Audit Assessment Report V 2.0

Information

Document No.
Audit Title (Mandatory Requirement)
Conducted on
Auditor

INSTALLATION DETAILS

Date and Time:
Name of Occupant:
Address:
Contractor Company:
If 'Other' Please insert Company Name
Installation Engineer(s)
Completion Date:

PLEASE SELECT FROM ONE OF THE FOLLOWING AUDITS

Multiple audits can be completed if required.

IMPORTANT NOTICE:

It is a mandatory requirement that the Occupant/Home Owner and the Assessor sign this report upon completed.
Gas QA Audit

BOILER INSTALLATION QA AUDIT

Gas safety cert completed correctly?
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System installed to specification?
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Appliance location satisfactory?
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Filter Straight?
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Flue clipped to M.I?
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Installed to M.I?
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Discharge pipe to current place?
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Condensate pipe to M.I?
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Flue termination to standard?<br>
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Gas supply to boiler as per M.I?
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Benchmark log book completed?
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Meter installed to standard?
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Insert the Working Pressure:
Insert the Gas Pressure:

GENERAL INSTALLATION CHECK

Radiators correctly installed?
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Lock shield valves in room with roomstat?
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Pipework correctly installed?
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Water leaks apparent?
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Safety labels and notices fitted?
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Flue made good internal & external
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Other reinstatements satisfactory?
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Warranty details completed?
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System installed to Part L Building Regulations?
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Electrical QA Audit

ELECTRICAL QA AUDIT

Has RCD Protection been provided to the works/circuit being worked on?
Type of Main Incoming Electrical Supply?
NOTE:

BOTH GAS AND WATER EARTHS MUST BE PRESENT.
MINIMUM CABLE CSA IS 6.0mm
MAIN EARTH TO FUSE BOARD MUST HAVE A CSA OF 10.0mm

Key: CSA - Cross Sectional Area
NOTE:

BOTH GAS AND WATER EARTHS MUST BE PRESENT.
MINIMUM CABLE CSA IS 10.0mm
MAIN EARTH TO FUSE BOARD MUST HAVE A CSA OF 16.0mm

Key: CSA - Cross Sectional Area
THE WHOLE PROPERTY MUST HAVE RCD PROTECTION NO EXCEPTIONS

NOTE:

BOTH GAS AND WATER EARTHS MUST BE PRESENT.
MINIMUM CABLE CSA IS 10.0mm
MAIN EARTH TO FUSE BOARD MUST HAVE A CSA OF 16.0mm

Key: CSA - Cross Sectional Area
Main Water Bond Visible?
Is the clamp within 300mm of the services?
Is the clamp tight and secure?
Select CSA of the cable
WARNING - NOT COMPLIANT UPGRADE REQUIRED
WARNING - NOT COMPLIANT UPGRADE REQUIRED
COMPLIANT - HOWEVER UPGRADE RECOMMENDED TO BRING UPTO 17th EDITION WIRING REGULATIONS
COMPLIANT
THE EARTH BOND MUST BE PRESENT TO COMPLY WITH 17th EDITION WIRING REGULATIONS.

PLEASE MAKE ARRANGEMENTS WITH VALLEY SERVICES HEAD OFFICES FOR THESE WORKS TO BE COMPLETED.
Main Gas Bond Visible?
Is the clamp within 300mm of the services?
Is the clamp tight and secure?
Select CSA of the cable
WARNING - NOT COMPLIANT UPGRADE REQUIRED
WARNING - NOT COMPLIANT UPGRADE REQUIRED
COMPLIANT - HOWEVER UPGRADE RECOMMENDED TO BRING UPTO 17th EDITION WIRING REGULATIONS
COMPLIANT
THE EARTH BOND MUST BE PRESENT TO COMPLY WITH 17th EDITION WIRING REGULATIONS.

