Heat pump sizing form

Correspondence address; Project address; (if different)

Name Name
Address Address

Postcode Postcode
Tel. Tel.
mobile
Email

Please note:- This form should be completed with reference to the accompanying guidance notes and only after the suitability
of a heat pump for the property has been confirmed.

Enquirer details; Project timescale;

homeowner installer 0 - 6 months
self build developer 6 - 12 months
merchant architect 12 - 24 months

1. Project details;
[1.1]
Heat loss to BS EN 12831 / SAP report worksheet provided (If yes, go to section 2) Yes - No
[1.2] [1.3]
New build or Existing build (Please complete fields marked*)
[1.4]
*Year of construction (or year last fully renovated)
[1.5]
*Double glazing Yes - No
[1.6]
*Loft insulation to 250mm Yes - No
[1.7]
*Cavity wall insulation Yes - No
[1.8]
*Floor insulation Yes - No

2. Property details;
Dwelling type Layout and dimensions
[2.1] [2.6]
Detatched Number of floors
[2.2] [2.7]
Semi-detatched Heated floor area (m²)
[2.3]
Terraced
[2.4] [2.8]
Apartment complex Room height (m)
[2.5] [2.9]
Other Open flues / chimneys Yes - No

3. Energy consumption;
Heating requirement Hot water requirement (DHW)
[3.1] [3.4]
Property heat loss co-efficient (W/K) Number of occupants
[3.2] [3.5]
Electricity price (£/kWh) Low usage (less than 40 litres/person/day)
[3.3] [3.6]
Desired room temp. (°C) Average usage (40-75 litres/person/day)
[3.7]
High usage (greater than 75 litres/person/day)
or
[3.8]
Calculated hot water energy (kWh/year)

4. Type of heat pump;

[4.1] [4.2]
Ground source Solar panels to be fitted Yes - No
[4.3]
Air source (suitable for system ground source only)

5. Ground conditions; (ground source only)

Ground conditions for borehole Ground conditions for horizontal collectors
[5.1]
Borehole prognosis completed Yes - No Ground type at 1-2 metres depth;
[5.4]
(if yes, enter the conductivity value below and Dry sand
provide prognosis report) Dry clay / silt [5.5]

[5.2] [5.6]
Thermal conductivity value (W/m.K) Wet clay / silt
[5.7]
Wet sand
[5.3] [5.8]
Unknown Unknown
Collector pipe size;
[5.9] [5.10]
40mm (recommended) 32mm

6. Heating system;
[6.1] [6.2]
Radiators Underfloor heating

The latest version of this form can be downloaded at www.worcester-bosch.co.uk/hpsizingservice

Whilst it is always our intention to fully assist, it is essential to recognise that all information given by Bosch Thermotechnology Ltd in response to an enquiry of any nature, is provided in good faith and based
upon the information provided with the enquiry. We recommend that advice should always be checked with your installer or contract partner. Consequently, Bosch Thermotechnology Ltd cannot be held
responsible for any liability relating to the use or repetition of such information or part thereof. In addition, whilst making every reasonable effort to monitor the performance and quality of our supply,
installation and service network, we do not accept responsibility for the workmanship or operation of any third party company that Bosch Thermotechnology Ltd may have promoted either in conversation,
email or other communication. Similarly, the views and opinions expressed in communication with individuals within Bosch Thermotechnology Ltd may not reflect that of the business as a whole.

Please return this completed form to: Renewable Support Team,

Worcester Bosch Group, Cotswold Way, Warndon, Worcester, WR4 9SW.
Tel: 0844 892 4010 Email: renewable.energy@uk.bosch.com
SD04 (2012/02)