Survey: Low Carbon Exchange Ltd V1.3

• Type of Survey

  Select Client Inspection Report Pre Extraction Report Post Extraction Report Post Extraction Report - Revisit Loft Survey

  • Client Inspection Report
  • Pre Extraction Report
  • Post Extraction Report
  • Post Extraction Report - Revisit
  • Loft Survey

• on behalf of

  Select Alliance Homes Abri Curo Cornwall Exeter City Council Homes in Sedgemoor Ian Williams Ltd Livewest North Devon Homes (NDH) Ltd PCH Sovereign Housing Association Ltd Westward Housing Group Ltd WHS Ltd Westcountry Maintenance Service

  • Alliance Homes
  • Abri
  • Curo
  • Cornwall
  • Exeter City Council
  • Homes in Sedgemoor
  • Ian Williams Ltd
  • Livewest
  • North Devon Homes (NDH) Ltd
  • PCH
  • Sovereign Housing Association Ltd
  • Westward Housing Group Ltd
  • WHS Ltd
  • Westcountry Maintenance Service

• Tenure

  Select Local Authority Housing Association Privately Rented Owner occupier

  • Local Authority
  • Housing Association
  • Privately Rented
  • Owner occupier
• Property Location
  Address

• Image of Property

  Media

• First line of the Address

• Residents Name and Contact No:

• Construction age of the building

  Select

• Property Type

  Select Mid-Terrace End-Terrace Semi-Detached Detached Bungalow House Ground Floor Flat Middle Floor Flat Top Floor Flat Maisonette Commercial Building

  • Mid-Terrace
  • End-Terrace
  • Semi-Detached
  • Detached
  • Bungalow
  • House
  • Ground Floor Flat
  • Middle Floor Flat
  • Top Floor Flat
  • Maisonette
  • Commercial Building

Client Inspection

• Report type requested by client:

  Select Return to investigate issues with loft insulation installed by LCX Return to investigate issues with CWI installed by LCX Return to investigate issues with Extraction fan/s installed by LCX Return to investigate persistent ongoing issues after work completed by LCX Client requested further inspection.

  • Return to investigate issues with loft insulation installed by LCX
  • Return to investigate issues with CWI installed by LCX
  • Return to investigate issues with Extraction fan/s installed by LCX
  • Return to investigate persistent ongoing issues after work completed by LCX
  • Client requested further inspection.

• Conducted by:

  Select Vinnie Stokes Sean Glossop Alister Paisley Rob McKenna Ricky Whale Simon Farley

  • Vinnie Stokes
  • Sean Glossop
  • Alister Paisley
  • Rob McKenna
  • Ricky Whale
  • Simon Farley

• Date:

  Date

Inspection

• Area 1 - Description of inspected area:

• Photos of inspection area:

  Media

• Comments:

• Are additional inspections required?

  Yes

  No

• Area 2 - Description of inspected area:

• Photos of inspection area:

  Media

• Comments:

• Are additonal inspections required?

  Yes

  No

• Area 3 - Description of inspected area:

• Photos of inspection area:

  Media

• Comments:

Summary and Recommendations

• Summary of findings:

• Recommendations:

• Signed:

  Sign

External Findings

• Building Finish

  Select Faced Brick - Natural Finish Faced Brick - Painted Render - Painted Brick/Render Roughcast/Pebble Dash Reconstituted/Cast Stone Spar Limestone/Sandstone Granite/Whinstone

  • Faced Brick - Natural Finish
  • Faced Brick - Painted
  • Render - Painted
  • Brick/Render
  • Roughcast/Pebble Dash
  • Reconstituted/Cast Stone
  • Spar
  • Limestone/Sandstone
  • Granite/Whinstone

• Structural Condition

  Select Very good Good Poor Very poor Faced brick showing damaged to brick faces and poor mortar joints Painted faced brick showing damaged to brick faces and poor mortar joints Faced brick in a high exposure area if being cavity filled we advise that the property is treated with Storm dry

  • Very good
  • Good
  • Poor
  • Very poor
  • Faced brick showing damaged to brick faces and poor mortar joints
  • Painted faced brick showing damaged to brick faces and poor mortar joints
  • Faced brick in a high exposure area if being cavity filled we advise that the property is treated with Storm dry

