REQUEST FOR SURVEY / SAMPLING

Please complete the questionnaire below, including as much information as possible, to enable us to provide you with an accurate quotation for the services requested.

Full Name

Are you a commercial or private client?

Company Name

Company Registration Number

VAT Registration Number (If Applicable)

Does DRC (Domestic Reverse Charge) Apply?

Are you the ultimate invoicing client at this stage?

Your Address

Email

Phone Number

Site / Project Address

Survey Type

Scope of Survey / Sampling

Please provide a description of the areas to be surveyed / sampled

Are there any limitations or areas to be excluded? If so, please specify these areas.

Level of Intrusiveness

Reason for Service

Building Sector

Number of Bedrooms

Approximate Total Floor Area (m2)

Number of Floors

Please include ground floor and any sub-level floors such as basement etc.

Approximate Year Built

General Construction

Brick-built, concrete-built, steel-framed etc.

Outsourcing Sample Analysis

Please confirm you are happy that, if required, we can outsource sample analysis to another UKAS accredited laboratory? Please note, this will not incur any additional charges.

Sampling Strategy Required

Sampling Strategy Requested

Please enter the details of the required sampling strategy here

Reporting Format Required

Is representative air monitoring, or air monitoring of sample locations required?

Do you have any historic asbestos data relating to this site?

Please upload any historic asbestos data in the Supporting Information Upload below.

Supporting Information Upload

Max 20 Files

Please upload any supporting documents here (historic asbestos information, existing / proposed plans, photos, job specifications etc.)

Would the building be occupied?

Is power available on site?

Is water available on site?

Is parking available on site?

Are welfare facilities available on site?

The lighting on site is:

Are you aware of any historic refurbishments/renovations on site?

Please provide details of any historic refurbishments/renovations on site

Site Health & Safety Requirements

Are there specialist PPE / training requirements on this site?

Please provide details of specialist PPE / training requirements for this site

Is specialist equipment (access etc.) or specialist services required?

Please provide details of specialist equipment/services required

Site Access Arrangements / Contact Information

Please provide details of access arrangements/contact details for this site (if known)

Required timescale for issuing of quotation

Provisional timescale for site attendance (on instruction)

How did you hear about us?