ESH Tech Survey

Customer Info.

First Name

Last Name

Phone *

Email *

Address

Street Address

City

Postal Code

Section 1: Electrical Intake & Safety

Critical: If the main fuse or consumer unit is inadequate, the install cannot proceed without upgrades.

MPAN (Found on electric bill)

Meter Type

Main Fuse Size (MUST be 80A+ for HHR)

Consumer Unit (CU)

RCD Protection? Yes / No / Partial

Spare Ways on CU? Need 1 way per heater (usually)

Earthing Arrangement

Main Earth Bond ((Gas/Water pipes bonded?)

Isolation Switch?

Upgrade Required?

Section 2: Existing Heating Audit (Decommissioning)

ECO4 focuses heavily on replacing "Broken" or "Inefficient" electric heating.2 You must evidence the fault.

Pre-Main Heat Source

Total Quantity (units)

Are they broken? (If Yes, complete breakdown below)

Description of Fault (Mandatory if claiming broken)

Asbestos Check (Old heaters often contain asbestos)

Disposal Plan (Licensed Removal Required? )

Section 3: Room-by-Room Heat Loss Survey

You must measure EVERY heated room to calculate the required kW output for the new heaters. Copy this block for each room.

Front Entrance

Front Entrance Dimensions (m)

L: ___
W: ___
H: ___
Total

Front Entrance External Wall Type

Front Entrance External Wall Length (Total length of walls facing outside) ______ m

Front Entrance Window 1 Glazing: Single / Double

Front Entrance Window 1 Dimensions

H: ___
W: ___

Front Entrance Window 2 Glazing: Single / Double

Front Entrance Window 2 Dimensions

H: ___
W: ___

Front Entrance Window 3 Glazing: Single / Double

Front Entrance Window 3 Dimensions

H: ___
W: ___

Front Entrance Door to Outside Material

Front Entrance Door to Outside Glazing?

Front Entrance Floor Type

Front Entrance Floor Insulated?

Front Entrance Ceiling/Roof Room above? / Roof above?

Front Entrance Part of Heated Zone?

Front Entrance Existing Heater Loc. Wall Position: ______

Front Entrance Proposed Heater Loc. Wall Position: ______

Back Entrance

Back Entrance Dimensions (m)

L: ___
W: ___
H: ___
Total

Back Entrance External Wall Type

Back Entrance External Wall Length (Total length of walls facing outside) ______ m

Back Entrance Window 1 Glazing: Single / Double

Back Entrance Window 1 Dimensions

H: ___
W: ___

Back Entrance Window 2 Glazing: Single / Double

Back Entrance Window 2 Dimensions

H: ___
W: ___

Back Entrance Window 3 Glazing: Single / Double

Back Entrance Window 3 Dimensions

H: ___
W: ___

Back Entrance Door to Outside Material

Back Entrance Door to Outside Glazing?

Back Entrance Floor Type

Back Entrance Floor Insulated?

Back Entrance Ceiling/Roof Room above? / Roof above?

Back Entrance Part of Heated Zone?

Back Entrance Existing Heater Loc. Wall Position: ______

Back Entrance Proposed Heater Loc. Wall Position: ______

Hallway

Hallway Dimensions (m)

L: ___
W: ___
H: ___
Total

Hallway External Wall Type

Hallway External Wall Length (Total length of walls facing outside) ______ m

Hallway Window 1 Glazing: Single / Double

Hallway Window 1 Dimensions

H: ___
W: ___

Hallway Window 2 Glazing: Single / Double

Hallway Window 2 Dimensions

H: ___
W: ___

Hallway Window 3 Glazing: Single / Double

Hallway Window 3 Dimensions

H: ___
W: ___

Hallway Door to Outside Material

Hallway Door to Outside Glazing?

Hallway Floor Type

Hallway Floor Insulated?

Hallway Ceiling/Roof Room above? / Roof above?

Hallway Part of Heated Zone?

Hallway Existing Heater Loc. Wall Position: ______

Hallway Proposed Heater Loc. Wall Position: ______

Living Room

Living Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Living Room External Wall Type

Living room External Wall Length (Total length of walls facing outside) ______ m

Living Room Window 1 Glazing: Single / Double

Living Room Window 1 Dimensions

H: ___
W: ___

Living Room Window 2 Glazing: Single / Double

Living Room Window 2 Dimensions

H: ___
W: ___

Living Room Window 3 Glazing: Single / Double

Living Room Window 3 Dimensions

H: ___
W: ___

Living Room Window 4 Glazing: Single / Double

Living Room Window 4 Dimensions

H: ___
W: ___

Living Room Window 5 Glazing: Single / Double

Living Room Window 5 Dimensions

H: ___
W: ___

Living Room Door to Outside Material

Living Room Door to Outside Glazing?

