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1 Place yu r m essag e h ere. F r m axim um i mpact, use tw r t hre e se ntenc es. DEA Name Inspectin Date Prperty Address Prperty Type and Detachment Transactin type Health and Safety Please make a nte f any risks yu cme acrss during the survey Restrictins/limitatins f inspectin Access t rf space, biler, ht water cylinder, rear f prperty. Any ther restrictins Habitable rms Heated habitable rms External Drs Insulated Drs Rms with bath and/r shwer Rms with mixer shwer and n bath Rms with bath and mixer shwer Main Huse Extensin 1 Extensin 2 Extensin 3 Extensin 4 Age Band RIR Age Band Dimensin Calculatins Dimensins Rm in Rf Area Height HLP Area Height HLP Area Height HLP Area Height HLP Area Height HLP Lwest +6 Lwest +5 Lwest +4 Lwest +3 Lwest +2 Lwest +1 Cnservatry N cnservatry Separated, n fixed heaters Flr area (m2) Separated, fixed heaters Nn- separated cnservatry Duble glazed Glazed perimeter (m) Rm height Flat crridr (heated?) Length f sheltered wall (m) Sheltered alternative wall Flr level Flats and Maisnettes Basement / grund / mid / tp

2 Flr Cnstructin and Insulatin cnstructin insulatin Lwest Flr heat lss type U - value (if knwn) Wall cnstructin and Insulatin Wall cnstructin Wall thickness, Brick bnd, Sund when tapped Alternative wall Cnstructin and insulatin Lcatin: main huse, Extensin 1, 2, 3 r 4 Wall insulatin Alt wall area m 2 Dry Lining (tap test) Dry lining Hard t treat cavity? Narrw cavity (less than 50mm) High expsure Access issues Rf Cnstructin and Insulatin Rf cnstructin Rf insulatin lcatin Rf insulatin thickness Rm in rf insulatin lcatin Rm in rf insulatin thickness

3 Main Heating Heating system descriptin - make and mdel, heating system type Flue Gas Heat Recvery Recrd details - make and mdel Heating cntrls Heating system cde Fuel Flue type Ignitin type Emitters Open / fan / balanced Aut / permanent Radiatrs / Underflr Secnd Main Heating Heating system descriptin - make and mdel, heating system type Waste Water Heat Recvery Recrd details - make and mdel Heating cntrls Heating system cde Fuel Flue type Ignitin type Emitters Open / fan / balanced Aut / permanent Radiatrs / Underflr 2nd main Heating fractin Secndary Heating Slar Water Heating Cde/descriptin Present? Yes N Fuel data enter these details if knwn Heating type: frm main heating system, electric immersin etc. Cylinder size Water Heating Type Tilt Zer lss efficiency Heat lss c - efficient Ht water cylinder Insulatin Type Insulatin Cylinder thermstat? Slar Water Heating? Yes/N Yes/N Orientatin Overshading Aperture (m²) Slar stre cmbined? Ttal ht water vlume Dedicated slar vlume

4 Phtvltaics Partially Insulated Rf Rm PV system 1 cmplete either basic r extended data % f rf area cvered kwp Orientatin Pitch Overshading Stud wall Area U-value 45 Heavy 60 PV system 2 - cmplete either basic r extended data % f rf area cvered kwp Orientatin Pitch Overshading 45 Heavy Gable wall Slping parts Flat ceiling parts Glazed area (m 2 ) Glazing type/age Prprtin multiple glazed (%) Draught Prfing (%) Windws Windw data (including U/g - values, rientatin) 60 PV system 3 - cmplete either basic r extended data % f rf area cvered kwp Orientatin Pitch Overshading Terrain type: Dense urban Other Details Lw rise urban/ suburban Wind Turbine: Yes N Space cling: Yes N Mechanical ventilatin: Rural Yes/N Extract Only Balanced N. f pen fireplaces Ttal fixed lighting utlets Ttal lw - energy fixed lighting utlets 45 Heavy 60 Meters: Mains gas Yes N Electricity Single Dual unknwn

5 Ntes High expsure reference table