NEAP Survey Form

6
NEAP for NEW-FINAL and EXISTING BUILDINGS SURVEY FORM Name: Assessor / BER reg. no. Address: Survey Date: MPRN Building Type Age: Building Age: Extension 1 Age:Extension 2 pre 1900 post 2009 pre 1900 post 2009 pre 1900 post 2009 number of storeys 1900 - 1929 1900 - 1929 no extension 1 1900 - 1929 no extension 2 1930 - 1949 1930 - 1949 1930 - 1949 1950 - 1966 1950 - 1966 1950 - 1966 Type of Rating 1967 - 1977 1967 - 1977 1967 - 1977 new-final building 1978 - 1982 1978 - 1982 1978 - 1982 existing building 1983 - 1993 1983 - 1993 1983 - 1993 1994 - 1999 1994 - 1999 1994 - 1999 2000 - 2004 2000 - 2004 2000 - 2004 2005 - 2007 2005 - 2007 2005 - 2007 2008 - 2009 2008 - 2009 2008 - 2009 Wall construction Main Wall* Roof Construction: Main Roof* Ground Floor Construction: Main Floor* Cast In-Situ Concrete flat roofs asphalt on precast or in-situ concrete slab separating floor Cavity Wall, bricks/ blocks flat roofs asphalt on metal decking on steel frame solid ground floor Framed/ Curtain Walling flat roofs chippings and roofing felt on woodwool or metal decking suspended ground floor Metal Cladding System metal cladding system Non Default U value Uninsulated Pre Cast Concrete Panels pitched roofs asbestos cement (or similar) profiled cladding Ground Floor Construction: Floor Type 2* Rubble Construction Timber frame pitched roofs coated profiled metal (steel or aluminium) cladding separating floor Solid brick or block wall on insitu concrete pitched roofs tile, slate and similar covering solid ground floor Weather boarding and tile hung wall room in roof suspended ground floor Non Default U value Uninsulated Non Default U value Uninsulated Non Default U value Uninsulated Wall construction Wall Type 2* Roof Construction: Roof Type 2* Ground Floor Construction: Floor Type 3* Cast In-Situ Concrete flat roofs asphalt on precast or in-situ concrete slab separating floor Cavity Wall, bricks/ blocks flat roofs asphalt on metal decking on steel frame solid ground floor Framed/ Curtain Walling flat roofs chippings and roofing felt on woodwool or metal decking suspended ground floor Metal Cladding System metal cladding system Non Default U value Uninsulated Pre Cast Concrete Panels pitched roofs asbestos cement (or similar) profiled cladding Ground Floor Construction: Floor Type 4* Rubble Construction Timber frame pitched roofs coated profiled metal (steel or aluminium) cladding separating floor Solid brick or block wall on insitu concrete pitched roofs tile, slate and similar covering solid ground floor Weather boarding and tile hung wall room in roof suspended ground floor Non Default U value Uninsulated Non Default U value Uninsulated Non Default U value Uninsulated Wall construction Wall Type 3* Roof Construction: Roof Type 3* Door Construction: Main Door* Cast In-Situ Concrete flat roofs asphalt on precast or in-situ concrete slab vehicle access door Cavity Wall, bricks/ blocks flat roofs asphalt on metal decking on steel frame personnel door Framed/ Curtain Walling flat roofs chippings and roofing felt on woodwool or metal decking Metal Cladding System metal cladding system Non Default U value Pre Cast Concrete Panels pitched roofs asbestos cement (or similar) profiled cladding Door Construction: Door Type 2* Rubble Construction Timber frame pitched roofs coated profiled metal (steel or aluminium) cladding vehicle access door Solid brick or block wall on insitu concrete pitched roofs tile, slate and similar covering personnel door Weather boarding and tile hung wall room in roof Non Default U value Uninsulated Non Default U value Uninsulated Non Default U value Wall construction Wall Type 4* Roof Construction: Roof Type 4* Door Construction: Door Type 3* Cast In-Situ Concrete flat roofs asphalt on precast or in-situ concrete slab vehicle access door Cavity Wall, bricks/ blocks flat roofs asphalt on metal decking on steel frame personnel door Framed/ Curtain Walling flat roofs chippings and roofing felt on woodwool or metal decking Metal Cladding System metal cladding system Non Default U value Pre Cast Concrete Panels pitched roofs asbestos cement (or similar) profiled cladding Door Construction: Door Type 4* Rubble Construction Timber frame pitched roofs coated profiled metal (steel or aluminium) cladding vehicle access door Solid brick or block wall on insitu concrete pitched roofs tile, slate and similar covering personnel door Weather boarding and tile hung wall room in roof Non Default U value Uninsulated Non Default U value Uninsulated Non Default U value *note:Actual U-value should be calculated and used if the wall /roof /floor construction detail is available on site or through documentation. Substantiation supporting the U-value calculation is required. Non default U values should be recorded along with relevant calculation in Assessor's records Reprint this page as often as required (e.g. Multiple extensions or more than four wall types etc)