Living Room Floor Type

Living Room Floor Insulated?

Living Room Ceiling/Roof Room above? / Roof above?

Living Room Part of Heated Zone?

Living Room Existing Heater Loc. Wall Position: ______

Living Room Proposed Heater Loc. Wall Position: ______

Kitchen

Kitchen Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Kitchen External Wall Type

Kitchen External Wall Length (Total length of walls facing outside) ______ m

Kitchen Window 1 Glazing: Single / Double

Kitchen Window 1 Dimensions

H: ___
W: ___

Kitchen Window 2 Glazing: Single / Double

Kitchen Window 2 Dimensions

H: ___
W: ___

Kitchen Window 3 Glazing: Single / Double

Kitchen Window 3 Dimensions

H: ___
W: ___

Kitchen Window 4 Glazing: Single / Double

Kitchen Window 4 Dimensions

H: ___
W: ___

Kitchen Door to Outside Material

Kitchen Door to Outside Glazing

Kitchen Floor Type

Kitchen Floor Insulated?

Kitchen Ceiling/Roof Room above? / Roof above?

Kitchen Part of Heated Zone?

Kitchen Existing Heater Loc. Wall Position: ______

Kitchen Proposed Heater Loc. Wall Position: ______

Lounge

Lounge Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Lounge External Wall Type

Lounge External Wall Length (Total length of walls facing outside) ______ m

Lounge Window 1 Glazing: Single / Double

Lounge Window 1 Dimensions

H: ___
W: ___

Lounge Window 2 Glazing: Single / Double

Lounge Window 2 Dimensions

H: ___
W: ___

Lounge Window 3 Glazing: Single / Double

Lounge Window 3 Dimensions

H: ___
W: ___

Lounge Window 4 Glazing: Single / Double

Lounge Window 4 Dimensions

H: ___
W: ___

Lounge Door to Outside Material

Lounge Door to Outside Glazing

Lounge Floor Type

Lounge Floor Insulated?

Lounge Ceiling/Roof Room above? / Roof above?

Lounge Part of Heated Zone?

Lounge Existing Heater Loc. Wall Position: ______

Lounge Proposed Heater Loc. Wall Position: ______

Utility Room

Utility Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Utility Room External Wall Type

Utility Room External Wall Length (Total length of walls facing outside) ______ m

Utility Room Window 1 Glazing: Single / Double

Utility Room Window 1 Dimensions

H: ___
W: ___

Utility Room Window 2 Glazing: Single / Double

Utility Room Window 2 Dimensions

H: ___
W: ___

Utility Room Window 3 Glazing: Single / Double

Utility Room Window 3 Dimensions

H: ___
W: ___

Utility Room Door to Outside Material

Utility Room Door to Outside Glazing

Utility Room Floor Type

Utility Room Floor Insulated?

Utility Room Ceiling/Roof Room above? / Roof above?

Utility Room Part of Heated Zone?

Utility Room Existing Heater Loc. Wall Position: ______

Utility Room Proposed Heater Loc. Wall Position: ______

Conservatory

Conservatory Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Conservatory External Wall Type

Conservatory External Wall Length (Total length of walls facing outside) ______ m

Conservatory Window 1 Glazing: Single / Double

Conservatory Window 1 Dimensions

H: ___
W: ___

Conservatory Window 2 Glazing: Single / Double

Conservatory Window 2 Dimensions

H: ___
W: ___

Conservatory Window 3 Glazing: Single / Double

Conservatory Window 3 Dimensions

H: ___
W: ___

Conservatory Window 4 Glazing: Single / Double

Conservatory Window 4 Dimensions

H: ___
W: ___

Conservatory Window 5 Glazing: Single / Double

Conservatory Window 5 Dimensions

H: ___
W: ___

Conservatory Window 6 Glazing: Single / Double

Conservatory Window 6 Dimensions

H: ___
W: ___

Conservatory Room Door to Outside Material

Conservatory Door to Outside Glazing

Conservatory Floor Type

Conservatory Floor Insulated?

