Title Page
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Customer Name
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Client address
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Conducted on
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Prepared by
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Location
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Personnel
Questions
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Is the insulation material suitable for use with the property’s exposure level to wind driven rain?
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Does the form of the construction of the property suggest that it was suitable for the material that has been installed
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Does the current condition of the property suggest that it was suitable for the material that has been installed?
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Does the drill pattern conform to the appropriate material compliance certificate?
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Have all injection holes been filled & been finished to an acceptable aesthetic standard?
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Are all airbricks and eves vents clear of insulation?
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Are combustion vents/flues/chimneys clear of insulation and in compliance with HSE/CIGA guidance?
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Have combustion air core vents been fitted where required?
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Is there any evidence of the escape of insulation?
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Are there any signs of damp or condensation?
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Where a 'virgin' cavity has been claimed is there any evidence of CWI extraction?
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Have cavity brushes been fitted where required?
Party wall insulation
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Does the drill pattern confirm to the appropriate material compliance certificate?
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Does the lancing pattern conform to the appropriate material compliance certificate?
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Have all party cavity walls been insulated?
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Have all injection holes been filled?
Scoring questions
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Does the heating system installed match the notified measure type?
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Does the property type match the notified property type?
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Does the number of bedrooms match the notified number of bedrooms?
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Is the notified percentage of the property treated a reasonable reflection of the actual percentage of the property treated when rounded to the nearest multiple of 10%?
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Does the type of boiler installed match the type of boiler notified?
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Do the heating controls installed,thermostat and TRVs to all radiators except those in the room with the thermostat?
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Does the wall construction type notified match at least 50% of the total external wall area of the property? You
Customer care
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Was identification provided by installation team?
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Did we provide all tools and dust sheets where necessary?
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Did we clean up satisfactory?
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Has any damage occurred?
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If damage occurred-has it been repaired satisfactory?
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Inspector name and signature
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Date of inspection
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Customer name and signature
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Date of inspection