description

SEAI Energy Analysis

Transcript of NEAP Survey Form

Page 1: NEAP Survey Form

NEAP for NEW-FINAL and EXISTING BUILDINGS SURVEY FORMName: Assessor / BER reg. no.

Address: Survey Date:

MPRN Building Type

Age: Building Age: Extension 1 Age:Extension 2

pre 1900 post 2009 pre 1900 post 2009 pre 1900 post 2009 number of storeys

1900 - 1929 1900 - 1929 no extension 1 1900 - 1929 no extension 2

1930 - 1949 1930 - 1949 1930 - 1949

1950 - 1966 1950 - 1966 1950 - 1966 Type of Rating

1967 - 1977 1967 - 1977 1967 - 1977 new-final building

1978 - 1982 1978 - 1982 1978 - 1982 existing building

1983 - 1993 1983 - 1993 1983 - 1993

1994 - 1999 1994 - 1999 1994 - 1999

2000 - 2004 2000 - 2004 2000 - 2004

2005 - 2007 2005 - 2007 2005 - 2007

2008 - 2009 2008 - 2009 2008 - 2009

Wall construction Main Wall* Roof Construction: Main Roof* Ground Floor Construction: Main Floor*

Cast In-Situ Concrete flat roofs asphalt on precast or in-situ concrete slab separating floor

Cavity Wall, bricks/ blocks flat roofs asphalt on metal decking on steel frame solid ground floor

Framed/ Curtain Walling flat roofs chippings and roofing felt on woodwool or metal decking suspended ground floor

Metal Cladding System metal cladding system Non Default U value Uninsulated

Pre Cast Concrete Panels pitched roofs asbestos cement (or similar) profiled cladding Ground Floor Construction: Floor Type 2*

Rubble Construction Timber frame pitched roofs coated profiled metal (steel or aluminium) cladding separating floor

Solid brick or block wall on insitu concrete pitched roofs tile, slate and similar covering solid ground floor

Weather boarding and tile hung wall room in roof suspended ground floor

Non Default U value Uninsulated Non Default U value Uninsulated Non Default U value Uninsulated

Wall construction Wall Type 2* Roof Construction: Roof Type 2* Ground Floor Construction: Floor Type 3*

Cast In-Situ Concrete flat roofs asphalt on precast or in-situ concrete slab separating floor

Cavity Wall, bricks/ blocks flat roofs asphalt on metal decking on steel frame solid ground floor

Framed/ Curtain Walling flat roofs chippings and roofing felt on woodwool or metal decking suspended ground floor

Metal Cladding System metal cladding system Non Default U value Uninsulated

Pre Cast Concrete Panels pitched roofs asbestos cement (or similar) profiled cladding Ground Floor Construction: Floor Type 4*

Rubble Construction Timber frame pitched roofs coated profiled metal (steel or aluminium) cladding separating floor