Conservatory Ceiling/Roof Room above? / Roof above?

Conservatory Ceiling/Roof Room above? / Roof above? (copy)

Conservatory Part of Heated Zone?

Conservatory Existing Heater Loc. Wall Position: ______

Conservatory Proposed Heater Loc. Wall Position: ______

Landing

Landing Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Landing External Wall Type

Landing External Wall Length (Total length of walls facing outside) ______ m

Landing Window 1 Glazing: Single / Double

Landing Window 1 Dimensions

H: ___
W: ___

Landing Window 2 Glazing: Single / Double

Landing Window 2 Dimensions

H: ___
W: ___

Landing Window 3 Glazing: Single / Double

Landing Window 3 Dimensions

H: ___
W: ___

Landing Floor Type

Landing Floor Insulated?

Landing Ceiling/Roof Room above? / Roof above?

Landing Part of Heated Zone?

Landing Existing Heater Loc. Wall Position: ______

Landing Proposed Heater Loc. Wall Position: ______

Bedroom 1

Bedroom 1 Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Bedroom 1 External Wall Type

Bedroom 1 External Wall Length (Total length of walls facing outside) ______ m

Bedroom 1 Window 1 Glazing: Single / Double

Bedroom 1 Window 1 Dimensions

H: ___
W: ___

Bedroom 1 Window 2 Glazing: Single / Double

Bedroom 1 Window 2 Dimensions

H: ___
W: ___

Bedroom 1 Window 3 Glazing: Single / Double

Bedroom 1 Window 3 Dimensions

H: ___
W: ___

Bedroom 1 Window 4 Glazing: Single / Double

Bedroom 1 Window 4 Dimensions

H: ___
W: ___

Bedroom 1 Floor Type

Bedroom 1 Floor Insulated?

Bedroom 1 Ceiling/Roof Room above? / Roof above?

Bedroom 1 Part of Heated Zone?

Bedroom 1 Existing Heater Loc. Wall Position: ______

Bedroom 1 Proposed Heater Loc. Wall Position: ______

Bedroom 2

Bedroom 2 Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Bedroom 2 External Wall Type

Bedroom 2 External Wall Length (Total length of walls facing outside) ______ m

Bedroom 2 Window 1 Glazing: Single / Double

Bedroom 2 Window 1 Dimensions

H: ___
W: ___

Bedroom 2 Window 2 Glazing: Single / Double

Bedroom 2 Window 2 Dimensions

H: ___
W: ___

Bedroom 2 Window 3 Glazing: Single / Double

Bedroom 2 Window 3 Dimensions

H: ___
W: ___

Bedroom 2 Window 4 Glazing: Single / Double

Bedroom 2 Window 4 Dimensions

H: ___
W: ___

Bedroom 2 Floor Type

Bedroom 2 Floor Insulated?

Bedroom 2 Ceiling/Roof Room above? / Roof above?

Bedroom 2 Part of Heated Zone?

Bedroom 2 Existing Heater Loc. Wall Position: ______

Bedroom 2 Proposed Heater Loc. Wall Position: ______

Bedroom 3

Bedroom 3 Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Bedroom 3 External Wall Type

Bedroom 3 External Wall Length (Total length of walls facing outside) ______ m

Bedroom 3 Window 1 Glazing: Single / Double

Bedroom 3 Window 1 Dimensions

H: ___
W: ___

Bedroom 3 Window 2 Glazing: Single / Double

Bedroom 3 Window 2 Dimensions

H: ___
W: ___

Bedroom 3 Window 3 Glazing: Single / Double

Bedroom 3 Window 3 Dimensions

H: ___
W: ___

Bedroom 3 Window 4 Glazing: Single / Double

Bedroom 3 Window 4 Dimensions

H: ___
W: ___

Bedroom 3 Floor Type

Bedroom 3 Floor Insulated?

Bedroom 3 Ceiling/Roof Room above? / Roof above?

Bedroom 3 Part of Heated Zone?

