SURVEYS
Customer Details
Name
*
Address
*
Phone
*
Email
*
Current EPC Rating
A
B
C
D
E
F
G
H
Unknown
No Rating
Photo of Home or Building
Max. file size: 256 MB.
Grants & Schemes
Grant Application For ECO Grants?
*
Yes
No
Is the applicant on benefits?
*
Yes
No
What benefits is the applicant on?
Date of Birth of Applicant
DD slash MM slash YYYY
Type of Works
Type of Insulation work
*
Cavities
Spray Foam
Loft Insulation
Cavities & Loft Insulation
Cavities & Spray Foam
Loft Insulation or Spray Foam
Cavities, Loft Insulation & Spray Foam
Cavity Extraction & Loft Insulation
Cavity Extraction & Spray Foam Insulation
About The Building
Age of building
*
New Construction
Retro fit for existing building
Type of building
*
House
Bungalow
Flat
Block of Flats
Flat above Shop
Commercial Unit
Office Block
Style
*
Detached
Semi Detached
End Terrace
Mid Terrace
Maisonette
Whole Block of Flats
Construction
*
Brick
Render
Brick and Render
Stone
Metal
Timber
Pre Fab
System Built
Condition of Brick and pointing or render
*
Excellent
Good
Fair
Poor
Critical
Heating System
*
Gas
Electric
Air or Ground source Heat Pump
Oil
Number of Bedrooms?
1
2
3
4
5
6
7
8
9
10 +
Number of Flats?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Is an extractor fan required for the Kitchen
*
Yes
No
Is an extractor fan required for bathrooms?
*
Yes
No
About the Cavity
Are Cavities Showing Damp
*
Yes
No
Photos Showing Damp
Drop files here or
Select files
Max. file size: 256 MB.
Are The Cavities Empty
*
Yes
No
Is Extraction Required
*
Yes
No
What Type of Insulation?
*
Blown Fibre
White Wool
Urea-formaldehyde Foam
White Bead
Silver Bead
Undetermined
Depth of Cavity
*
50mm
60mm
75mm
90mm
100mm
125mm
150mm
Check list
Is Neighbour Access Required?
*
Yes
No
Cavities have been inspected?
*
Yes
No
Agreed Areas Requiring Insulation?
*
Yes
No
Scaffolding Required?
*
Yes
No
Areas Requiring Insulating
Main Home or Building
*
Yes
No
Gable Wall Top Section
*
Yes
No
Extension
*
Yes
No
Conservatory
*
Yes
No
Insulate home wall Inside Garage
*
Yes
No
Insulate Garage External Wall
*
Yes
No
Other:
Are Cavity Closers Required?
*
Yes
No
Where?
*
Semi Detached Boarders
Behind Tiles/Gladding with internal fill?
*
Yes
No
Is there a fire place?
*
Yes
No
Does it require a flume?
*
Yes
No
Unsure
Is there an Aga?
*
Yes
No
Is the floor
*
Solid Floor
Suspended Floor
How many air bricks?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Photos Showing Air Brick Types
Drop files here or
Select files
Max. file size: 256 MB.
About the Spray Task
Job Type
*
Attic Roof
Drill and Fill Eaves
Room in Attic
Commercial or Shed Roof
Static Caravan
Roof and Sides of Shed
Pass Moisture Test
*
Yes
No
Been Fully Measured
*
Yes
No
Depth of Rafters over 100mm
*
Yes
No
Condition of Rafters
*
Good
Fair
Poor
Critical
Is Felt Present?
*
Yes
No
Condition of Felt
*
Good
Fair
Poor
Critical
Partially Done
Does it need membrane
*
Yes
No
Loft Floor Is Boarded?
*
Yes
No
Partly
Light Required?
*
Yes
No
Ladder Required?
*
Yes
No
Loft Insulation
Does loft currently have laid insulation
Yes
No
Will current insulation remain in place
Yes
No
Current Depth of Insulation
Is attic boarded
Yes
No
Partly
Will pipe lagging be added?
*
Yes
No
Meters of lagging required?
Will water tank require insulation?
*
Yes
No
Ventilation
Type of ventilation in place
Soffit vents
Tile/ ridge vents
Felt vents
Exhaust/ Flu system
Trickle vents
Cavity Vents
Bathroom Vents
Kitchen Vents
Other
Relevant Photos
External Photos
Drop files here or
Select files
Max. file size: 256 MB.
Photos Showing Cavity
Drop files here or
Select files
Max. file size: 256 MB.
Photos of construction finish, DPC and Guttering
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Select files
Max. file size: 256 MB.
Photos of Extraction & Window vents/latches, Venting
Drop files here or
Select files
Max. file size: 256 MB.
Photos of Heating & Chimney
Drop files here or
Select files
Max. file size: 256 MB.
Loft Photos
Drop files here or
Select files
Max. file size: 256 MB.
Floor Plans
Drop files here or
Select files
Max. file size: 256 MB.
Access & Parking Photos
Drop files here or
Select files
Max. file size: 256 MB.
Notes
Maximum distance from van to furthest section of job.
Under 45 meters
45 - 60 meters
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.
Square Meter Measurements
Total Area for Extraction
Total Area for Cavity Wall Insulation
How many Rooms Require Extractor Fans?
1
2
3
4
5
6
7
8
Square Meters of Membrane
Total Area for Spray Foam Insulation
Depth of loft insulation to be Added (mm)
Total Area for Loft Insulation
The Survey
Name of Surveyor
Surveyor Email
Date of Survey
DD slash MM slash YYYY
