Address*

Exposure zone of the home

Type of Works

Type of Insulation work*

Cavity Wall Insulation

About The Building

Type of building*

Style*

Construction*

Condition of Brick and pointing or render*

Heating System*

Is an extractor fan present in the Kitchen*

Yes
No
Unknown due to no access

Is an extractor fan present in bathrooms?*

Yes
No
Unknown due to no access

About the Cavity

Depth of Cavity*

Are The Cavities Empty*

Yes
No

Condition of Current Insulation

Slumped
Degraded
Very Patchy
Full Fill

Is Extraction Required*

Yes
No

What Type of Insulation Requires Removal?*

Are Cavity Walls Showing Damp*

Yes
No
Unseen

Areas Requiring Insulating

Main Home or Building*

Yes
No

Does Gable Wall Top Section need insulating?*

Yes
No

Does Extension need insulating?*

Yes
No

Insulate Conservatory?*

Yes
No

Insulate Home/Garage party wall?*

Yes
No

Insulate Garage External Wall*

Yes
No

Are Cavity Closers/Brushes Required?*

Yes
No

Where are cavity closers Required?*

Semi Detached Boarders
Mid Terrance Boarders
Extensions works

Is there a fire place?*

Yes
No

Does it require a passive air vent ?*

Yes
No
Unsure

How many core vents are required?

Is the floor*

Solid Floor
Suspended Floor

How many air bricks?

Are there wall vents that need sealing or sleeving?

Yes
No

Is internal drilling required?

Square Meter Measurements

Total Area for Cavity Wall Extraction

Total Area for Cavity Wall Insulation

Check list

Are there any flat or fragile roof areas? e.g. conservatory

Yes
No

Is Neighbour Access Required?

Yes
No

Scaffolding Required?

Yes
No

Are there overhead power lines within 3m of the property to be treated?

Yes
No

OHPL shrouding required?

Yes
No

Recommended Cavity Wall Insulation

Cavity Insulation Materials / products to be installed

The Survey

Survey Notes

Such as anything not straight forward, like finding the place, where to park, which walls to insulate or any comments by the home owner worth knowing. Difficult access points, awkward over hangs etc.

Name of Surveyor

Date of Survey

Relevant Photos

Photos of External Walls, Cavity, Borescope, DPC, Vents etc.

Commercial CWI