Form library · Quality and compliance
Thermal imaging report template
For people documenting thermal surveys and their limitations. Record survey method, thermograms and limitations and follow-up. Try the form below, see every question or download a blank PDF or Word copy.
Ready to use from the form library, and every question is yours to edit. Trial from £1, cancel any time.
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Scan the code with your phone camera. It opens the real form, no sign-up needed.
Open the live example and fill it in, just as your team would on site. No sign-up needed.
See it on this phoneEvery question is editable. Add this form to your account, then change the wording, add or remove questions and options, and make it fit your own jobs.
Why record measurement settings?
FLIR explains that temperature interpretation depends on emissivity, reflected radiation and measurement conditions. HSE electrical guidance requires safe maintenance arrangements; using a camera does not make access to live equipment safe.
Last updated . Facts checked by the SiteSurvey team on 6 October 2026 against FLIR thermographic measurement techniques and HSE electrical maintenance safety.
Try the thermal imaging survey form live
Answer a few questions and watch it adapt. Your answers are not saved, and any photos you add are deleted within the hour.
This is the real form as your team would use it: questions appear as you answer, scores work themselves out and you can add photos and signatures. No sign-up needed.
Want to see one filled in? See a completed thermal imaging survey report (PDF), made by SiteSurvey from a fictional site visit.
Fill it in on a phone or tablet
Your team completes the thermal imaging survey on site in the SiteSurvey app on iPhone, iPad and Android phones and tablets. The project name and address fill in for them, it works without signal, and it syncs when the device is back online with photos kept against the question they answer.
Customers and subcontractors do not need the app: send them a link and they can fill it in from any browser.
Every question in the thermal imaging survey template
A thermal imaging record linking image references, camera settings, operating conditions, measured temperatures, interpretation and survey limitations. 5 sections and 30 questions. Follow-up questions and guidance appear only when an answer calls for them, so the person on site never sees the ones that do not apply.
Make it your own: every question is editable
This is a starting point, not a fixed form. Once it is in your SiteSurvey account you can reword any question, add or remove questions, sections and answer options, and add your own logo, so it fits the way your team works and the jobs you do.
Details you only enter once
Add this form to a project in SiteSurvey and it fills in what the project already knows, so nobody on site retypes it and every form on the job uses the same names. Anything filled in can still be changed.
- Project: the project name
- Site or premises address: the site address, from the space or the project
- Client or organisation: the project's customer
Record details and scope
- ProjectShort answer
Filled in from the project in SiteSurvey.
Fills in from the project name - Site or premises addressShort answerFills in from the site address, from the space or the project
- Client or organisationShort answerFills in from the project's customer
- Record date*Date
- Person completing the record*Short answer
- CheckFor competent thermographers. This records observations and interpretation, not a diagnosis from colour alone, an electrical safety certificate or permission to expose live parts.
- CheckFLIR explains that temperature interpretation depends on emissivity, reflected radiation and measurement conditions. HSE electrical guidance requires safe maintenance arrangements; using a camera does not make access to live equipment safe.
Survey method
- Survey purpose and agreed scope*Short answer
- Camera, lens and calibration reference*Short answer
- Thermographer and competence reference*Short answer
- Weather, ambient conditions and operating loads*Notes
Record the environmental and operating conditions that affect interpretation. Reference instrument settings and comparison evidence.
Thermograms
- Thermal observationRepeat for each thermal observation. Each one asks:
- Asset or location*Short answer
- Original radiometric file reference*Short answer
- Emissivity, reflected temperature, distance and other settings*Short answer
- Measured temperatures, units and comparison point*Short answer
- Interpretation, basis and uncertainty*Notes
- Thermal export and corresponding visible imagePhotos
Limitations and follow-up
- Access, loading, surface and environmental limitations*Notes
- Confirmatory testing or specialist investigationNotes
- Urgent concern and person informedShort answer
- Technical reviewerShort answer
Actions and review
- Are further actions required?*Choose one
- Yes
- No
- Further actionRepeat for each further action. Each one asks:Shown when “Are further actions required?” is “Yes”
- Action and evidence reference*Notes
- Person responsible*Short answer
- Target dateDate
- Action status*Choose one
- Open
- In progress
- Completed
- Completion evidence*NotesShown when “Action status” is “Completed”
- Outstanding limitations and information to pass onNotes
- Record status*Choose one
- Ready for review
- Further work needed
- Work or use stopped
- Reviewed byShort answer
- Review dateDate
- Author signature*Signature
- CheckSigning records the information entered. It does not itself certify legal compliance, remove a limitation or authorise unsafe work.
Scope and responsibility
For competent thermographers. This records observations and interpretation, not a diagnosis from colour alone, an electrical safety certificate or permission to expose live parts.
What a useful entry looks like
Weather, ambient conditions and operating loads
Record the environmental and operating conditions that affect interpretation. Reference instrument settings and comparison evidence.
Survey completed under the recorded load and weather conditions. Reflective surfaces and inaccessible areas are identified in the limitations record.
Fictional example of record wording. Use the actual evidence and approved arrangements for your job; this is not a completed report or an instruction to carry out the work.
See it filled in
A completed thermal imaging survey report, made by SiteSurvey from a fictional site visit: every answer, the photos, the guidance that applied and the sign-off, ready to send as a PDF.
Thermal Imaging Survey FAQs
How should I record “Weather, ambient conditions and operating loads”?
Record the environmental and operating conditions that affect interpretation. Reference instrument settings and comparison evidence.
Can a bright area prove a fault?
No. Interpret measured values with settings, loading, reflections and a suitable comparison; record uncertainty.
Are original thermal files retained here?
Reference the original radiometric files in their controlled storage. Image exports alone may not retain measurement data.
Can this replace an electrical inspection?
No. A thermal survey is a different evidence source and does not establish electrical safety.
What are the limits of this template?
For competent thermographers. This records observations and interpretation, not a diagnosis from colour alone, an electrical safety certificate or permission to expose live parts.
Can I complete this form on site and share the record?
In the SiteSurvey app the form works offline, with photos and signatures recorded against the questions. Share the completed record as a PDF or a link. Dates and action owners are recorded fields; this form does not send reminders or update other systems.
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