  Private

  Internal

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public Carriageway

  Public Footpath

  Public Verge

  Private

  Internal

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public Carriageway

  Public Footpath

  Public Verge

  Private

  Internal

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public Carriageway

  Public Footpath

  Public Verge

  Private

  Internal

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public Carriageway

  Public Footpath

  Public Verge

  Private

  Internal

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public Carriageway

  Public Footpath

  Public Verge

  Private

  Internal

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media

Property Information

• Work Order Ref

• Property Number/Name

• Land Type

  Public Carriageway

  Public Footpath

  Public Verge

  Private

  Internal

• OSV Found

  Yes

  No

• Joint Supply

  Yes

  No

• Location

  Footway

  Verge

  Garden

  Driveway

  Internal

• Surface Type

  Select DBM HRA Concrete Slab Grass n/a

  • DBM
  • HRA
  • Concrete
  • Slab
  • Grass
  • n/a

• Install Type

  Melco

  Screw In

  Dig

  Exchange

  Internal

• General Comments

• Photographs

  Media