v2.0 Loft Insulation, Loft ventilation, Cold Bridge, Door Under Cuts, trickle vents

• Add Address

• Record Installation activities, warnings and quotable items

  Yes

  No

• Select activities

  Select High voltage cable / cables Loft Top up to whole loft (QT 043-057) Patch and eave relay (QT IDL) Resident storage boards and stored item move (inc boards) QT IDL Fit storage boards QT IDL Walkway QT Hatch QT 058 Lagging Tank or cylinder insulation Door Undercuts QT 075 Add or seal trickle vent(s) QT 076 Cold Bridge - sloping ceiling QT IDL Cold Roof Ventilation QT IDL IDL Vermin or and bats Damp treatment ROOF TIMBERS QT IDL Other

  • High voltage cable / cables
  • Loft Top up to whole loft (QT 043-057)
  • Patch and eave relay (QT IDL)
  • Resident storage boards and stored item move (inc boards) QT IDL
  • Fit storage boards QT IDL
  • Walkway QT
  • Hatch QT 058
  • Lagging
  • Tank or cylinder insulation
  • Door Undercuts QT 075
  • Add or seal trickle vent(s) QT 076
  • Cold Bridge - sloping ceiling QT IDL
  • Cold Roof Ventilation QT IDL IDL
  • Vermin or and bats
  • Damp treatment ROOF TIMBERS QT IDL
  • Other

• Any major issues to highlight ?

  Yes

  No

• Select List of potential additional actions

  Select Asbestos Rodents or bats Leaks roof/pipe of damage of concern Other Damaged ceilings

  • Asbestos
  • Rodents or bats
  • Leaks roof/pipe of damage of concern
  • Other
  • Damaged ceilings

• Detail additional work required

• Location Including Postcode
  Address

• Survey conducted by.

• Structural Condition of the roof.

  Select Very good Good Poor Very poor

  • Very good
  • Good
  • Poor
  • Very poor

• External Condition of the building.

  Select Very good Good Poor Very poor

  • Very good
  • Good
  • Poor
  • Very poor

• Remedial Works Required REALTING TO LOFT

  Yes

  No

  N/A

• If yes please give details of remedial work required plus photos.

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

  Select Damage to ceiling Water stain on ceiling 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.

  • Damage to ceiling
  • Water stain on ceiling
  • 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.

• Protected species, non domestic birds or rodents present in building ?

  Yes

  No

• Detail issue with evidence

• Safety monitors present.

  Select Smoke Alarm Fire Alarm CO2 Alarm

  • Smoke Alarm
  • Fire Alarm
  • CO2 Alarm

• Have the alarms all been tested by surveyor.

Access

• On site parking notes : Availability, Restrictions

  Yes

  No

  N/A

• Resident / surveyor - record detail and instruction

• Access Issues (parking and distance to site)

• Installer Access Equipment Required (non standard) (not tele ladder/stand up box)

  Select None Ladders Stairs platform system Scaffold Board for Flat Roof Scaffolding Conservatory Ladder Roof Ladder Scaffold Tower (internal or external)

  • None
  • Ladders
  • Stairs platform system
  • Scaffold Board for Flat Roof
  • Scaffolding
  • Conservatory Ladder
  • Roof Ladder
  • Scaffold Tower (internal or external)

Loft Insulation.

• Is loft to be insulated ?

  Select Yes, loft requires additional layer (s) of insulation to meet specification No, Loft has sufficient insulation Unable to check due to the amount of tenants belongings.

  • Yes, loft requires additional layer (s) of insulation to meet specification
  • No, Loft has sufficient insulation
  • Unable to check due to the amount of tenants belongings.

• Photo of existing depth (Show measure on plaster and against insulation

  Media

• Photos of loft showing 100% of area which additional photos to demonstrate patches and remedial actions

  Media

• Loft Survey Image - Plan

  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.

• Loft area m2? (requiring addition layer of insulation to meet the specification)

• Existing Depth.

  Select 0mm 12mm 25mm 50mm 70mm 100mm 125mm 150mm 170mm 200mm 250mm 270mm 300mm plus

  • 0mm
  • 12mm
  • 25mm
  • 50mm
  • 70mm
  • 100mm
  • 125mm
  • 150mm
  • 170mm
  • 200mm
  • 250mm
  • 270mm
  • 300mm plus

• Depth to be added.

