TECHNICAL SURVEY FORM©

• Name of Surveyor

  Select James Scott Thomas Anderson Ben Fairgrieve Derek Bain Paul Mclean Ryan Mcleod Paul Doran

  • James Scott
  • Thomas Anderson
  • Ben Fairgrieve
  • Derek Bain
  • Paul Mclean
  • Ryan Mcleod
  • Paul Doran

• Technical surveys being carried out

  Select Cavity Wall Insulation Internal Wall Insulation Room in Roof Insulation Loft Insulation Under Floor Insulation Draft proofing IEV'S required Low Energy lighting Smart Vent

  • Cavity Wall Insulation
  • Internal Wall Insulation
  • Room in Roof Insulation
  • Loft Insulation
  • Under Floor Insulation
  • Draft proofing
  • IEV'S required
  • Low Energy lighting
  • Smart Vent
• Location.
  Address

• Customer Name & Contact Details.

• Property Tenure.

  Select Owner occupier Local Authority Housing Association Privately Rented

  • Owner occupier
  • Local Authority
  • Housing Association
  • Privately Rented

• Scheme type.

  Select Warmworks GSEP Warmworks Scotland Able to Pay

  • Warmworks GSEP
  • Warmworks Scotland
  • Able to Pay

• Conducted on

  Date

• Is room in roof being carried out or IWI

  Yes

  No

• Customer been advised of Redecoration allowance.

  Yes

  No

• Has customer accepted the allowance ?

  Yes

  No

• Customer to sign

  Sign

• Can job go ahead ?

  Yes

  No

• Reason why

• Property Type.

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

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

• 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 Suspended Suspended not wood Other

  • Solid
  • Suspended
  • Suspended not wood
  • Other

Construction details and Condition:

• Building Finish

  Brick

  Brick/Render

  Painted Render

  recon Stone/Sand Stone

  Pebble Dash/Spar

• Images of all elevations

  Media

• External Condition of the building.

  Select Very good Good Poor Very poor

  • Very good
  • Good
  • Poor
  • Very poor

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

  Yes

  No

• Have you done an internal inspection of the building? If yes please take photos of your findings. click media below yes or no section

  Yes

  No

• If you have answered yes please select the best description of your findings.

  Select Low level damp near the skirting boards Black mould in the corners of the rooms Black mould on the ceiling and the walls Condensation on the windows and external walls No internal issues that I can see.

  • Low level damp near the skirting boards
  • Black mould in the corners of the rooms
  • Black mould on the ceiling and the walls
  • Condensation on the windows and external walls
  • No internal issues that I can see.

• Safety monitors present.

  Select Smoke Alarm Fire Alarm CO Alarm N/A

  • Smoke Alarm
  • Fire Alarm
  • CO Alarm
  • N/A

• Protected species or rodents present in building.

  Yes

  No

Access

• On site parking.

  Yes

  No

• Access Issues.

  Yes

  No

• Notes

IWI TECHNICAL SURVEY

• Is IWI survey being carried out

  Yes

• Total area of walls to be insulated nett m2

• Swip batt system to be used

  Yes

  No

• Images of all walls to be insulated

  Media

• Images of skirtings including tape to show size

  Media

• Plumber required

  Yes

  No

• Images of plumbing items to be removed

  Media

• How many radiator's needed to be removed

• Electrician Required

  Yes

  No

• Images of electrical items to be moved

  Media

• Is there areas to be omitted?

  Yes

  No

• What areas are being omitted?

  Select Bathroom Kitchen Utility Room Other (if other make note)

  • Bathroom
  • Kitchen
  • Utility Room
  • Other (if other make note)

• Stair platform or access equipment required

  Yes

  No

• External documents if required

  Media

IWI Dynamic Risk Assessment

• If IWI do dynamic risk assessment

  Yes

• PPE to be worn

  Select Gloves Bump cap Protective clothing Ear protection( when using tools) Dust mask Safety specs Ladder ties Harness Safety boots

  • Gloves
  • Bump cap
  • Protective clothing
  • Ear protection( when using tools)
  • Dust mask
  • Safety specs
  • Ladder ties
  • Harness
  • Safety boots

• Use of a ladder/step ladder.

  Yes

  No

• Noise.

  Yes

  No

• Vibration.

  Yes

  No

• Manual Handing.

  Yes

  No

• Hand Tools/Power Tools

  Yes

  No

• Electricity/Generator

  Yes

  No

• House keeping/site tidiness.

  Yes

  No

• Working with with wet cement, concrete or mortar.

  Yes

  No

• Overhead cables.

