Information
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Technicians Names
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Crew?
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Address
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Date
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Prepared by
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Thermabead System Approval Card
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ID card number and expiry date?
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Job number
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Crew Number
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Photograph of the Property
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Proof of batch number for Material being used
HEALTH & SAFETY
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Health & Safety observation upon arrival to site
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All PPE being worn correctly?
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Has dynamic risk assessment been completed?
Pre & Post installation checks
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Have Pre & post checks been carried out
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Have combustion and ventilation safety checks been carried out
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Customer contact and professionalism
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Survey form present and satisfactory
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Have flue and combustion checks been carried out
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Has loft area been checked for ventilation and ingress
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What ventilation is present
- Under floor
- Trickle
- Expelair
- Room
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Are there any signs of water ingress or damage
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Any signs of damp or moisture present
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Are external walls in a good state of repair (no cracks or missing mortar)
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Is there any history of Cavity breach (patched up or re-bricked areas ( if yes photos)
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Does the roof and roofline including gutters look in good condition
HEALTH & SAFETY EQUIPMENT CHECK
Ladders
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Triple Ladder Observation & ID Number
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Double Ladder observation & ID Number
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Step Ladder Observation & ID Number
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Ladder Strap observation
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Ladder Eye Bolt Observation
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Ladder Yoke Observation
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Ladder mats general observation & ID Number
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Stand off general observation & ID Number
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SDS drill/s observation & ID Number
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Core Drill observation & ID Number
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Lead light/torch observation
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Extension lead observation
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110 drill lead observation
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Transformer observation
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Hand tools observation
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All Electrical Equipment PAT Tested
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Date PAT Tested
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Renewal Date for PAT Testing
Compressor
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Make/model
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Hours worked (under key fob)
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Pressure setting
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Oil levels
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Safe working condition (no guards missing or leaking fluids)
Generator
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Make/Model
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Oil levels
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Safe working condition
Harness Restraint/s
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No.1 Harness observation & ID Number
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Cow's tail Observation & ID Number
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Drill Bandolier observation & ID Number
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No.2 Harness Observation & ID Number
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Cow's tail Observation & ID Number
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Drill Bandolier observation & ID Number
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No.3 Harness Observation & ID Number
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Cow's tail Observation & ID Number
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Drill Bandolier observation & ID Number
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Picture of all crew members wearing full PPE
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Photograph each of the Technicians using Harnesses and restraint systems
Cavity Wall Insulation
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Cavity barrier been fitted
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Ventilation maintained or sealed as appropriate
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Has appropriate Combustion vent been fitted if required
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Is the injection Drill pattern correct
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Has the filling sequence been correctly observed
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Is the making good to a good standard
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Site organisation/cleanliness
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Has Flue and combustion sheet been completed and stapled in the loft
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Does crew leader understand the failed smoke spillage test procedure?
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Has Thermascope been used/used correctly
Installation System
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Air line pressure reading
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Adhesive pressure Vessel reading ?
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Condition of control board
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Thermabead labels present (vessel, board, baulk head)
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Condition of guns & 1m clear pipe
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Are there 'TWO' full sets of jets present? 4.0>6.5
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Spray jets clean and in good order?
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Condition of calibration equipment.
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Condition of hoses
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45 m flow rates glue/grams?
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30 m flow rates glue/grams?
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Lance equipment
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Is all PPE being used correctly ?
Vehicle inspection
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Vehicle Registration
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Mileage
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Any warning lights illuminated indicating maintenance required
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Cab cleanliness and organisation
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Compartments & storage areas organisation
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EH&S content observation
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First aid kit content observation
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Fire extinguisher observation
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Are all lights working
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Are light lenses and mirrors in a good condition
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Fluid levels checked and ok
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Are tyres road legal tread depth and in good condition (no bulges, cuts or uneven ware)
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Tyre pressure ok (visual)
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Is the exterior of the vehicle clean
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Is there damage
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Photo of 4 sides of vehicle/ cab and working area
Variations notice issued notes and photos
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Final comments
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Photo's
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Crew leader Name & Signature
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Crew Assistant No2 Name & Signature
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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.
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Inspectors Name and Signature
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