Information
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Measure carried out?
- Cavity Wall
- Loft
- Extraction
- Party Wall Insulation
- Underfloor Insulation
- Cancellation
- Other
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Clients Name
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Postcode
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Clients Address
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Installation Date
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Crew
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Crew Leader Full Name
Health And Safety
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Is all Electrical Equipment, Access Equipment, PPE and H&S Equipment up to Standard and Suitable for Use?
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REPORT DEFECT TO YOUR LINE MANAGER
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What equipment is faulty, and discription of fault?
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Equipment ID
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Photo of equipment showing fault
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Who have you reported the issue too?
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Name of person reported too?
Site Details
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Photo of Front of Property:
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1. What is the dwelling type?
- Detached House
- Semi detached House
- End Terrace House
- Mid Terrace House
- Detached Bungalow
- Semi detached Bungalow
- End Terrace Bungalow
- Mid Terrace Bungalow
- Flat
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2. Number of bedrooms?
- 1
- 2
- 3
- 4
- 5
- Other
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3. Main Heating Type
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4. Secondary Heating Type
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5. Access equipment required:
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Type Of Access equipment
- Mewp
- Scaffold
- Mobile Scaffold
- Other
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6. Measures installed:
- Cavity Wall
- Loft
- Extraction
- Party Wall Insulation
- Underfloor Insulation
- Cancellation
- Other
CAVITY WALL INSULATION
Inspection Details
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7. Was the measure installed as part of new dwelling/extension?
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8. Was 100% of property installed?
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Reason for not installing 100%
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Photos
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Sqm not installed
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9. Insulation Used?
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Confirm elevations installed
- Front Elevation
- Right Elevation
- Left Elevation
- Rear Elevation
- Extension
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PRE-WORKS PHOTOS
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Photo of Front Elevation pre-works
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MID WORKS PHOTOS
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Photo of Elevation drilled.
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Photo of Injection Gun in Wall
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Photo of Left elevation pre-works
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MID WORKS PHOTOS
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Photo of Elevation drilled.
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Photo of Injection Gun in Wall
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Photo of Right elevation pre-works
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MID WORKS PHOTOS
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Photo of Elevation drilled.
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Photo of Injection Gun in Wall
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Photo of Rear elevation pre-works
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MID WORKS PHOTOS
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Photo of Elevation drilled.
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Photo of Injection Gun in Wall
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Photo of Extension Pre-Works
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MID WORKS PHOTOS
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Photo of Elevation drilled.
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Photo of Injection Gun in Wall
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10. Is the material appropriate for the exposure zone?
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11. Is the work guaranteed by a CIGA warranty?
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12. If not, has another guarantee been issued for 25 years?
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13. Total meterage Installed (m2)
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14. Does the drilling pattern ensure an even distribution of material?
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Photo of empty injection hole
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Photo of bead in Injection hole
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15. Are cavity brushes been fitted?
- Neighbouring property installed
- Fitted on install
- None Required
- N/A
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Photos showing Brush being fitted/ or neighbours property insulated
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16. Have all injection hole been made good?
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17. Does colour match existing finish?
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Photo of each Elevation Installed Post-works
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Close up Photo of each elevation showing Drill Pattern
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18. Are all air vents/bricks clear of insulation, sleeved or sealed.
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Photo Showing Clear Airbricks
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19. Are combustion vents/flues/chimneys clear of insulation and in compliance with HSE/CIGA guidance?
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Photo of Clear Vents
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20. Has a smoke spillage test been carried out?
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21. Was a combustion vent fitted?
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Photo of Combustion Vent.
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22. Has meter boxes been checked and brushed if necessary?
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Photo inside meterbox showing clear of insulation
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23. Are the eaves vents clear of insulation?
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Photo Of Clear Eaves/ Loft Space
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24. Has a flue cert been completed and stapled in the loft?
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Photo of Flue Cert.
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25. Is there a risk to health & safety, or the environment?
LOFT INSULATION
Inspection Details
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7. Was the measure installed as part of new dwelling/extension?
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8. Was 100% of property installed?
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Reason for not installing 100%
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Sqm of area not installed
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SQM Installed
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SQM Installed
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9. Type of insulation used
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10. Is the type of insulation installed as specified in the project plan?
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Photos Pre-Works all areas.
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Photo Mid-Works all areas
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Photo Post-Works all areas
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14. Is the thickness of insulation installed as specified in the project plan?