• External Condition of the building

  Select Very good Good Poor Very poor Faced brick showing damaged to brick faces and poor mortar joints Painted faced brick showing damaged to brick faces and poor mortar joints Faced brick in a high exposure area if being cavity filled we advise that the property is treated with Storm dry

  • Very good
  • Good
  • Poor
  • Very poor
  • Faced brick showing damaged to brick faces and poor mortar joints
  • Painted faced brick showing damaged to brick faces and poor mortar joints
  • Faced brick in a high exposure area if being cavity filled we advise that the property is treated with Storm dry

• Location of chimneys

  Select None Internal External Front Elevation Rear Elevation Left Hand Elevation Right Hand Elevation Flue passes through loft space

  • None
  • Internal
  • External
  • Front Elevation
  • Rear Elevation
  • Left Hand Elevation
  • Right Hand Elevation
  • Flue passes through loft space

• Location of flue

  Select None Internal External Front Elevation Rear Elevation Left Hand Elevation Right Hand Elevation Flue passes through loft space

  • None
  • Internal
  • External
  • Front Elevation
  • Rear Elevation
  • Left Hand Elevation
  • Right Hand Elevation
  • Flue passes through loft space

• Remedial Works Required

  Yes

  No

• Details of remedial work required (incl. photos):

Access

• On site parking

• Special Instructions

Internal Findings

• Have you done an internal inspection of the building?

  Select Yes No

  • Yes
  • No

• Description of internal findings

  Select No internal issues that I can see. Damp - Low level near skirting boards Black mould - corners of the rooms Black mould - ceilings and walls Mould - around window lintels Mould - around the window reveals Mould - on sloping ceilings Condensation - on windows Condensation - on external walls Signs of moisture ingress through the external walls Damaged to internal plaster due to the property being faced brick and moisture ingress.

  • No internal issues that I can see.
  • Damp - Low level near skirting boards
  • Black mould - corners of the rooms
  • Black mould - ceilings and walls
  • Mould - around window lintels
  • Mould - around the window reveals
  • Mould - on sloping ceilings
  • Condensation - on windows
  • Condensation - on external walls
  • Signs of moisture ingress through the external walls
  • Damaged to internal plaster due to the property being faced brick and moisture ingress.

• Photos of internal findings

  Media

• Number of Bedrooms

  Select 1 2 3 4 5+ N/A Commercial

  • 1
  • 2
  • 3
  • 4
  • 5+
  • N/A Commercial

• Floor Construction Type

  Select Solid - Concrete Suspended - Timber Suspended - Other Beam & Block Other

  • Solid - Concrete
  • Suspended - Timber
  • Suspended - Other
  • Beam & Block
  • Other

• Main Heating Type

  Select Mains Gas - Boiler Oil - Boiler Solid Fuel - Back Boiler Electric - Storage or Space Heaters Renewable Energy - Heat Pump (ASHP) Renewable Energy - Heat Pump (GSHP) LPG Heating not working at the time of survey

  • Mains Gas - Boiler
  • Oil - Boiler
  • Solid Fuel - Back Boiler
  • Electric - Storage or Space Heaters
  • Renewable Energy - Heat Pump (ASHP)
  • Renewable Energy - Heat Pump (GSHP)
  • LPG
  • Heating not working at the time of survey

• Is there a secondary heat source in the property?

  Yes

  No

• Secondary heat source type

  Select Electric Fire Gas Fire - with Flue Gas Fire - with chimney Gas Fire - Flush Fitted Open Fire - with internal chimney Open Fire - with external chimney Wood/Multi Fuel Burner

  • Electric Fire
  • Gas Fire - with Flue
  • Gas Fire - with chimney
  • Gas Fire - Flush Fitted
  • Open Fire - with internal chimney
  • Open Fire - with external chimney
  • Wood/Multi Fuel Burner

• Safety monitors present?

  Select Smoke Detector Fire Alarm Carbon Monoxide Detector No safety monitors present

  • Smoke Detector
  • Fire Alarm
  • Carbon Monoxide Detector
  • No safety monitors present

• Safety monitors have NOT been tested by surveyor

• Protected species or rodents present in building?

  Yes

  No

Pre Extraction Survey

• Conducted by:

  Select Vinnie Stokes Sean Glossop Alister Paisley Rob McKenna Ricky Whale Simon Farley

  • Vinnie Stokes
  • Sean Glossop
  • Alister Paisley
  • Rob McKenna
  • Ricky Whale
  • Simon Farley

• Date:

  Date

Ventilation

• Mechanical ventilation fans fitted in the property...