  Select Existing over 270mm - add zero 100mm 150mm 200mm 250mm 300mm 350mm 400mm 450mm

  • Existing over 270mm - add zero
  • 100mm
  • 150mm
  • 200mm
  • 250mm
  • 300mm
  • 350mm
  • 400mm
  • 450mm

• Patches - substandard condition current insulation requiring action (bare eaves, patches, poor fitting and or damp)

  Yes

  No

• Select answers statement problem and action

  Select The current eave insulation is patching and required renewal Area of insulation missing in existing depth requires infill (partial) Current insulation is laid across joist with poor contact requiring cutting and relaying The current insulation is damp and requires renewing

  • The current eave insulation is patching and required renewal
  • Area of insulation missing in existing depth requires infill (partial)
  • Current insulation is laid across joist with poor contact requiring cutting and relaying
  • The current insulation is damp and requires renewing

• Area of amendment required? (Combined area of bare, patchy and refit)

• Additional notes for relay work

• Does the loft have any existing boarding?

  Yes

  No

• Are there boards within 1 meter of eaves that must be removed? (PAS Requirement)

  Yes

  No

• Select statements that best represent action agreed

  Res, cust, client to remove

  Install team to remove

• Record information about work required, fixed or loose etc (add photos)

• Is the area under the (remaining) boards insulated (to joist depth and not compressed)

  Yes

  No

• Agreement with resident, customer, client

  Select The res, cust, client is to have all the boards removed Installers to remove board - Charge in every case - to be included loft clear time Boards are to be covered with specified depth of insulation. Follow spec to ensure not air gaps or tunnels

  • The res, cust, client is to have all the boards removed
  • Installers to remove board - Charge in every case - to be included loft clear time
  • Boards are to be covered with specified depth of insulation. Follow spec to ensure not air gaps or tunnels

• Can we insulate at least 2/3 of the loft space? (<67% remove or cover suitable boards)

  Yes

  No

• Is a Walkway required for maintenance of boiler, cylinder, cold water tanks, solar? (QT IDL)

  Yes

  No

• Length of walk way required

• Record required additional information for walk way

• Loft clearance?

  Yes

  No

• Details of loft clearance

  Select Resident belongs Damp and or defective loft insulation Boards within 1 meter of Eaves Boards

  • Resident belongs
  • Damp and or defective loft insulation
  • Boards within 1 meter of Eaves
  • Boards

• How many man minutes estimated for clearance and refit? 20/40/60/90/120/180/240/300/360

• Select customer instruction

  Select Empty and replace after install Empty and leave out of loft (with resident) Empty and replace approx half - customer to dispose of half Empty loft and skip belongings

  • Empty and replace after install
  • Empty and leave out of loft (with resident)
  • Empty and replace approx half - customer to dispose of half
  • Empty loft and skip belongings

• Hatch material and insulation plan?

  Select Replace NYCC 526mm x 726mm QT 058 Wooden - Fibreglass Wooden - Insulation board 50mm - silicone Metal - Insulation board 50mm - silicone No, not suitable to be insulated (add note) No, not suitable to be insulated due to loft ladder

  • Replace NYCC 526mm x 726mm QT 058
  • Wooden - Fibreglass
  • Wooden - Insulation board 50mm - silicone
  • Metal - Insulation board 50mm - silicone
  • No, not suitable to be insulated (add note)
  • No, not suitable to be insulated due to loft ladder

• Is a loft hatch present and accessible?

  Yes

  No

  N/A

• Is the hatch suitable to prevent moisture and able to be draughtproofed to PAS standard including DP, H&Eyes

  Yes

  No

  N/A

• Details of hatch required (hatch only or hatch and surround)?

  Select New hatch and surround - Plastic New hatch and surround - Wood Existing new lid only No hatch present construct new Additional or new to reach 100% off treatable area Other

  • New hatch and surround - Plastic
  • New hatch and surround - Wood
  • Existing new lid only
  • No hatch present construct new
  • Additional or new to reach 100% off treatable area
  • Other

• Record details to ensure we can quote and fit

• Loft Hatch Size required?

• Loft hatch needing D/P

  Yes

  No

  N/A

• Photo of surveyor access ladders through hatch extended to two runs through hatch.

  Yes

  No

• Pipes, Tanks, cylinder present requiring lagging?

  Yes

  No

• Length of pipe insulation required (combine 15/22mm)?

• Number of cold water tanks require insulating?

• Hot water cylinder requiring a 80mm jacket? (is it being replaced as part of project)

Cold Roof Ventilation - Building Regulations

• Does the existing ventilation meet the building regulation standard of insulation

  Yes

  No

• Is the roof construction at eaves suitable to allow draught to enter roof structure?

  Yes

  No

• Where no eave ventilation via tile gaps or designed ventilation then tile vents must be added? 1 per 1.5 linear meter of eave. How many?

