British Gas Survey

• H.S.A name

• Job Number

• Conducted on

  Date

• Visit Completed By

Customer information

• Yes

  No

  N/A

• Parking

  Yes

  No

  N/a

• Boiler

• Flue

  Flue,Ventilation and access ok

  No

  Yes

• Condensate

  Internal fix

  External fix

• Gas

  Notes

  N/a

• Working at height / Access

  Notes

  N/a

• Main earth / Socket & See result

  <1 ohm

  <2 ohms

  <100 ohms

  <200 ohms

  >200 ohms

• Suspect material at property

  Yes

  No

  N/a

HSA paperwork

• Yes

  No

  N/A

• Safety Warning notice

  At Risk

  Immediately Dangerous

  N/A

• Isolated?

  Safely isolated

  Permission not given by user

• Correctly Capped/Disconnected

  Yes

  No Gas Emergency called