Solid brick or block wall on insitu concrete pitched roofs tile, slate and similar covering solid ground floor

Weather boarding and tile hung wall room in roof suspended ground floor

Non Default U value Uninsulated Non Default U value Uninsulated Non Default U value Uninsulated

Wall construction Wall Type 3* Roof Construction: Roof Type 3* Door Construction: Main Door*

Cast In-Situ Concrete flat roofs asphalt on precast or in-situ concrete slab vehicle access door

Cavity Wall, bricks/ blocks flat roofs asphalt on metal decking on steel frame personnel door

Framed/ Curtain Walling flat roofs chippings and roofing felt on woodwool or metal decking

Metal Cladding System metal cladding system Non Default U value

Pre Cast Concrete Panels pitched roofs asbestos cement (or similar) profiled cladding Door Construction: Door Type 2*

Rubble Construction Timber frame pitched roofs coated profiled metal (steel or aluminium) cladding vehicle access door

Solid brick or block wall on insitu concrete pitched roofs tile, slate and similar covering personnel door

Weather boarding and tile hung wall room in roof

Non Default U value Uninsulated Non Default U value Uninsulated Non Default U value

Wall construction Wall Type 4* Roof Construction: Roof Type 4* Door Construction: Door Type 3*

Cast In-Situ Concrete flat roofs asphalt on precast or in-situ concrete slab vehicle access door

Cavity Wall, bricks/ blocks flat roofs asphalt on metal decking on steel frame personnel door

Framed/ Curtain Walling flat roofs chippings and roofing felt on woodwool or metal decking

Metal Cladding System metal cladding system Non Default U value

Pre Cast Concrete Panels pitched roofs asbestos cement (or similar) profiled cladding Door Construction: Door Type 4*

Rubble Construction Timber frame pitched roofs coated profiled metal (steel or aluminium) cladding vehicle access door

Solid brick or block wall on insitu concrete pitched roofs tile, slate and similar covering personnel door

Weather boarding and tile hung wall room in roof

Non Default U value Uninsulated Non Default U value Uninsulated Non Default U value

*note:Actual U-value should be calculated and used if the wall /roof /floor construction detail is available on site or through documentation.

Substantiation supporting the U-value calculation is required. Non default U values should be recorded along with relevant calculation in Assessor's records

Reprint this page as often as required (e.g. Multiple extensions or more than four wall types etc)

Page 2: NEAP Survey Form

HVAC System (general information)

HVAC System Heating System Fuel

Central heating using water: radiators mains gas biomass LTHW Boiler Unitary radiant heater

Central heating using water: convectors LPG waste heat MTHW boiler Radiant heater

Central heating using water: floor heating Biogas Anthracite HTHW boiler Unflued radiant heater

Central heating using air distribution Oil Smokeless Fuel Direct or storage electric heater Room heater

Other local room heater - fanned electricity Dual Fuel Appliances Heat pump (gas/oil): air source Direct gas firing

Other local room heater - unfanned Coal other: Heat pump (electric): air source Room heater

Unflued radiant heater Heating System: other info Heat pump (gas/oil): ground/water Unflued gas warm air heater

Flued radiant heater HVAC system uses Variable Speed Pumps Heat pump (electric): ground/water Air heater

Multiburner radiant heaters System also uses CHP District heating

Flued forced-convection air heaters Heating System Age Heating System Efficiency Manufacturer / make / model number

Unflued forced-convection air heaters 1998 or later Default

Single-duct VAV pre 1998 Non Default

Dual-duct VAV Cooling System Fuel

Indoor packaged cabinet (VAV) mains gas electricity Air cooled chiller Size: kW

Fan coil systems LPG Water cooled chiller Size: kW

Induction system Oil Remote-condenser chiller Size: kW

Constant volume system (fixed fresh air rate) Biogas Heat pump (gas/oil) Heat pump (electric)

Constant volume system (variable fresh air rate) Mixed Mode Operation Cooling System Efficiency Manufacturer / make / model number