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Photo with Tape Measure showing post works depth.
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15. Has the insulation been close butted?
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16. Has the insulation been cross laid to prevent cold bridging?
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17. Has the loft hatch been properly insulated as specified in PAS 2030:2012?
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Photo of loft Hatch insulated.
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Photo of Loft Hatch
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18. Has the hatch been properly draught proofed as specified in PAS 2030:2012?
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Photo of Hatch/Draught Proofing
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Reason Loft Hatch not Draught Proofed?
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19. Is the area around down-lights kept clear of insulation?
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20. Do the down-lights have the "F-capped" symbol, or have caps been fitted?
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Photos of Downlights and covers
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21. Has walkway been fitted for any live tanks 0.5m from Hatch?
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Photos of access walkway
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22. Has Pipes and Tanks been insulated?
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Photos of Pipes and Tanks
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23. Ventilation safeguarded and eaves clear?
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Photos of ventilation safeguarded and clear eaves. (ALL AREAS OF LOFT)
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Reason for not safe guarding Ventilation?
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Photos
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24. Power Cables above Insulation?
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Photo of cables above insulation.
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25. Has Danger Sign been stapled in loft space?
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Photo Of Danger notice stapled in Loft
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Reason for not fitting Warning notices?
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Photos
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26. Loft Cert stapled in Loft?
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Photo Of Loft Cert Stapled in Loft
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Reason for not Stapling in Loft?
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Photo of Loft cert
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27. Has additional ventilation been installed?
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Photos of additional ventilation.
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28. Has storage area been maintained?
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Photos of Storage area.
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29. Is there a risk to health & safety, or the environment?
CANCELLATION REPORT
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Measure to be Installed
- Cavity Wall
- Loft
- Extraction
- Party Wall
- Other
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Reason For Cancellation
- Client Cancel
- Office Cancel
- Access Issue
- Technical Issue
- Equipment Breakdown
- Vehicle Breakdown
- Other
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Describe reasons for Cancellation
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Photos Showing Issue
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Who was Cancellation reported too?
- Operational Manager
- Conformance Supervisor
- Booking Office
- Gary Randle
- Other
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Name of person reported too?
EXTRACTION WORKS
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PRE-WORK CHECKS
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7. Select Elevations to be Extracted
- Front Elevation
- Right Elevation
- Left Elevation
- Rear Elevation
- Extension
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Photo of Front Elevation before works commence
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Photo of Right Elevation before works commence
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Photo of Left Elevation before works commence
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Photo of Rear Elevation before works commence
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Photo of Extension before works commence
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8. Has client been advised of method of works?
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9. Is there evidence or is the client aware of any electrical cables within the cavity?
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10. Is the client aware of any potential material ingress?
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11. Items removed from window sills?
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12. Are all vehicles and movable items removed from work areas?
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13. Are all air ventilators closed/ temporary sealed to prevent ingress?
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14. Cavity heads closed/ sealed within loft space to prevent ingress?
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15. Note position of DPC's and cavity trays to prevent drilling into them
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16. Any Pre-works issues/ property damage noted?
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Detail issues noted
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Photos of any issues/ existing property damage
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POST-WORKS CHECKS
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17. Confirm material Extracted
- Bead Insulation
- Fibre Insulation
- Foam Insulation
- Rubble and Debris
- Other
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Material Extracted
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18. Confirm Elevations Extracted
- Front Elevation
- Right Elevation
- Left Elevation
- Rear Elevation
- Extension
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Photo of Front Elevation Post Works
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Photo of Clear Cavity Post Works (3 Borescope Photos Min)
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Photo of Right Elevation Post Works
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Photo of Clear Cavity Post Works (3 Borescope photos min)
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Photo of Left Elevation Post Works
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Photo of Clear Cavity Post Works (3 Borescope photos min)
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Photo of Rear Elevation Post Works
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Photo of Clear Cavity Post Works (3 Borescope photos min)
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Photo of Extension Post Woks
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Photo of Clear Cavity Post Works (3 Borescope photos min)
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19. Suspended/ Timber floor air ventilators clear/ unobstructed?
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20. Kitchen, Bathroom, Room ventilators clear/ unobstructed?
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21. Loft ventilation clear/ unobstructed
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22. Making good of all drilling/ extraction points complete and satisfactory?
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Photos of all extraction points after work is completed and re-pointed.
