Title Page

  • UPRN

  • Conducted on

  • Prepared by

  • Installer

  • Customer Name

  • Address 1

  • Address 2

  • Town

  • Postcode

Customer Questions

  • Did the Team show their ID Cards?

  • Did the operative conduct a pre-installation walkthrough prior to commencing work?

  • Did the operative explain about the noise levels before work started?

  • Was there suitable floor covering used to offer protection?

  • Were all walkways and access points kept clear of obstruction throughout the property?

  • Were all work areas kept tidy during and on completion of the install?

  • Were the team polite and professional throughout the Install?

  • Any other issues?

Boiler Install Quality

  • Is there cross-bonding (earth) present at the gas meter?

  • Has the boiler been installed in a suitable location?

  • Is the boiler accessible for servicing and maintenance?

  • Is there an electrical isolator (fused switched spur, or plug) installed adjacent to the boiler?

  • Has the flue penetration been made good?

  • Is the flue terminal 2m or less from ground level?

  • Has a terminal guard (cage) been fitted?

  • Is the condensate terminated correctly (drain, soakaway or existing waste pipe)?

  • Is any of the condensate pipework external?

  • Is it insulated for it's entirety (external route only)?

  • Is the electrical supply to the boiler clipped where necessary?

  • Are all penetrations made good?

  • Any other issues?

Internal Pipework

  • Is the pipework clipped for it's entirety?

  • Is all visible pipework copper?

  • Is there any relevant pipework in the roofspace?

  • Is it insulated?

  • Are all visible pipework routes in suitable locations (i.e. radiator drops)

  • Is all visible pipework neat and tidy?

  • Any other issues?

Heating Controls

  • Are the controls in a suitable location?

  • Is the room thermostat in a suitable location?

  • Has the operation/adjustment of the controls been explained to the customer?

  • Any other issues

Radiators

  • Do all radiators have thermostatic radiator valves/radbots (except the bypass radiator)?

  • Radiator 1

  • Radiator 2

  • Radiator 3

  • Radiator 4

  • Radiator 5

  • Radiator 6

  • Radiator 7

  • Radiator 8

  • Additional radiators

  • Are all radiators free from obstruction which would impair their performance?

  • Are there any other issues?

Actions

  • Action 1

  • Passed to

  • Action 2

  • Passed to

  • Action 3

  • Passed to

  • Action 4

  • Passed to

  • Action 5

  • Passed to

  • Any other issues/information that needs to be shared

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.