Title Page

  • Conducted on

  • Prepared by

  • Location
  • Customer Name

Background Ventilation

Skirt Ventilation

  • Did you install any skirt vents? (Photo required of cuts in the wall for each skirt vent installed)

  • Is there adequate skirt ventilation? 1 vent on each short end, 2 vents on each long end (Photos required of all skirt ventilation - use the labels to show which vent is which)

  • Please take a photo of the skirt ventilation diagram

Door Undercuts (with the door CLOSED!)

  • Did you undercut any doors? (Photo required of door outside ready to cut for each door undercut)

  • Do all habitable door undercuts have a 10mm clearance (Photos required of all door undercuts (with the door CLOSED!) (use the labels to show which door is which)

Background Ventilation

  • Did you install any background vents or window trickle vents? (Photo required of cuts in the wall or the window for each background vent or window trickle vent installed)

  • Is there a background vent or window trickle vent in every habitable room (Please take photos of the background ventilation inside and outside - use the labels to show which vent is which)

Mechanical Extract Ventilation (Extractor Fans)

  • Is there an Extractor Fan in all wet rooms (Kitchen, Bathroom, En-Suite, Utility Room, WC with a sink) (Please take photos of the Extractor Fans - use the labels to show which fan is which)

Fire (Combustion Ventilation)

  • Is there a core vent if there is a Gas Fire / Log Burner? (Photo Required of fire and core vent if applicable)

Other

  • Any other ventilation photos to be taken?

Under Floor Insulation

UFI Beginning Stage

  • Take photos of the floor before Insulating

UFI Mid Install Stage

  • Please take a photo showing the UFI next to an area not insulated yet

UFI Checklist

  • Did you install any new hatches? (Photo required of new hatch if so)

  • Has the home got sufficient access (at least 2 hatches) (Photos Required)

  • Did you install any new jacks? (Photo required of each new jack installed)

  • Is there sufficient jacks supporting the chassis? (16 for a double, 8 for a single)

  • Have all water-feed pipes been lagged? (photos required)

  • Is the system fully sealed & battened to ensure no cold bridging (photos required)

  • Have you ensured that you have not covered up a gas pipe (photos required)

  • If any gas pipes are running underneath between the joists, have you ensured you have cut ventilation into the system (photos required)

Park Home UFI Final Stage

  • Please take photos of the whole area with newly installed Under Floor Insulation (UFI)

Final Check Stage

  • Have you ensured that there are no leaks? (Flush all toilets, run all taps then check underneath that waste pipes are still secure)

  • Has the customer signed the sign off sheet? (Photo required)

  • Has the new form been signed by the customer?

  • Is the customer happy with the work you have done and you have left the home in a clean and tidy state

Other

  • Please take any other photos if needed here.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.