Bedroom 3 Existing Heater Loc. Wall Position: ______

Bedroom 3 Proposed Heater Loc. Wall Position: ______

Bedroom 4

Bedroom 4 Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Bedroom 4 External Wall Type

Bedroom 4 External Wall Length (Total length of walls facing outside) ______ m

Bedroom 4 Window 1 Glazing: Single / Double

Bedroom 4 Window 1 Dimensions

H: ___
W: ___

Bedroom 4 Window 2 Glazing: Single / Double

Bedroom 4 Window 2 Dimensions

H: ___
W: ___

Bedroom 4 Window 3 Glazing: Single / Double

Bedroom 4 Window 3 Dimensions

H: ___
W: ___

Bedroom 4 Window 4 Glazing: Single / Double

Bedroom 4 Window 4 Dimensions

H: ___
W: ___

Bedroom 4 Floor Type

Bedroom 4 Floor Insulated?

Bedroom 4 Ceiling/Roof Room above? / Roof above?

Bedroom 4 Part of Heated Zone?

Bedroom 4 Existing Heater Loc. Wall Position: ______

Bedroom 4 Proposed Heater Loc. Wall Position: ______

Bedroom 5

Bedroom 5 Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Bedroom 5 External Wall Type

Bedroom 5 External Wall Length (Total length of walls facing outside) ______ m

Bedroom 5 Window 1 Glazing: Single / Double

Bedroom 5 Window 1 Dimensions

H: ___
W: ___

Bedroom 5 Window 2 Glazing: Single / Double

Bedroom 5 Window 2 Dimensions

H: ___
W: ___

Bedroom 5 Window 3 Glazing: Single / Double

Bedroom 5 Window 3 Dimensions

H: ___
W: ___

Bedroom 5 Window 4 Glazing: Single / Double

Bedroom 5 Window 4 Dimensions

H: ___
W: ___

Bedroom 5 Floor Type

Bedroom 5 Floor Insulated?

Bedroom 5 Ceiling/Roof Room above? / Roof above?

Bedroom 5 Part of Heated Zone?

Bedroom 5 Existing Heater Loc. Wall Position: ______

Bedroom 5 Proposed Heater Loc. Wall Position: ______

Bathroom 1

Bathroom 1 Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Bathroom 1 External Wall Type

Bathroom 1 External Wall Length (Total length of walls facing outside) ______ m

Bathroom 1 Window 1 Glazing: Single / Double

Bathroom 1 Window 1 Dimensions

H: ___
W: ___

Bathroom 1 Window 2 Glazing: Single / Double

Bathroom 1 Window 2 Dimensions

H: ___
W: ___

Bathroom 1 Window 3 Glazing: Single / Double

Bathroom 1 Window 3 Dimensions

H: ___
W: ___

Bathroom 1 Window 4 Glazing: Single / Double

Bathroom 1 Window 4 Dimensions

H: ___
W: ___

Bathroom 1 Floor Type

Bathroom 1 Floor Insulated?

Bathroom 1 Ceiling/Roof Room above? / Roof above?

Bathroom 1 Part of Heated Zone?

Bathroom 1 Existing Heater Loc. Wall Position: ______

Bathroom 1 Proposed Heater Loc. Wall Position: ______

Bathroom 2

Bathroom 2 Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Bathroom 2 External Wall Type

Bathroom 2 External Wall Length (Total length of walls facing outside) ______ m

Bathroom 2 Window 1 Glazing: Single / Double

Bathroom 2 Window 1 Dimensions

H: ___
W: ___

Bathroom 2 Window 2 Glazing: Single / Double

Bathroom 2 Window 2 Dimensions

H: ___
W: ___

Bathroom 2 Window 3 Glazing: Single / Double

Bathroom 2 Window 3 Dimensions

H: ___
W: ___

Bathroom 2 Window 4 Glazing: Single / Double

Bathroom 2 Window 4 Dimensions

H: ___
W: ___

Bathroom 2 Floor Type

Bathroom 2 Floor Insulated?

Bathroom 2 Ceiling/Roof Room above? / Roof above?

Bathroom 2 Part of Heated Zone?

Bathroom 2 Existing Heater Loc. Wall Position: ______

Bathroom 2 Proposed Heater Loc. Wall Position: ______

Bathroom 3

Bathroom 3 Room Dimensions (m)

L: ___
W: ___
H: ___
Total

Bathroom 3 External Wall Type

Bathroom 3 External Wall Length (Total length of walls facing outside) ______ m

Bathroom 3 Window 1 Glazing: Single / Double

Bathroom 3 Window 1 Dimensions

H: ___
W: ___

Bathroom 3 Window 2 Glazing: Single / Double

Bathroom 3 Window 2 Dimensions

H: ___
W: ___

Bathroom 3 Window 3 Glazing: Single / Double

Bathroom 3 Window 3 Dimensions

H: ___
W: ___

Bathroom 3 Window 4 Glazing: Single / Double

Bathroom 3 Window 4 Dimensions

H: ___
W: ___

Bathroom 3 Floor Type

Bathroom 3 Floor Insulated?