PLEASE MAKE ARRANGEMENTS WITH VALLEY SERVICES HEAD OFFICES FOR THESE WORKS TO BE COMPLETED.
Installation of fused spur
IMPORTANT NOTICE - please check and confirm the fuse size in accordance with manufacture recommendations.
Fuse Size:
Refer to manufacturers requirements to confirm 5 amp is adequate.
IMPORTANT NOTICE - Incorrect fuse size, please install the correct size.
Programmer installed satisfactory?
Room thermostat satisfactory?
Comments in relation to any item in this section.
Health & Safety Audit

HEALTH & SAFETY AUDIT

1.0 CUSTOMER SERVICE/VEHICLES
Are the appearance of the engineers and vehicles acceptable?
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Are company ID Cards available.
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Has the customer been advised on the installation process and hazards?
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Is/are the vehicles road worthy and parked safely?
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Are clean dust sheets being used?
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Are sign boards evident?
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Are clean dust sheets being used?
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Is the work area tidy and safe with I obstructed access and egress?
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Is the work area tidy and safe with I obstructed access and egress?
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2.0 PPE AND WORK EQUIPMENT
Is the work being carried out in a safe manner using appropriate PPE?
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Are the engineers in possession of calibrated flue test analyser?
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Are all 230v equipment protected by a RCD device?
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Is all electrical field equipment free from damage?
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Do engineers have suitable portable lighting?
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Do engineers have means of extinguishing smoulders or fires?
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Do teams have first aid kits and eye wash available?
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Is access equipment marked with a unique ID for routine inspection?
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3.0 METHOD OF WORK
Safe working at height, using correct equipment?
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Slips/trips and fall hazards identified with appropriate control measures put in place?
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Do fitters have suitable and sufficient Pre-work risk assesment?
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Are appropriate manual handling techniques being employed?
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Have the teams undertaken relevant tightness tests and recorded results?
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Is the correct equipment for flushing the system available?
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Is an inhibitor available once the system has been flushed?
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Are the engineers aware of incident reporting and emergency procedures?
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Are the engineers able to describe the potential hazards associated with the activity?
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Do engineers have access to current generic:
Risk Assesment?
Method Statement?
COSHH Assesment?
Comments:
Are the engineers aware of how to dispose of waste materials (At Valley Services Head Office)?
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Have the engineers addressed the duty of care to inspect all gas appliances?
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We're risks handled correctly - 'Unsafe Situation' - 'At Risk' - ' Immediate Danger'
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Are arrangements acceptable for confined space entry?
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When core drilling has the area been demarcated?
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COMPETENCIES
Do engineers carry Gas Safe cards with the relevant training associated with the works being carried out?
Please Select (Multiple Selections are Available)
- CCN1
- CEN1
- Other
Please insert qualification:
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Are electrical works being carried out by competent person's?
Please Select (Multiple Selections are Available)
- NICEIC
- Part P
- Other
Please insert accredited body:
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Are there any Customer Care Issues?

CUSTOMER CARE (To be completed in all cases)

Property damage?
Damage to Property?
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Dust sheets used?
Installed in a neat and tidy manner?
Redundant materials removed?
Customer informed of works completed?
Customer advised of use of controls?
System flushed correctly?
Comments in relation to any item in this section.
Are any Follow Ups Required?

FOLLOW UP REQUIRED?

Remedial's required?
NO ACTION REQUIRED
Description of remedial works:
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Have the issues been notified to head office?
Who was this reported to?
Method of notification:
Date and Time Notified:
NOTIFY HEAD OFFICE AND REPORT
Do you require the occupant to sign this report?

DECLARATION - TO BE COMPLETED BY THE CUSTOMER

I agree that by signing this report I am happy that the inspection and works have been carried out to a satisfactory standard.
Customer Signature - Print & Sign
Date:
Do you require the assessor to sign the report?

SIGN OFF - TO BE COMPLETED BY THE ASSESOR

I the assessor have given a true and accurate account of the inspection and can confirm the installation is satisfactory and the customer is happy with the services received by our companies.
Assessor - Print & Sign
Date:
Is the occupant willing to rate the installation?
OCCUPANT HAS BEEN ASKED TO SUBMIT COMMENTS ON THE INSTALLATION HOWEVER THEY REFUSED
Have all works been completed to a satisfactory level?<br><br>
Please give details of where you feel you have not received a quality service.
Would you recommend us to others?
We are very sorry to hear this and apologise in advance for the issues you are not happy with.
Excellent.... Did you know you can earn money for referring to friends and family.

Please ask the assessor for a leaflet to pass around.
Please rate us from 1 to 10 on the service you have received from start to finish.
Would you please be kind enough to write a few words for our testimonial page on our website?
Customer Testimonial:
PLEASE EMAIL THIS TO YOUR REPRESENTATIVE AT VALLEY SERVICES HEAD OFFICE.

THIS REPORT FORMS PART OF THE QA AND HEALTH & SAFETY COMPLIANCE.