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23. Meter box checked post works?
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Photo of clear meter box.
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Photo of Meter box
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Reason for not checking meter box?
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24. All windows, doors, drive and pathways cleaned down fully?
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Photos of clean up (Path and Driveways, Doors and Windows etc)
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25. All debris and waste material removed from site for disposal?
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Reason for not removing debris and waste
PARTY WALL INSULATION
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Party Wall Insulation
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Do Both Parties agree to works?
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Address of adjoining property
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Photo of adjoining Property
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Step 1: Internally measure from internal party wall to window/door reveal on both properties (A + B)
Step 2: Externally measure from window/door wall edge to window/door wall edge on both properties measurement (C) minus A + B = measurement (D)
Step 3: Deduct Plaster (12mm) or Plaster & Batten (37mm) and finally Brick/Block (100mm) from measurement (D) = Cavity width (E)
Step 4: Chalk mark the cavity width on wall this will identify the centre of the cavity ready for cavity inspection. -
7. Insulation Used?
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Photo of Front Elevation
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Photo of Front Party line
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Photo of Rear Elevation
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Photo of Rear Party line
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8. Total Sqm Installed
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9. Does the drilling pattern ensure an even distribution of material?
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Photo of empty injection hole
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Photo of Injection gun in wall
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Photo of insulation in Injection hole
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10. Does Party wall have a chimney?
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Photo of chimney/ Fireplace
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Has a smoke test been completed?
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11. Is a combustion vent required?
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Fitted on install?
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Photo of Combustion Vent
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Reason combustion vent not Fitted?
- Existing compliant combustion vent.
- Other
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Details vent not fitted
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Photo evidence
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12. Have all injection hole been made good?
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13. Does colour match existing finish?
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Photo of each Elevation Installed Post-works
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14. Are the eaves vents clear of insulation?
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Photo Of Clear Eaves/ Loft Space
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15. Has a flue cert been completed and stapled in the loft?
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Photo of Flue Cert stapled in the loft.
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16. Clean up in all working areas satisfactory?
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Photos of path and Driveways
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17. Is there a risk to health & safety, or the environment?
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7. Was the measure installed as part of new dwelling/extension?
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8. Was 100% of property installed?
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Reason for not installing 100%
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Sqm not installed
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9. Photos of Sub-floor Area (Whole Underfloor area)
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10. Have all Gaps in the floor been sealed around services.
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Photos of Gaps
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Photo of Joist Depth with measuring tape
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12.Measurement of gap from joist bottom to ground level in several areas
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13.Photographs to show floorboards in good condition and firmly fixed, without any significant cracks, splits and missing fixings
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14. The structure of the existing floor is suitable for the insulation i.e. no evidence of damp, rot etc.
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Photos of Structure
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15. Photos showing that 100% of area has been installed
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16. Photos Showing that insulation is not sagging and is sealed at edges
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17. Photo of insulation thickness installed
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18. Evidence showing any service penetrations through the floor are sealed
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19. Water pipework in the newly formed "cold space" is insulate
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Photos of Insulated Pipework
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20. Photos showing the insulation does not bridge the DPC
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21. Any combustion appliances in the space to be insulated have appropriate combustion ventilation
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22. Any high amperage cables (electric shower/cooker etc) that may be clipped to the underside of the floor joist are not covered by insulation
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23.Any recessed floor lighting is safeguarded
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Photos of safe guarded floor lighting
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24.Any other in-situ equipment has not been compromised by the work undertaken
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Comments:
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Additional Photos:
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Inspectors name/signature:
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Customers name/signature:
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Remote TM Inspection Report and Evidence
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Select Measure
- Cavity Insulation
- Loft Insulation
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CAVITY TM QUESTIONS
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TMQ1: Have all avoidable thermal bridges/heat loss areas which could have been insulated, been insulated ?
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TMQ2: Has 100% of the measure been installed where possible?
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CWI-1: Is the insulation material suitable for use with the property’s exposure level to wind driven rain?
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CWI-2: Is the insulation material suitable for use with the property’s exposure level to wind driven rain?
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CWI-3: Does the current condition of the property suggest that it was suitable for the material that has been installed?
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CWI-4: Does the drilling pattern conform to the appropriate materials compliance certificate?
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CWI-5: Have all injection holes been filled?
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CWI-6: Have all vents been safeguarded and have redundant vents been sealed?