Bathroom 3 Ceiling/Roof Room above? / Roof above?

Bathroom 3 Part of Heated Zone?

Bathroom 3 Existing Heater Loc. Wall Position: ______

Bathroom 3 Proposed Heater Loc. Wall Position: ______

Section 4: Proposed Installation (Design Data)

To be completed by the Surveyor based on Section 3 data.

Front Entrance

F/E Proposed Model (e.g., Dimplex Quantum)

F/E Output (kW)

F/E Connection Type

Back Entrance

B/E Proposed Model (e.g., Dimplex Quantum)

B/E Output (kW)

B/E Connection Type

Hallway

Hall - Proposed Model (e.g., Dimplex Quantum)

Hall - Output (kW)

Hall - Connection Type

Living Room

L/R - Proposed Model (e.g., Dimplex Quantum)

L/R - Output (kW)

L/R - Connection Type

Kitchen

KIT - Proposed Model (e.g., Dimplex Quantum)

KIT - Output (kW)

KIT - Connection Type

Lounge

LOU - Proposed Model (e.g., Dimplex Quantum)

LOU - Output (kW)

LOU - Connection Type

Utility Room

UTI - Proposed Model (e.g., Dimplex Quantum)

UTI - Output (kW)

UTI - Connection Type

Conservatory

CON - Proposed Model (e.g., Dimplex Quantum)

CON - Output (kW)

CON - Connection Type

Landing

LAN - Proposed Model (e.g., Dimplex Quantum)

LAN- Output (kW)

LAN - Connection Type

Bedroom 1

BED 1 - Proposed Model (e.g., Dimplex Quantum)

BED 1 - Output (kW)

BED 1 - Connection Type

Bedroom 2

BED 2 - Proposed Model (e.g., Dimplex Quantum)

BED 2 - Output (kW)

BED 2 - Connection Type

Bedroom 3

BED 3 - Proposed Model (e.g., Dimplex Quantum)

BED 3 - Output (kW)

BED 3 - Connection Type

Bedroom 4

BED 4 - Proposed Model (e.g., Dimplex Quantum)

BED 4 - Output (kW)

BED 4 - Connection Type

Bedroom 5

BED 5 - Proposed Model (e.g., Dimplex Quantum)

BED 5 - Output (kW)

BED 5 - Connection Type

Bedroom 6

BED 6 - Proposed Model (e.g., Dimplex Quantum)

BED 6 - Output (kW)

BED 6 - Connection Type

Bathroom 1

BATH 1 - Proposed Model (e.g., Dimplex Quantum)

BATH 1 - Output (kW)

BATH 1 - Connection Type

Bathroom 2

BATH 2 - Proposed Model (e.g., Dimplex Quantum)

BATH 2 - Output (kW)

BATH 2 - Connection Type

Bathroom 3

BATH 3 - Proposed Model (e.g., Dimplex Quantum)

BATH 3 - Output (kW)

BATH 3 - Connection Type

Section 5: Wiring & Enabling Works

Cable Route

Cable Route Notes

Drilling Required?

Drilling Notes

Decor

Decor Notes

Obstructions

Obstructions Notes

Off-Peak Signal

Section 6: Photo Evidence Checklist (Mandatory)

Electrical compliance requires strict photographic evidence.

ESH Photo Main Fuse (Cut-out) - Close up showing rating (e.g., 100A) *

ESH Electric Meter - Showing readings and serial number. *

Consumer Unit (Open) - Showing busbar and existing breakers. *

Consumer Unit (Closed) - Showing location and surrounding area. *

Existing Heaters - Wide shot of EACH heater in situ. *

Heater Rating Plates - Close up of EACH existing heater model number. *

Broken Components - If claiming "Broken", photo of the specific failure (e.g., burnt wire). *

Asbestos Indicator - If suspicious, photo of serial number for database check. *

Cable Route - Photos of where trunking will run. *

Section 7: Declarations

Time/Date

Customer Feedback

Customer Signature

Clear

Surveyor Name

Surveyors Signature

Clear