Multizone (hot deck/cold deck) Yes Default

Terminal reheat (constant volume) No Non Default

Dual duct (constant volume) Heat Recovery Seasonal Efficiency

Chilled ceilings or passive chilled beams and displacement ventilation Plate heat exchanger (Recuperator) Thermal wheel Default

Active chilled beams Heat-pipes Run around coil Non Default; Efficiency

Water loop heat pump Ductwork Leakage AHU Leakage Specific Fan Power Aux Energy

Split or multi-split system Default Default Default Default

Single room cooling system Non Default Non Default Non Default Non Default

Eligible for ECA/ACA? Class: Class: SFP: kWh/kWh:

None HVAC Metering Provision Lighting Metering Provision

Yes, Submetered Yes, M&T Alarm Yes, Submetered Yes, M&T Alarm

No, Submetered No, M&T Alarm No, Submetered No, M&T Alarm

HVAC System Heating System Fuel

Central heating using water: radiators mains gas biomass LTHW Boiler Unitary radiant heater

Central heating using water: convectors LPG waste heat MTHW boiler Radiant heater

Central heating using water: floor heating Biogas Anthracite HTHW boiler Unflued radiant heater

Central heating using air distribution Oil Smokeless Fuel Direct or storage electric heater Room heater

Other local room heater - fanned electricity Dual Fuel Appliances Heat pump (gas/oil): air source Direct gas firing

Other local room heater - unfanned Coal other: Heat pump (electric): air source Room heater

Unflued radiant heater Heating System: other info Heat pump (gas/oil): ground/water Unflued gas warm air heater

Flued radiant heater HVAC system uses Variable Speed Pumps Heat pump (electric): ground/water Air heater

Multiburner radiant heaters System also uses CHP District heating

Flued forced-convection air heaters Heating System Age Heating System Efficiency Manufacturer / make / model number

Unflued forced-convection air heaters 1998 or later Default

Single-duct VAV pre 1998 Non Default

Dual-duct VAV Cooling System Fuel

Indoor packaged cabinet (VAV) mains gas electricity Air cooled chiller Size: kW

Fan coil systems LPG Water cooled chiller Size: kW

Induction system Oil Remote-condenser chiller Size: kW

Constant volume system (fixed fresh air rate) Biogas Heat pump (gas/oil) Heat pump (electric)

Constant volume system (variable fresh air rate) Mixed Mode Operation Cooling System Efficiency Manufacturer / make / model number

Multizone (hot deck/cold deck) Yes Default

Terminal reheat (constant volume) No Non Default

Dual duct (constant volume) Heat Recovery Seasonal Efficiency

Chilled ceilings or passive chilled beams and displacement ventilation Plate heat exchanger (Recuperator) Thermal wheel Default

Active chilled beams Heat-pipes Run around coil Non Default; Efficiency

Water loop heat pump Ductwork Leakage AHU Leakage Specific Fan Power Aux Energy

Split or multi-split system Default Default Default Default

Single room cooling system Non Default Non Default Non Default Non Default

Eligible for ECA/ACA? Class: Class: SFP: kWh/kWh:

None HVAC Metering Provision Lighting Metering Provision

Yes, Submetered Yes, M&T Alarm Yes, Submetered Yes, M&T Alarm

No, Submetered No, M&T Alarm No, Submetered No, M&T Alarm

Cooling Source

Ventilation Heat Recovery

Heating Source

MAIN HVAC SYSTEM

HVAC SYSTEM TYPE 2

Ventilation Heat Recovery

Heating Source

Cooling Source

Page 3: NEAP Survey Form

HVAC System (general information)

HVAC System Heating System Fuel

Central heating using water: radiators mains gas biomass LTHW Boiler Unitary radiant heater

Central heating using water: convectors LPG waste heat MTHW boiler Radiant heater

Central heating using water: floor heating Biogas Anthracite HTHW boiler Unflued radiant heater