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CWI-7: Is there any evidence of the escape of insulation?
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CWI-8: Are there any signs of damp or condensation?
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CWI-9:If the cavity wall contains pre-existing insulation, is the additional insulation to be added compatible with the pre-existing insulation as demonstrated by the product certificate?
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HSCWI-1: Are combustion vents/flues/chimneys clear of insulation and in compliance with HSE/CIGA guidance?
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HSCWI-2: Have combustion air core vents been fitted where required?
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HSCWI-3: Are all the air bricks and eaves vents clear of insulation material and sleeves installed where appropriate?
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HSCWI-4: Do any faults specific to the measure installed present an immediate risk to the occupier?
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HSCWI-5: Do you believe that there are no other safety related issues with the installation?
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PHOTO EVIDENCE
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CAVITY TM PHOTO EVIDENCE
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Front door showing door number
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Front door open
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Elevations - all required - taken front on where possible, include any return walls.
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Front and rear elevation to show full height to ridge line including guttering and down pipes
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DPC - photo of each elevation showing the DPC and its height above the ground level (including presence of any features such as adjacent decking, slopes, raised beds, soakaways etc).
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Vents - photos of each combustion ventilation, if applicable, floor and wall vents
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Trickle vents in windows and any other type of extractor fan
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Guttering and downpipes - all elevations
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Loft showing internal wall substrate and cavity head
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Primary heating source
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Tertiary heating source (if present)
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Photograph of location for any redundant flues
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Internal rooms and external heat loss walls
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Building defects including spalled, damaged brickwork and cracks
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Ivy and any other vegetation on property
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Close up of all waste pipes exiting through the cavity to check seal around pipe
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Working at height issues - for example, conservatory
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Omitted areas not to be filled
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Gas meter box
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Inside electric meter box
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Any other obstructions exiting through the cavity, for example, cables, extractor fans etc
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LOFT TM QUESTIONS
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TMQ1: Have all avoidable thermal bridges/heat loss areas which could have been insulated, been insulated ?
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TMQ2: Has 100% of the measure been installed where possible?
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LI-1: Is the thickness of insulation consistent throughout the loft area?
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LI-2: Has insulation been close butted?
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LI-3: Has insulation been cross laid to prevent cold bridging?
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LI-4: Has the loft hatch been insulated as specified in in the relevant PAS annex?
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LI-5: Has the loft hatch been draught proofed as specified in the relevant PAS annex?
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LI-6: Where down lighters or services have been fitted through the existing ceiling, have any measures been taken to prevent air leakage around down lights into roof void?
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LI-7: Have any and all working pipes and tanks been properly insulated?
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HSLI-1: Are electric cables safeguarded in accordance with PAS2030?
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HSLI-2: Are downlights safeguarded in accordance with PAS2030?
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HSLI-3: Are other electrical apparatus penetrating the ceiling safeguarded in accordance with PAS2030-2012?
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HSLI-4: Is there clearance between the insulation and flues and chimneys in accordance with PAS2030?
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HSLI-5: Have all essential ventilation openings been safeguarded in accordance with PAS 2030?
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HSLI-6: Is a walkboard fitted in accordance with PAS2030?
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HSLI-7: Are warning signs fitted in accordance with PAS2030?
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HSLI-8: Do any faults specific to the measure installed present an immediate risk to the occupier?
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HSLI-9: Do you believe that there are no other safety related issues with the installation?
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PHOTO EVIDENCE
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LOFT TM PHOTO EVIDENCE
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Front elevation to include door number and open front door
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Loft hatch closed
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Loft hatch open
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Loft hatch rebate showing presence of draught proofing
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Back of loft hatch showing insulation (including measurement of correct depth)
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Various photos showing all angles of the loft space
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Clear measurement of the insulation thickness
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Original insulation
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Ceiling photos to show all parts of underside of loft area – to identify lighting
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Bathroom and shower photo (include electric shower cord pull location)
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Photographs of mechanical ventilation present in all wet-rooms
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Airing cupboard door open (showing ceiling with any penetrating pipework) and closed
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Roof outside (each elevation)
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External elevation photos (all elevations)
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Ridges and tile vents (if applicable)
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Pipes in loft
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Tanks in loft
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Roof lining (enough photos to show all parts of roof)
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Exposed timbers
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F rated caps if fitted
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Warning and Notification signs fixed to roof joists