  Yes

  No

• Reversing a vehicle.

  Yes

  No

• Asbestos.

  Yes

  No

• Use of a Mobile tower/Mewp/stair platform

  Yes

  No

• Lone Worker.

  Yes

  No

• Members of Public

  Yes

  No

• Does customer have any health conditions that may impact the job

  Yes

  No

• Details of health condition

Room in Roof Insulation

• Is room in roof survey being carried out

  Yes

• Total area m2 to be insulated (Nett)

• Room area m2 to be insulated

• Residuals space's to be insulated m2

• Images of all area to be insulated

  Media

• Images of skirtings including tape to show size.

  Media

• Loft access and access doors to eaves

  Select 1 2 3 4 5+ N/A Commercial

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

• Fixtures or fitting to be removed

  Yes

  No

• Plumber required

  Yes

  No

• Images of plumbing items to be removed and thickness of pipework

  Media

• How many radiator's to be removed

• Electrician Required

  Yes

  No

• Images of electrical items to be moved

  Media

• Does residual spaces need insulated

  Yes

  No

• Take images of residual loft area including tape measurement of original insulation

  Media

• How much top up material is required

  Select 100mm 150mm 200mm 250mm 270mm 300mm

  • 100mm
  • 150mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm

• Tanks to be insulated

  Yes

  No

• Take image of tank

  Media

• Pipes to be insulated

  Yes

  No

• Take image if possible of pipe that require insulation

  Media

• Notes

Room in Roof Dynamic Risk Assessment

• If RIR do dynamic risk assessment

  Yes

  No

• PPE to be worn

  Select Gloves Bump cap Protective clothing Ear protection( when using tools) Dust mask Safety specs Ladder ties Harness Safety boots

  • Gloves
  • Bump cap
  • Protective clothing
  • Ear protection( when using tools)
  • Dust mask
  • Safety specs
  • Ladder ties
  • Harness
  • Safety boots

• Use of a ladder/step ladder.

  Yes

  No

• Noise.

  Yes

  No

• Vibration.

  Yes

  No

• Manual Handing.

  Yes

  No

• Hand Tools/Power Tools

  Yes

  No

• Electricity/Generator

  Yes

  No

• House keeping/site tidiness.

  Yes

  No

• Working with with wet cement, concrete or mortar.

  Yes

  No

• Overhead cables.

  Yes

  No

• Reversing a vehicle.

  Yes

  No

• Asbestos.

  Yes

  No

• Use of a Mobile tower/MEWP

  Yes

  No

• Lone Worker.

  Yes

  No

• Members of Public

  Yes

  No

• Does customer have any health conditions that may impact the job

  Yes

  No

• Details of health condition

Cavity Wall Insulation Survey

• Is there a cwi survey being carried out

  Yes

• Does property need extraction

  Yes

  No

• What material is present in wall

  Wool

  Foam

  Bonded bead

  Loose bead

• Required material.

  Select ENERGYSTORE SUPERBEAD

  • ENERGYSTORE SUPERBEAD

• Does the building have any air vents or extraction fans?

  Yes

  No

• If yes please select.

  Select Underfloor vents Kitchen vents Bedroom vents Bathroom vents Combustion vent Extraction fan kitchen Extraction fan bathroom Pantry vents Window trickle vents

  • Underfloor vents
  • Kitchen vents
  • Bedroom vents
  • Bathroom vents
  • Combustion vent
  • Extraction fan kitchen
  • Extraction fan bathroom
  • Pantry vents
  • Window trickle vents

• Please take a photo of all vents and extraction fans fitted within the property including at lease two photos of window trickle vents.

  Select Underfloor vents Kitchen vents Bedroom vents Bathroom vents Combustion vent Extraction fan kitchen Extraction fan bathroom Pantry vents Window trickle vents

  • Underfloor vents
  • Kitchen vents
  • Bedroom vents
  • Bathroom vents
  • Combustion vent
  • Extraction fan kitchen
  • Extraction fan bathroom
  • Pantry vents
  • Window trickle vents

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

  Yes

  No

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

  Select Underfloor vents Kitchen vents Bedroom vents Bathroom vents Combustion vent Extraction fan kitchen Extraction fan bathroom Pantry vents Window trickle vents

  • Underfloor vents
  • Kitchen vents
  • Bedroom vents
  • Bathroom vents
  • Combustion vent
  • Extraction fan kitchen
  • Extraction fan bathroom
  • Pantry vents
  • Window trickle vents

• Number of Cavity brushes required.

• Core vent required.

  Yes

  No

• Number of core vents and location.