Central heating using air distribution Oil Smokeless Fuel Direct or storage electric heater Room heater

Other local room heater - fanned electricity Dual Fuel Appliances Heat pump (gas/oil): air source Direct gas firing

Other local room heater - unfanned Coal other: Heat pump (electric): air source Room heater

Unflued radiant heater Heating System: other info Heat pump (gas/oil): ground/water Unflued gas warm air heater

Flued radiant heater HVAC system uses Variable Speed Pumps Heat pump (electric): ground/water Air heater

Multiburner radiant heaters System also uses CHP District heating

Flued forced-convection air heaters Heating System Age Heating System Efficiency Manufacturer / make / model number

Unflued forced-convection air heaters 1998 or later Default

Single-duct VAV pre 1998 Non Default

Dual-duct VAV Cooling System Fuel

Indoor packaged cabinet (VAV) mains gas electricity Air cooled chiller Size: kW

Fan coil systems LPG Water cooled chiller Size: kW

Induction system Oil Remote-condenser chiller Size: kW

Constant volume system (fixed fresh air rate) Biogas Heat pump (gas/oil) Heat pump (electric)

Constant volume system (variable fresh air rate) Mixed Mode Operation Cooling System Efficiency Manufacturer / make / model number

Multizone (hot deck/cold deck) Yes Default

Terminal reheat (constant volume) No Non Default

Dual duct (constant volume) Heat Recovery Seasonal Efficiency

Chilled ceilings or passive chilled beams and displacement ventilation Plate heat exchanger (Recuperator) Thermal wheel Default

Active chilled beams Heat-pipes Run around coil Non Default; Efficiency

Water loop heat pump Ductwork Leakage AHU Leakage Specific Fan Power Aux Energy

Split or multi-split system Default Default Default Default

Single room cooling system Non Default Non Default Non Default Non Default

Eligible for ECA/ACA? Class: Class: SFP: kWh/kWh:

None HVAC Metering Provision Lighting Metering Provision

Yes, Submetered Yes, M&T Alarm Yes, Submetered Yes, M&T Alarm

No, Submetered No, M&T Alarm No, Submetered No, M&T Alarm

HVAC System Heating System Fuel

Central heating using water: radiators mains gas biomass LTHW Boiler Unitary radiant heater

Central heating using water: convectors LPG waste heat MTHW boiler Radiant heater

Central heating using water: floor heating Biogas Anthracite HTHW boiler Unflued radiant heater

Central heating using air distribution Oil Smokeless Fuel Direct or storage electric heater Room heater

Other local room heater - fanned electricity Dual Fuel Appliances Heat pump (gas/oil): air source Direct gas firing

Other local room heater - unfanned Coal other: Heat pump (electric): air source Room heater

Unflued radiant heater Heating System: other info Heat pump (gas/oil): ground/water Unflued gas warm air heater

Flued radiant heater HVAC system uses Variable Speed Pumps Heat pump (electric): ground/water Air heater

Multiburner radiant heaters System also uses CHP District heating

Flued forced-convection air heaters Heating System Age Heating System Efficiency Manufacturer / make / model number

Unflued forced-convection air heaters 1998 or later Default

Single-duct VAV pre 1998 Non Default

Dual-duct VAV Cooling System Fuel

Indoor packaged cabinet (VAV) mains gas electricity Air cooled chiller Size: kW

Fan coil systems LPG Water cooled chiller Size: kW

Induction system Oil Remote-condenser chiller Size: kW

Constant volume system (fixed fresh air rate) Biogas Heat pump (gas/oil) Heat pump (electric)

Constant volume system (variable fresh air rate) Mixed Mode Operation Cooling System Efficiency Manufacturer / make / model number

Multizone (hot deck/cold deck) Yes Default

Terminal reheat (constant volume) No Non Default

Dual duct (constant volume) Heat Recovery Seasonal Efficiency

Chilled ceilings or passive chilled beams and displacement ventilation Plate heat exchanger (Recuperator) Thermal wheel Default

