Boiler post inspection form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Boiler inspection

• Select date

  Date
• Address
  Address

• UPRN number

• Boiler upgrade planned or reactive

  Planned upgrade

  Reactive upgrade

• Area boiler installed

• Photo of boiler

  Media

• Stopcock fitted

  Yes

  No

  N/A

• Meter location

• Resident received user guideg

  Yes

  No

  N/A

• Boxing carried out

  Yes

  No

  N/A

• Controls installed

  Yes

  No

  N/A

• Area controls installed

• Flue

  V

  H

• Quantity of materials installed correct

  Yes

  No

  N/A

• Operatives attitude

  Good

  Okay

  Poor

• Quality of works

  Good

  Okay

  Poor

• Work checked date

  Date

• Date work signed off

  Date

• Work signed off by

• Signature of work signed off by

  Sign

• Residents name

• To be signed by resident to confirm attendance only

  Sign