• What material is visible against pitch roofs

  Select Felt (add felt ventilation (as per data sheet provided) Bare tiles (no action required) Breathable continuous membrane Non Breathable continuous membrane Sarking timber lined Other

  • Felt (add felt ventilation (as per data sheet provided)
  • Bare tiles (no action required)
  • Breathable continuous membrane
  • Non Breathable continuous membrane
  • Sarking timber lined
  • Other

• Number of felt vents required to be installed? 1 x vent per 5 x meter squared

• Linear meters of eaves tray installation

• Timber damp meter results

  Select 0-4% 5-9% 10-14% 15-19% Exceeds 20% - Treatment plan required

  • 0-4%
  • 5-9%
  • 10-14%
  • 15-19%
  • Exceeds 20% - Treatment plan required

Electrics and flues

• Electrical wiring free from visual defects

  Yes

  No

• Are there any high voltage cables in the loft space?

  Yes

  No

• If YES please select the type of cable.

  Select Cooker cable Shower cable Immersion cable PV cable

  • Cooker cable
  • Shower cable
  • Immersion cable
  • PV cable

• Number of down light covers required?

• Steel combustion flue pass through the loft space?

  Yes

  No

• Is cold bridge insulation to be installed?

  Yes

  No

• Can we install 50mm of rigid insulation to board to 100% of the area?

  Yes

  No

• If no, why not? Is there a solution (known options, roof etc.)

• Which description best matches the property?

  Select All Eaves, Front and rear only - two elevations All Eaves, Hip roof three sides - 3 elevations All eaves plus - Front and rear plus accessible off shot - Random draw

  • All Eaves, Front and rear only - two elevations
  • All Eaves, Hip roof three sides - 3 elevations
  • All eaves plus - Front and rear plus accessible off shot - Random draw

• What are the joist centres?

  600mm

  400mm

  Random cuts required

• Total linear metre(s) to be installed? (to one decimal place)

If funded answer additional PAS internal ventilation questions

• Are trickle vents part of the contract specification?

  Yes

  No

  N/A

• Does the property have the minimum acceptable trickle ventilation requirements set out in PAS 2035?

  Yes

  No

  N/A

• Are trickle vents required?

  Yes

  No

• How many rooms?

• Habitable room select

  Select Bed 1 Bed 2 Bed 3 Bed 4 Living Room 1 Dining room Living Habitable room 2 Habitable room 3

  • Bed 1
  • Bed 2
  • Bed 3
  • Bed 4
  • Living Room 1
  • Dining room
  • Living Habitable room 2
  • Habitable room 3

• Are trickle vents present in Wet Rooms that required remedial action?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Select Wet Rooms

  Select Kitchen Utility Bath 1 main Bath 2 WC Additional

  • Kitchen
  • Utility
  • Bath 1 main
  • Bath 2
  • WC
  • Additional

• Do all wet rooms have closing doors?

  Yes

  No

  N/A

• Are door undercuts required ?

  Yes

  No

• How many?

• Which rooms

  Select Living Kitchen Bathroom Bed 1 Bed 2 Bed 3 Dinning Living 2 Utility Bed 4 Other 1 Other 2 Other 3

  • Living
  • Kitchen
  • Bathroom
  • Bed 1
  • Bed 2
  • Bed 3
  • Dinning
  • Living 2
  • Utility
  • Bed 4
  • Other 1
  • Other 2
  • Other 3

Dynamic Risk Assessment - Loft and Ventilation

• Please select yes if loft insulation work to be undertaken.

  Yes

  No

• Housing provide risk analysis and asbestos report present, read and signed for?

  Yes

  No

• Reversing vehicle ?

  Yes

  No

• Asbestos present ?

  Yes

  No

• Overhead electricity cables ?

  Yes

  No

• Use of an extendable ladders (internal or external) required ?

  Yes

  No

• Use of access equipment required?

  Yes

  No

• Manual Handling required ?

  Yes

  No

• Hand tools, passive and mechanical used ?

  Yes

  No

• Vibration risk - from tool use ?

  Yes

  No

• Noise - protection required (>85db mandatory) ?

  Yes

  No

• House keeping (Dust sheets, cleaning equipment)

  Yes

  No

• Lone worker assessment required?

  Select Lone worker - safe Must be team of at least two Must be a team of at least three (two on site all times)

  • Lone worker - safe
  • Must be team of at least two
  • Must be a team of at least three (two on site all times)

• Are there additional hazards observed that are not addressed in the generic risk assessment prepared for the work to be undertaken.

  Yes

  No

• Record details and photos to evidence harazds

  Yes

  No

• Assessor signature

  Sign