Gas Tightness Test

  • Initial Gas Test start of job/Pressure drop mb

  • Final Test (Completion) Pressure drop mb

  • Appliances worked on

  • Appliance
  • Appliance type

  • Maunfacturer

  • Model

  • Location of Appliance

  • Flue Type

  • Flue installation satisfactory

  • Ventilation Satisfactory

  • Safety Labels fitted

  • Burner Pressure mb if required by Manufacturer

  • Gas Rate Kw

  • Flue Check OK

  • Spillage Check OK

  • Please supply the combusion readings of appliance at max CO ppm

  • If required CO2% Max Rate

  • Please enter CO/CO2 Ratio at max rate

  • Please supply the combustion readings of appliances at min rate CO PPM

  • If required CO2% Min Rate

  • Please enter CO/CO2 ratio at Min Rate

  • GC Number

  • Serial Number

  • Picture of data badge if required

  • Appliance Staus

If appliance is already in this status refer to warning notice left by installer if changing status issue notices and leave as per current Gas Regulations

List all appliances relit and / or purged (following Operational procedures if defect identified)

    Additional appliances relit/purged
  • Appliance Type

  • Manufacturer

  • Model

  • Location

  • Appliance condition

  • Flue Type

  • Is flue correct

  • Ventilation satisfactory

  • Installation/General stabillity Clearances Etc

  • Overall Rating of appliance /installation

Additional Information

  • Installer/Engineer

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