Active chilled beams Heat-pipes Run around coil Non Default; Efficiency

Water loop heat pump Ductwork Leakage AHU Leakage Specific Fan Power Aux Energy

Split or multi-split system Default Default Default Default

Single room cooling system Non Default Non Default Non Default Non Default

Eligible for ECA/ACA? Class: Class: SFP: kWh/kWh:

None HVAC Metering Provision Lighting Metering Provision

Yes, Submetered Yes, M&T Alarm Yes, Submetered Yes, M&T Alarm

No, Submetered No, M&T Alarm No, Submetered No, M&T Alarm

Replicate this page as required if there are more than four HVAC systems

Ventilation Heat Recovery

Cooling Source

Heating Source

HVAC SYSTEM TYPE 3

HVAC SYSTEM TYPE 4

Ventilation Heat Recovery

Heating Source

Cooling Source

Page 4: NEAP Survey Form

Heating system (Hot Water System) Generator Type HWS System Fuel HWS System Age HWS System Efficiency

Dedicated hot water boiler mains gas biomass 1998 or later Default

Stand-alone water heater LPG waste heat pre 1998 Non Default

Instantaneous hot water only Biogas other: Manufacturer / make / model number

Instantaneous combi Oil

Heat pump electricity

Same as HVAC: Coal

Hot Water Cylinder Storage System Secondary Circulation

no access Insulation: no insulation storage losses circulation losses (W/m)

capacity (litres) lagging jacket insulation pump power (kW)

or dimensions factory fitted thickness (mm) MJ/month loop length (m)

time control on secondary circulation

Solar Water Heating Collector Parameters Manufacturer / make / model number

none aperture orientation evacuated tube

solar water heating present panel area (m2) flat plate, glazed

tilt o

Unglazed

Non Default

Solar Storage Collector Loop

solar storage combined cylinder no insulation insulation Heat Transfer Rate of Heat Exchanger Heat Loss Coeff of all Pipes

volume (litres) separate cylinder lagging jacket thickness no heat exchanger default

factory fitted (mm) default non default

non default

PhotovoltaicsParameters Manufacturer / make / model number

none aperture orientation Monocrystalline silicon

photovoltaics present panel area (m2) Policrystalline silicon

tilt o

Amorphous silicon

Other thin films

Wind GeneratorParameters Manufacturer / make / model number

none Smooth flat country (no obstacles) horizontal height,m

turbine present Farm land with boundary hedges axis, m

Suburban or industrial area Swept power,kW

Urban with average building height > 15m Area, m2

CHPParameters Fuel Efficiency Heat Supplied Tri Generation

none mains gas biomass Heat Building Space Building Cooling

chp present LPG Anthracite Efficiency Heat Supplied, % Supplied, %

tri generation present Biogas Smokeless Fuel Electrical Building Hot Chiller

Oil Dual Fuel Appliances Efficiency Water Supplied, % Efficiency

Coal

Chiller Manufacturer / make / model number

Any other comments or details on assessment including items observed which affect the rating but not shown elsewhere on survey form/sketches.

Reprint this page if multiple CHP, DHW, Solar, PV or Wind systems present

CHP Manufacturer / make / model number

Page 5: NEAP Survey Form

ZONES: GEOMETRICAL DETAILS Adjacent spaces: CAS= Conditioned adjoining space; Ext=Exterior, Und=Underground, Unheat=Unheated adjoining space

Shading type: ALC=All other cases, User=Ext. solar protection. User moveable, Auto=Ext. solar protection with automatic control.