  Select Kitchen Bathroom Utility W/C En-suite Cooker hood Positive input ventilation No Mechanical Ventilation Mechanical Ventilation Heat Recovery (MVHR)

  • Kitchen
  • Bathroom
  • Utility
  • W/C
  • En-suite
  • Cooker hood
  • Positive input ventilation
  • No Mechanical Ventilation
  • Mechanical Ventilation Heat Recovery (MVHR)

• Are any mechanical ventilation fans NOT working?

  Select Kitchen Bathroom Utility WC En-Suite Cooker Hood Positive Input Ventilation All appear in working order

  • Kitchen
  • Bathroom
  • Utility
  • WC
  • En-Suite
  • Cooker Hood
  • Positive Input Ventilation
  • All appear in working order

• Natural ventilation fitted in the property...

  Select Underfloor vents Kitchen vents Bedroom vents Bathroom vents Combustion vents Pantry vents Trickle vents Wall/Cavity Vent No ventilation within the building

  • Underfloor vents
  • Kitchen vents
  • Bedroom vents
  • Bathroom vents
  • Combustion vents
  • Pantry vents
  • Trickle vents
  • Wall/Cavity Vent
  • No ventilation within the building

• If yes please select the air vents that require sleeving or sealing up.

  Select Underfloor vents Kitchen vents Bedroom vents Bathroom vents Combustion vents Pantry vents Trickle vents Wall/Cavity Vent No ventilation within the building

  • Underfloor vents
  • Kitchen vents
  • Bedroom vents
  • Bathroom vents
  • Combustion vents
  • Pantry vents
  • Trickle vents
  • Wall/Cavity Vent
  • No ventilation within the building

• Total area to be extracted, cleaned or inspected.

• Material to be extracted.

  Select Fibre - Yellow/White Foam Rockwool Bead - Loose polystyrene Bead - Over bonded Debris / Rubble

  • Fibre - Yellow/White
  • Foam
  • Rockwool
  • Bead - Loose polystyrene
  • Bead - Over bonded
  • Debris / Rubble

• Average Cavity Depth.

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
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  • 75mm
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  • 85mm
  • 90mm
  • 95mm
  • 100mm
  • 105mm
  • 110mm
  • 115mm
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  • 125mm
  • 130mm
  • 135mm
  • 140mm
  • 145mm
  • 150mm
  • 155mm
  • 160mm
  • 165mm
  • 170mm
  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

• Are there any areas to be omitted?

  Yes

  No

• Photos of omitted area:

• Total area of omitted area:

• Adjoining properties insulated ?

  Yes

  No

  N/A

• Number of Cavity brushes required:

• Core vent required?

  Yes

  No

• Number of core vents and location:

Front Elevation

• Photo of elevation

  Media

• Add drawing

  Drawing

• Boroscope positions are marked with an S on the elevation drawing.

• Cavity Depth

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
  • 70mm
  • 75mm
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  • 85mm
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  • 95mm
  • 100mm
  • 105mm
  • 110mm
  • 115mm
  • 120mm
  • 125mm
  • 130mm
  • 135mm
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  • 155mm
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  • 165mm
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  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

• Boroscope Photos

  Media

• Comments

Left hand Elevation

• Photo of elevation

  Media

• Add drawing

  Drawing

• Boroscope positions are marked with an S on the elevation drawing.

• Cavity Depth

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
  • 70mm
  • 75mm
  • 80mm
  • 85mm
  • 90mm
  • 95mm
  • 100mm
  • 105mm
  • 110mm
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  • 125mm
  • 130mm
  • 135mm
  • 140mm
  • 145mm
  • 150mm
  • 155mm
  • 160mm
  • 165mm
  • 170mm
  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

• Boroscope Photos

  Media

• Comments

Right hand Elevation

• Photo of elevation

  Media

• Add drawing

  Drawing

• Boroscope positions are marked with an S on the elevation drawing.