• Please take a photo inside the loft showing the internals (Gable wall)

  Media

• What areas can be insulated

  Select Front Left hand Right Hand Rear Extensions others

  • Front
  • Left hand
  • Right Hand
  • Rear
  • Extensions
  • others

Elevation Details

• Is property suitable for cavity wall in no survey no longer required

  Yes

• Photos of all elevations

  Media

• Please take a photo of all gutters or down pipes on this elevation.

  Media

• 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

• Cavity depth image

  Media

• Min.2x Boroscope Photos per elevation.

  Media

• Please take a photo of the DPC showing its height above ground floor level.

  Media

• Area m2 (GROSS)

• Openings m2

• Area m2 (NETT)

• Comments

CWI Dynamic Risk assessment.

• If CWI please do a risk assessment.

  Yes

• PPE to be worn

  Select Gloves Bump cap Protective clothing Ear protection( when using tools) Dust mask Safety specs Ladder ties Harness Safety boots

  • Gloves
  • Bump cap
  • Protective clothing
  • Ear protection( when using tools)
  • Dust mask
  • Safety specs
  • Ladder ties
  • Harness
  • Safety boots

• Use of a ladder/step ladder.

  Yes

  No

• Noise.

  Yes

  No

• Vibration.

  Yes

  No

• Manual Handing.

  Yes

  No

• Hand Tools/Power Tools

  Yes

  No

• Compressed air.

  Yes

  No

• Electricity/Generator

  Yes

  No

• House keeping/site tidiness.

  Yes

  No

• Working with with wet cement,concrete or mortar.

  Yes

  No

• Overhead cables.

  Yes

  No

• Reversing a vehicle.

  Yes

  No

• Asbestos.

  Yes

  No

• Use of a Mobile tower/MEWP

  Yes

  No

• Lone Worker.

  Yes

  No

Loft Insulation Survey

• Is a loft survey required

  Yes

• Does loft have adequate ventilation

  Yes

  No

• Existing depth.

  Select 0mm 12mm 25mm 50mm 70mm 80mm 100mm 125mm 150mm 200mm 250mm 270mm 300mm plus

  • 0mm
  • 12mm
  • 25mm
  • 50mm
  • 70mm
  • 80mm
  • 100mm
  • 125mm
  • 150mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm plus

• Please take a photo of the existing insulation depth.

  Media

• Clear images of loft

  Media

• Image of moisture readings in 3 locations

  Media

• 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 and above.

  • 0.80 metres
  • 0.90 metres
  • 1.00 metres
  • 1.20 metres
  • 1.40 metres
  • 1.50 metres
  • 1.60 metres
  • 1.80 metres and above.

• Pipes and tanks present.

  Yes

  No

• Area to be Insulated.

• Depth to be added.

  Select 100mm 150mm 200mm 250mm 270mm 300mm

  • 100mm
  • 150mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm

• Loft hatch size.

• Photo of loft access.

  Media

• Does Loft hatch need D/P installing?

  Yes

  No

• Is moisture readings below 20%

  Yes

  No

• Contact office to see if we can progress with insulation measure

• Images of Pipes and tanks to be insulated.

• Spot lights present in ceiling?

  Yes

  No

• Images of each room that contains spot lights

  Media

• Walkway required.

  Yes

  No

• Loft clearance required.

  Yes

  No

• Details of loft clearance.

  1 to 2 hours

  3 to 4 hours

  5 to 6 hours

  1 day

Dynamic Risk assessment Loft.

• If loft survey being carried out do risk assessment

  Yes

• PPE to be worn

  Select Gloves Bump cap Protective clothing Ear protection( when using tools) Dust mask Safety specs Ladder ties Harness Safety boots

  • Gloves
  • Bump cap
  • Protective clothing
  • Ear protection( when using tools)
  • Dust mask
  • Safety specs
  • Ladder ties
  • Harness
  • Safety boots

• Use of a Step ladder/ladder

  Yes

  No

• Access and Egress

  Yes

  No

• Manual Handing

  Yes

  No

• Hand Tools/Power Tools

  Yes

  No

• Vibration

  Yes

  No

• Noise

  Yes

  No

• Dust

  Yes

  No

• House Keeping

  Yes

  No

• Lone Working

  Yes

  No

• I have assessed the condition on site ensuring there is adequate ventilation and no evidence of damp and no remedial works required. Unless listed below,there are no additional significant hazards observed that are not addressed in the generic risk assessment for the work to be undertaken.

  Yes

  No

• Please provide details if you have answer no.

Underfloor Insulation

• Is Underfloor Survey being carried out

  Yes

• Can 100% of the measure be installed where possible?

