Site Survey Form Boiler Flues

Project Ref:_____________________________________________

Tel: ________________________________________________

Company:_____________________________________________

Fax/e-mail: __________________________________________

Address: ______________________________________________

Application: __________________________________________

Fuel:
N. Gas

Oil

LPG

Wood

Wood chips

Wood pellets

Boiler(s):
Boiler make:_ ________________________________________
Model /Name: _______________________________ ________

Atmospheric (including modular)

Forced Draught
Condensing
Modular Boiler System (without draught hoods)

No. of Boilers: ________________________________________

Output each boiler:_ _______________________________ kW
Input each boiler: _________________________________ kW
Secondary -flue CO2 content:_ ________________________ %
Secondary-flue gas temperature:_ _____________________ C
Flue Spigot I.D. on Boiler(s):_________________________ mm

Flue pipe and header:

Length of header:___________________________________ m

Header I.D.:_______________________________________mm

Height of Stack(s):________________________________ m

Insulation of Header:_ ______________________________mm

Flue pipe I.D.:_ ____________________________________mm

No. of bends: _____45 ______90 _____Other ______Tees

Flue/header wall:
Metal (twin-wall)

Metal (single wall)

Chimney/riser:
Height: ___________________________________________ m
Total length:_______________________________________ m
Chimney I.D.:_____________________________________mm

Flue Type

Bare Brick
Clay Liner

Metal (twin-wall)
Metal (single wall)

Chimney Locations: _____Inside _____Outside

Insulation of chimney:______________________________mm
No. of bends:_____45 _____ 90 _____Other ______Tees

Is the angle of the roof:

<25
Is the chimney more than 40 cm higher than the ridge of the roof: Yes
Is the chimney closer than 20 km (12.5 mi) to the coast:
Yes
Is the chimney close to adjacent obstructions:
Yes

Corrugated flex liner

Smooth-bore Flexible Liner

25-40
No
No
No

>40

Sketch / Drawings / Spec of installation must be

included as attachment if available.
For office use only
Flue gas Temp._ ___________________________________C

Product Type: _ ____________________________________

Air volume_ ___________________________________ m3/h

Quote Ref: _______________________________________

Pressure loss ____________________________________ Pa

Calculated by: _ ____________________________________

Recommended size:_ ________________________________

Date: _____________________________________________

FAX: 01562 887312 OR EMAIL: SALES@AIRTHERM.CO.UK