• Cavity Depth

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
  • 70mm
  • 75mm
  • 80mm
  • 85mm
  • 90mm
  • 95mm
  • 100mm
  • 105mm
  • 110mm
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  • 120mm
  • 125mm
  • 130mm
  • 135mm
  • 140mm
  • 145mm
  • 150mm
  • 155mm
  • 160mm
  • 165mm
  • 170mm
  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

• Boroscope Photos

  Media

• Comments

Rear Elevation

• Photo of elevation

  Media

• Add drawing

  Drawing

• Boroscope positions are marked with an S on the elevation drawing.

• Cavity Depth

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
  • 70mm
  • 75mm
  • 80mm
  • 85mm
  • 90mm
  • 95mm
  • 100mm
  • 105mm
  • 110mm
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  • 120mm
  • 125mm
  • 130mm
  • 135mm
  • 140mm
  • 145mm
  • 150mm
  • 155mm
  • 160mm
  • 165mm
  • 170mm
  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

• Boroscope Photos

  Media

• Comments

Building extensions

• Photo of elevation

  Media

• Add drawing

  Drawing

• Boroscope positions are marked with an S on the elevation drawing.

• Cavity Depth

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
  • 70mm
  • 75mm
  • 80mm
  • 85mm
  • 90mm
  • 95mm
  • 100mm
  • 105mm
  • 110mm
  • 115mm
  • 120mm
  • 125mm
  • 130mm
  • 135mm
  • 140mm
  • 145mm
  • 150mm
  • 155mm
  • 160mm
  • 165mm
  • 170mm
  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

• Boroscope Photos

  Media

• Comments

Access

• Are there any access issues for the extraction works?

  Yes

  No

• Access Equipment Required:

  Select None Ladders Scaffold Board for Flat Roof Scaffolding Conservatory Ladder Roof Ladder

  • None
  • Ladders
  • Scaffold Board for Flat Roof
  • Scaffolding
  • Conservatory Ladder
  • Roof Ladder

Summary of your finding and reasons for the extraction of the existing cavity wall insulation:

• Comments:

• Signed:

  Sign

Post Extraction

• Conducted by:

  Select Vinnie Stokes Sean Glossop Alister Paisley Rob McKenna Ricky Whale Simon Farley

  • Vinnie Stokes
  • Sean Glossop
  • Alister Paisley
  • Rob McKenna
  • Ricky Whale
  • Simon Farley

• Date:

  Date

• Confirmation that relevant checks have been undertaken to determine if the presence of any asbestos containing material is present?

  Yes

  No

  N/A

• Please take a photo of the building finish on all elevations and select the finish types:

  Select Faced Brick - Natural Finish Faced Brick - Painted Render - Painted Brick/Render Roughcast/Pebble Dash Reconstituted/Cast Stone Spar Limestone/Sandstone Granite/Whinstone

  • Faced Brick - Natural Finish
  • Faced Brick - Painted
  • Render - Painted
  • Brick/Render
  • Roughcast/Pebble Dash
  • Reconstituted/Cast Stone
  • Spar
  • Limestone/Sandstone
  • Granite/Whinstone

• Is the property suitable to receive the insulation type specified? (Construction type, Exposure, Condition of Structure etc).

  Yes

  No

  Remedial Works Required

• Details of remedial works required plus photos:

• Are all guttering/downpipes in good repair with no evidence of leaks/spills?

  Yes

  No

• Is the guttering a Finlock system?

  Yes

  No

• Has the Finlock gutter been lined?

  Yes

  No

Audit

• Inspection type:

  Intrusive Inspection

  Non-Intrusive Inspection

• Inspection to be undertaken i.e Post Extraction or Cavity Wall Insulation

  Post Extraction

  Cavity Wall

• Material extracted:

  Select Fibre - Yellow/White Foam Rockwool Bead - Loose polystyrene Bead - Over bonded Debris / Rubble

  • Fibre - Yellow/White
  • Foam
  • Rockwool
  • Bead - Loose polystyrene
  • Bead - Over bonded
  • Debris / Rubble

• Have all elevations been Boroscoped? (include photos)

  Yes

  No

• What are the condition of the wall ties (include 5 photos)

  Good

  Fair

  Poor

  N/A

• Are all elevations free of insulation and rubble.

  Yes

  No

• Photos of the elevation and area of concern.

  Media

• Have cavity barrier brushes been fitted? (include photos)

  Yes

  No

  N/A

• Have all extraction holes been made good? (include photos)

  Yes

  No

• Does the finish match the exisiting mortar?