  Yes

  No

• Photographs where possible showing areas to be insulated

  Media

• Have areas been specifically omitted due to a lack of access or safety reasons?

  Yes

  No

• State reason for omissions and if possible upload photographs supporting this

• Has at least 67% of the area to be insulated, been successfully insulated?

  Yes

  No

• Operations Supervisor to be contacted to arrange for remedial work to be scheduled to rectify where possible

• Operations Supervisor to be contacted to arrange for remedial work to be scheduled to rectify

• Area m2 to be insulated

• Depth of underfloor mm

• Is there working pipes to be insulated

  Yes

  No

  Unable to validate

• Does additional hatches need cut

  Yes

  No

• Is there any gaps in the floor around service penetrations, e.g. pipework, cabling etc. to be sealed

  Yes

  No

• If possible take photos

  Media

• Is the moisture content of the timber joists less than 20%?

  Yes

  No

  N/A

  Unable to validate

• Refer to Operations Supervisor to see if we can continue with survey

• Take photo of moisture reading in 3 different locations

  Media

• Is there a fully functioning DPC in the walls surrounding the area being to be insulated?

  Yes

  No

  Unable to validate

• Refer to Operations Supervisor for investigation

• Do the joists need wrapped

  Yes

  No

• Images of joists and size

  Media

• Does cross-flow ventilation exists beneath the floors in the form of openings on opposite walls in accordance with the requirements of Part C of the Building Regulations?

  Yes

  No

• Is there any evidence of damp, rot, mould, infestation or other issues with timber exposed to the underfloor space?

  Yes

  No

• Are the floorboards in good condition and firmly fixed, without any significant cracks, splits and missing fixings?

  Yes

  No

Underfloor Dynamic Risk Assessment

• Is UFI dynamic risk assessment needed

  Yes

• PPE to be worn

  Select Gloves Bump cap Protective clothing Ear protection( when using tools) Dust mask Safety specs Ladder ties Harness Safety boots

  • Gloves
  • Bump cap
  • Protective clothing
  • Ear protection( when using tools)
  • Dust mask
  • Safety specs
  • Ladder ties
  • Harness
  • Safety boots

• Use of a Step ladder/ladder

  Yes

  No

• Access and Egress

  Yes

  No

• Manual Handing

  Yes

  No

• Hand Tools/Power Tools

  Yes

  No

• Vibration

  Yes

  No

• Noise

  Yes

  No

• Dust

  Yes

  No

• House Keeping

  Yes

  No

• Lone Working

  Yes

  No

• I have assessed the condition on site ensuring there is adequate ventilation and no evidence of damp and no remedial works required. Unless listed below,there are no additional significant hazards observed that are not addressed in the generic risk assessment for the work to be undertaken.

  Yes

  No

• Please provide details if you have answer no.

• Is there sufficient room to work in

  Yes

  No

Draft proofing survey

• Is draft proofing survey required

  Yes

• Floors

  Ground

  1st Floor

  2nd Floor

  3rd Floor

• Property Form of Heating

  Full GCH

  Part GCH

  NSH

  Electric Fire

  Gas Fire

• Windows

  Select Metal - Crittle Wooden -Single Glazed Wooden - Sash uPVC - Sash uPVC - Single Glazed uPVC - Double Glazed

  • Metal - Crittle
  • Wooden -Single Glazed
  • Wooden - Sash
  • uPVC - Sash
  • uPVC - Single Glazed
  • uPVC - Double Glazed

• Roof

  N/A

  Flat Roof

  Pitched Roof

Inspection

• Windows

• Windows Comments

  Comments

  No Action

• Window Action

  Comments

  No Action

• Doors, Keyholes and Letterboxes

• Is door cuts required.

  Comments

  No Action

• Doors, Keyholes and Letterboxes Comments

  Comments

  No Action

• Doors, Keyholes and Letterboxes Action

  Comments

  No Action

• Loft Hatches

• Loft Hatches Comments

  Comments

  No Action

• Loft Hatches Action

  Comments

  No Action

• Take Images of all areas that needs draft proofing (doors windows loft hatch etc)

  Media

• Is low energy lighting survey required

  Select Yes

  • Yes

• Images of light fittings and bulbs to be replaced (pre)

  Media

• Images of new bulbs fitted (post)

  Media

• Images of fitting complete (post)

  Media

• Many fittings require changing

• Many bulbs required changing

IEV OR DMEV SURVEY

• Does property require any mechanical vents

  Yes

• Images of kitchen, bathroom , utility rooms

  Media

• Is there adequate room to install

  Yes

  No