Title Page

  • B.O.S Ref No

  • Surveyors Name

  • Surveyor contact number

  • Location
  • Conducted on

  • Is there a vulnerable customer at the address?

  • Any special access instructions if so please provide details

  • Meter location

  • Has the building been modified or extended since construction to create the built over service or is it as built

  • How many primary meters are there in the building?

  • Diameter

  • Service material (if service head adaptor visible class as pe)

Assessment Checklist

  • Does the built over pipe operate at a pressure greater than 75mbar

  • Is the pipe diameter greater than 32mm?

  • Has the pipe got a steel tail with any of the exposed steel pipe going in to the ground

  • Does any of the above ground service pipe run in an unventilated void

  • Is any of the above ground service pipe unsleeved should it pass through a cavity wall

  • Has any of the exposed service pipe or sleeving been damaged?

  • Have the building works created a contravention of the gas safety (installation and Use) Regulations with regard to the position and operation of the ECV or access to the meter

  • If the answers to any of the above are yes then class as high risk. If all answers are no then class as low risk

  • Photos

  • Comments

  • Has any other significant risks been identified on site

  • If yes please describe

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