  Yes

  No

• Have all essential vents been checked and functioning correctly? (Sealed/Sleeved/Left open)

  Yes

  No

• If the cavities have been cleaned of a previous CWI Installation, can you confirm that the cavities are suitable for re-installation?

  Select Yes please see post extraction - revisit report above. No

  • Yes please see post extraction - revisit report above.
  • No

• Have you done an internal inspection of the building?

  Yes

  No

• Has the loft space been checked for material ingress?

  Yes

  No

• Signed:

  Sign

Access

• Are there any access issues for the extraction works?

  Yes

  No

• Access Equipment Required:

  Select None Ladders Scaffold Board for Flat Roof Scaffolding Conservatory Ladder Roof Ladder

  • None
  • Ladders
  • Scaffold Board for Flat Roof
  • Scaffolding
  • Conservatory Ladder
  • Roof Ladder

Cavity Wall Insulation

• Conducted by:

  Select Vinnie Stokes Sean Glossop Alister Paisley Rob McKenna Ricky Whale Simon Farley

  • Vinnie Stokes
  • Sean Glossop
  • Alister Paisley
  • Rob McKenna
  • Ricky Whale
  • Simon Farley

• Date:

  Date

• Required material

  Thermabead Carbon 15/5181

• Total area to be insulated

• Photo of overall cavity width across doorway/window reveal.

  Media

• Please select the type of ventilation present, including extraction ventilation and trickle vents.

  Select Underfloor vents Kitchen vents Bedroom vents Bathroom vents Combustion vents Pantry vents Trickle vents Wall/Cavity Vent No ventilation within the building

  • Underfloor vents
  • Kitchen vents
  • Bedroom vents
  • Bathroom vents
  • Combustion vents
  • Pantry vents
  • Trickle vents
  • Wall/Cavity Vent
  • No ventilation within the building

• Photos of all vents and extraction fans fitted within the property (incl. at least two photos of window trickle vents)

  Media

• Do any of the air vents require sleeving or sealing up before installing the cavities?

  Yes

  No

• Air vents that require sleeving or sealing up:

  Select Kitchen Bathroom Utility WC En-Suite Cooker Hood Positive Input Ventilation All appear in working order

  • Kitchen
  • Bathroom
  • Utility
  • WC
  • En-Suite
  • Cooker Hood
  • Positive Input Ventilation
  • All appear in working order

• Adjoining properties insulated?

  Yes

  No

  N/A

• Number of cavity brushes required?

• Is funding available?

  Yes

  No

• additional questions .........

  Select Yes please see post extraction - revisit report above. No

  • Yes please see post extraction - revisit report above.
  • No

Front Elevation

• Photo of front elevation

  Media

• Boroscope holes are marked with an S on the elevation photo

• Photo of DPC level on front elevation

  Media

• Cavity depth on front elevation

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
  • 70mm
  • 75mm
  • 80mm
  • 85mm
  • 90mm
  • 95mm
  • 100mm
  • 105mm
  • 110mm
  • 115mm
  • 120mm
  • 125mm
  • 130mm
  • 135mm
  • 140mm
  • 145mm
  • 150mm
  • 155mm
  • 160mm
  • 165mm
  • 170mm
  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

Rear Elevation

• Photo of rear elevation

  Media

• Boroscope holes are marked with an S on the elevation photo

• Photo of DPC level on rear elevation

  Media

• Cavity depth on rear elevation

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
  • 70mm
  • 75mm
  • 80mm
  • 85mm
  • 90mm
  • 95mm
  • 100mm
  • 105mm
  • 110mm
  • 115mm
  • 120mm
  • 125mm
  • 130mm
  • 135mm
  • 140mm
  • 145mm
  • 150mm
  • 155mm
  • 160mm
  • 165mm
  • 170mm
  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

Left Hand Elevation

• Photo of left hand elevation

  Media

• Boroscope holes are marked with an S on the elevation photo

• Photo of DPC level on left hand elevation

  Media

• Cavity depth on left hand elevation

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
  • 70mm
  • 75mm
  • 80mm
  • 85mm
  • 90mm
  • 95mm
  • 100mm
  • 105mm
  • 110mm
  • 115mm
  • 120mm
  • 125mm
  • 130mm
  • 135mm
  • 140mm
  • 145mm
  • 150mm
  • 155mm
  • 160mm
  • 165mm
  • 170mm
  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

