Information

  • Technicians Names

  • Crew?

  • Address
  • Date

  • Prepared by

  • Thermabead System Card (Photo Required)

  • Job number

  • Crew Number

  • Photo of the property

  • Proof of batch number

HEALTH & SAFETY

  • On site arrival Health & Safety observation

  • All PPE being worn correctly?

  • Has dynamic risk assessment been completed?

Pre & Post installation checks

  • Has Pre & post checks been carried out

  • Has flue safety checks been carried out

  • Customer contact

  • Survey form satisfactory

  • Have flue checks been completed

  • Has loft area been checked

  • Moisture transfer Room

  • Where is ventilation coming from

  • Sign of water ingress

  • Any obvious cause to moisture transfer

  • Are external walls in good condition

  • Has cavity been breached previously ( if yes photos)

  • Is roof in good condition

HEALTH & SAFETY EQUIPMENT CHECK

Ladders

  • Triple Ladder Observation & ID Number

  • Double Ladder observation & ID Number

  • Step Ladder Observation & ID Number

  • Ladder Strap observation

  • Ladder Eye Bolt Observation

  • Ladder Yoke Observation

  • Ladder mats general observation & ID Number

  • Stand off general observation & ID Number

  • SDS drill/s observation & ID Number

  • Core Drill observation & ID Number

  • Lead light/torch observation

  • Extension lead observation

  • 110 drill lead observation

  • Transformer observation

  • Hand tools observation

  • All Electrical Equipment PAT Tested

  • Date PAT Tested

  • Renewal Date for PAT Testing

Compressor

  • Make/model

  • Hours worked (under key fob)

  • Pressure setting

  • Oil levels

  • Safe working condition

Generator

  • Make/Model

  • Oil levels

  • Safe working condition

Extraction Equipment

  • Extraction fan in a safe working condition

  • Extraction bin/pipe observation

  • Contractor hose condition

  • Directional nozzle/whip fittings condition

  • Boroscope observation/working condition

Harness Restraint/s

  • No.1 Harness observation & ID Number

  • Cow's tail Observation & ID Number

  • Drill Bandolier observation & ID Number

  • No.2 Harness Observation & ID Number

  • Cow's tail Observation & ID Number

  • Drill Bandolier observation & ID Number

  • No.3 Harness Observation & ID Number

  • Cow's tail Observation & ID Number

  • Drill Bandolier observation & ID Number

  • Picture of all crew members wearing full PPE

  • Picture of all Crew members using of restraint system

Extraction Process

  • Material Extracted

  • Photo of clear cavity?

  • Identify Drill pattern

  • Blowing technique

  • Has extraction lanced been used

  • Boroscope inspection

  • Has whip been used

  • Has directional nozzle been used

  • Have extraction holes been plugged

Cavity Wall Insulation

  • Cavity barrier been fitted

  • Ventilation sleeved/clear

  • Has Combustion vent been fitted

  • Drill pattern correct

  • Blowing sequence correct

  • Making good

  • Site organisation/cleanliness

  • Has flue cert been fitted in the loft

  • Does crew leader understand the failed smoke test procedure?

  • Has Lance been used

Installation System

  • Air pressure reading

  • Pressure Vessel reading ?

  • Condition of control board

  • Thermabead labels present

  • Condition of guns & 1m clear pipe

  • Are there 'TWO' full sets of jets present?

  • Spray jets clean and in good order?

  • Condition of test kit

  • Condition of hoses

  • 45 m flow rates glue/grams?

  • 30 m flow rates glue/grams?

  • Lance equipment

Loft Installation

  • Is all PPE being used correctly ?

  • Are dust sheets being used

  • Has recessed lights/power cables been identified before install & left clear of installation

  • Are works at height be carried out safely

  • Have all eaves and wedges been fitted

  • Has the material been installed adequately

  • Have all pipes and tanks been insulated correctly

  • Has loft hatch and DP been fitted

  • Has warning labels and loft certain been stapled in loft area

Vehicle inspection

  • Vehicle Registration

  • Mileage

  • Any dash lights illuminated indicating maintenance required

  • Cab cleanliness and organisation

  • Compartments & storage areas organisation

  • EH&S content observation

  • First aid kit content observation

  • Fire extinguisher observation

  • Are all lights in a working order

  • Are light lenses and mirrors in a good working condition

  • Fluid levels checked and ok

  • Are tyre treads road legal

  • Tyre pressure ok (visual)

  • Is the exterior of the vehicle clean

  • Is there damage

  • Photo of 4 sides of vehicle/ cab and working area

Variations notice issued notes and photos

  • Final comments

  • Photo's

  • Crew leader Name & Signature

  • Crew Assistant No2 Name & Signature

  • Crew Assistant No3 Name & Signature

Inspectors name/signature of acknowledgement of responsibility to input accurate and true information, to clarify full compliance in line with the BBA/PAS2030 specification and requirements.

  • Inspectors Name and Signature

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.