Basic zone information Envelope elements windows and doors window only doors

only

Zone name Description Building

type

Activity# Area m2 Height m No.corner

s

HVAC system Element

name$

Wall/roof

(flat or

not)/ floor

Orientation

NESWH

Adjacent

space

Constructi

on name*

Length

(walls only-

not for

iSBEM)

Area m2 Window

name/Doo

r name$

Glazing/d

oor

constructi

on name*

Area m2 or %

glazed

(instead

of area)

Frame

Type

Window

Width/

Gap

Width

Gap Gas Shading

type

Transmis

sion

factor

Type of

door

z-/-- z-/--/n wall n Ext 0 0.00 z-/--/n/g 0 0

z-/--/w wall w Ext 0 0.00 z-/--/w/g 0 0

z-/--/s wall s Cond

z-/--/f floor h Und 0.00

z-/--/c flat roof h Ext 0.00

z0/02 z0/02/n wall n Ext 0 0.00 z0/02/n/g 0 0

z0/02/w wall w Ext 0 0.00 z0/02/w/g 0 0

z0/02/s wall s Cond

z0/02/h floor h Und 0.00

z0/02/h flat roof h Ext 0.00

z0/03 z0/03/n wall n Ext 0 0.00 z0/03/n/g 0 0

z0/03/w wall w Ext 0 0.00 z0/03/w/g 0 0

z0/03/s wall s Cond

z0/03/h floor h Und 0.00

z0/03/h flat roof h Ext 0.00

z0/04 z0/04/n wall n Ext 0 0.00 z0/04/n/g 0 0

z0/04/s wall s Ext 0 0.00 z0/04/s/g 0 0

z0/04/n wall n Cond

z0/04/h floor h Und 0.00

z0/04/h flat roof h Ext 0.00

Copy the above format for any further zones; Copy lines in each zone for additional elements.

Zones can be merged prior to entry on survey form (subject to SBEM rules).

Survey Form Version 1.0.....Q3 2011

Page 6: NEAP Survey Form

ZONES: GEOMETRICAL DETAILS Adjacent spaces: CAS= Conditioned adjoining space; Ext=Exterior, Und=Underground, Unheat=Unheated adjoining space

Shading type: ALC=All other cases, User=Ext. solar protection. User moveable, Auto=Ext. solar protection with automatic control.

Basic zone information Envelope elements windows and doors window only doors

only

Zone name Description Building

type

Activity# Area m2 Height m No.corner

s

HVAC system Element

name$

Wall/roof

(flat or

not)/ floor

Orientation

NESWH

Adjacent

space

Constructi

on name*

Length

(walls only-

not for

iSBEM)

Area m2 Window

name/Doo

r name$

Glazing/d

oor

constructi

on name*

Area m2 or %

glazed

(instead

of area)

Frame

Type

Window

Width/

Gap

Width

Gap Gas Shading

type

Transmis

sion

factor

Type of

door

z-/-- z-/--/n wall n Ext 0 0.00 z-/--/n/g 0 0

z-/--/w wall w Ext 0 0.00 z-/--/w/g 0 0

z-/--/s wall s Cond

z-/--/f floor h Und 0.00

z-/--/c flat roof h Ext 0.00

z0/02 z0/02/n wall n Ext 0 0.00 z0/02/n/g 0 0

z0/02/w wall w Ext 0 0.00 z0/02/w/g 0 0

z0/02/s wall s Cond

z0/02/h floor h Und 0.00

z0/02/h flat roof h Ext 0.00

z0/03 z0/03/n wall n Ext 0 0.00 z0/03/n/g 0 0

z0/03/w wall w Ext 0 0.00 z0/03/w/g 0 0

z0/03/s wall s Cond

z0/03/h floor h Und 0.00

z0/03/h flat roof h Ext 0.00

z0/04 z0/04/n wall n Ext 0 0.00 z0/04/n/g 0 0

z0/04/s wall s Ext 0 0.00 z0/04/s/g 0 0

z0/04/n wall n Cond

z0/04/h floor h Und 0.00

z0/04/h flat roof h Ext 0.00

Copy the above format for any further zones; Copy lines in each zone for additional elements.

Zones can be merged prior to entry on survey form (subject to SBEM rules).

Survey Form Version 1.0.....Q3 2011