Right Hand Elevation

• Photo of right hand elevation

  Media

• Boroscope holes are marked with an S on the elevation photo

• Photo of DPC level on right hand elevation

  Media

• Cavity depth on right hand elevation

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
  • 70mm
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  • 80mm
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  • 90mm
  • 95mm
  • 100mm
  • 105mm
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  • 130mm
  • 135mm
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  • 150mm
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  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

Building Extension

• Photo of extension

  Media

• Boroscope holes are marked with an S on the elevation photo

• Photo of DPC level on extension

  Media

• Cavity depth on extension

  Select 40mm 45mm 50mm 55mm 60mm 65mm 70mm 75mm 80mm 85mm 90mm 95mm 100mm 105mm 110mm 115mm 120mm 125mm 130mm 135mm 140mm 145mm 150mm 155mm 160mm 165mm 170mm 175mm 180mm 185mm 190mm 195mm 200mm

  • 40mm
  • 45mm
  • 50mm
  • 55mm
  • 60mm
  • 65mm
  • 70mm
  • 75mm
  • 80mm
  • 85mm
  • 90mm
  • 95mm
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  • 105mm
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  • 120mm
  • 125mm
  • 130mm
  • 135mm
  • 140mm
  • 145mm
  • 150mm
  • 155mm
  • 160mm
  • 165mm
  • 170mm
  • 175mm
  • 180mm
  • 185mm
  • 190mm
  • 195mm
  • 200mm

Post Extraction - Revisit

• Conducted by:

  Select Vinnie Stokes Sean Glossop Alister Paisley Rob McKenna Ricky Whale Simon Farley

  • Vinnie Stokes
  • Sean Glossop
  • Alister Paisley
  • Rob McKenna
  • Ricky Whale
  • Simon Farley

• Date:

  Date

• Have you boroscoped all areas identified in the failed post extraction survey?

  Yes

  No

• Are all areas now clear of insulation and rubble?

  Yes

  No

• Can you confirm that the cavities are suitable for re-installation?

  Select Yes please see post extraction - revisit report above. No

  • Yes please see post extraction - revisit report above.
  • No

• Comments:

• Signed:

  Sign

Loft Survey

• Conducted by:

  Select Vinnie Stokes Sean Glossop Alister Paisley Rob McKenna Ricky Whale Simon Farley

  • Vinnie Stokes
  • Sean Glossop
  • Alister Paisley
  • Rob McKenna
  • Ricky Whale
  • Simon Farley

• Date:

  Date

• Is loft to be insulated?

  Select Yes - Loft requires topping up No - Loft has sufficient level of insulation Unable to check due to the amount of residents belongings

  • Yes - Loft requires topping up
  • No - Loft has sufficient level of insulation
  • Unable to check due to the amount of residents belongings

• Photos of loft and access point

  Media

• Loft hatch dimensions

• Area of loft (to be insulated)

• Loft Area

  Drawing

• Loft Height at Centre

  Select 0.80 metres 0.90 metres 1.00 metres 1.20 metres 1.40 metres 1.50 metres 1.60 metres 1.80 metres+

  • 0.80 metres
  • 0.90 metres
  • 1.00 metres
  • 1.20 metres
  • 1.40 metres
  • 1.50 metres
  • 1.60 metres
  • 1.80 metres+

• Existing Depth

  Select 0mm 50mm 70mm 80mm 100mm 125mm 150mm 170mm 200mm 250mm 270mm 300mm+

  • 0mm
  • 50mm
  • 70mm
  • 80mm
  • 100mm
  • 125mm
  • 150mm
  • 170mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm+

• Depth to be added

  Select 0mm 50mm 70mm 80mm 100mm 125mm 150mm 170mm 200mm 250mm 270mm 300mm+

  • 0mm
  • 50mm
  • 70mm
  • 80mm
  • 100mm
  • 125mm
  • 150mm
  • 170mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm+

• Insulation type required?

  Rolled

  Blown

• Are there any pipes and tanks present?

  Yes

  No

• Does a steel combustion flue pass through the loft space?

  Yes

  No

  N/A

• Relay required?

  Yes

  No

  N/A

• Loft hatch require draft proofing?

  Yes

  No

  N/A

• Loft vents required?

  Yes

  No

  N/A

• Areas to be omitted

• Does the loft have any boarding?

  Yes

  No

  N/A

• Can we insulate at least 2/3 of the loft space?

  Yes

  No

• Is insulation present under boarded area?

  Yes

  No

• Are the joist tunnels tightly sealed with insulation at the ends?

  Yes

  No

• Is a walkway required?

  Yes

  No

• Is a loft clearance required?

  Yes

  No

• Additional Notes.

Access

• Are there any access issues for the loft works?

  Yes

  No

• Access Equipment Required:

  Select None Ladders Scaffold Board for Flat Roof Scaffolding Conservatory Ladder Roof Ladder

  • None
  • Ladders
  • Scaffold Board for Flat Roof
  • Scaffolding
  • Conservatory Ladder
  • Roof Ladder

Lighting & Electrical

• Are there any downlights present in the ceiling?

  Yes

  No

• Number of downlights and location

• Do they have halogen bulbs fitted?

  Yes

  No

• Can you see the IP rating on the casing?

  Yes

  No

• Are there any exisiting down light covers fitted?

  Yes

  No

• Are they fire rated covers?

  Yes

  No

• Electrical wiring free from visual defects?

  Yes

  No

• Are there any high voltage cables in the loft space?

  Yes

  No

• If yes please state type of cable in loft space:

  Select Shower Cable Solar Cable Immersion Cable CookerCable

  • Shower Cable
  • Solar Cable
  • Immersion Cable
  • CookerCable

If funding available please answer additional ventilation questions below.

• Is funding available?

  Yes

  No

  N/A

• Are there any visible signs of surface condensation or damp?

  Yes

  No

  N/A

• Does the property meet the minimum acceptable ventilation requirements set out in PAS 2035?

  Yes

  No

  N/A

• Does the cooker have a hood which ventilates to the outside?

  Yes

  No

  N/A

• Is there an airing cupboard or drying room that is ventilated to the outside?

  Yes

  No

  N/A

• Is there a tumble dryer which is vented to the outside of the property?

  Yes

  No

  N/A

• Do all wet rooms have as a minimum some form of passive or purge ventilation? (opening windows, air bricks or trickle vents)

  Yes

  No

  N/A

• Do all wet rooms have closing doors?

  Yes

  No

  N/A

• Is there a passive ventilation system?

  Yes

  No

  N/A

• Is there a mechanical ventilation system? (Continuous mechanical extract ventilation, Continuous mechanical ventilation with heat recovery)

  Yes

  No

  N/A

• Is there evidence of intermittent heating to parts of the property? e.g TRV's being turned down too low to unused areas.

  Yes

  No

  N/A

• Are there appropriate controls in place to regulate the heating in the property? (thermostat, programmer etc)

  Yes

  No

  N/A

• Is the thermostat set to a minimum of 10 Celsius is all parts of the property that are heated?

  Yes

  No

  N/A

• Is there evidence of clothes being dried in the property?

  Yes

  No

  N/A

• Are there more bedrooms than occupants?

  Yes

  No

  N/A

• Is there single glazing at the property?

  Yes

  No

  N/A

• Has the importance of behaviour to moisture and condensation been explained to the occupants and left behind?

  Yes

  No

  N/A

• Is there a condensation calculation required? If so what elements?

  Yes

  No

  N/A

• Signed:

  Sign

Dynamic Risk Assessment.

• Is a risk assessment required following the recommendations of this survey?

  Yes

  No

• Asbestos.

  Yes

  No

  N/A

• Reversing vehicle.

  Yes

  No

  N/A

• Overhead electricity cables.

  Yes

  No

  N/A

• Use of a step ladders or ladder.

  Yes

  No

  N/A

• Use of a mobile tower.

  Yes

  No

  N/A

• Manual Handling.

  Yes

  No

  N/A

• Working on a roof.

  Yes

  No

  N/A

• Hand tools.

  Yes

  No

  N/A

• Vibration.

  Yes

  No

  N/A

• Noise.

  Yes

  No

  N/A

• Electricity/Generator

  Yes

  No

  N/A

• Compressed air.

  Yes

  No

  N/A

• House keeping.

  Yes

  No

  N/A

• Working with wet cement, concrete and mortar.

  Yes

  No

  N/A

• Use of mobile elevation working platform (mewp).

  Yes

  No

  N/A

• Lone worker.

  Yes

  No

  N/A