Information

  • Document No.

  • Audit Title

  • Personnel

  • Client / Site

  • Prepared by

  • Location
  • Conducted on

  • Appliances

  • Appliance
  • Type

  • Make

  • Model

Work Preparation & Customer Care

  • Gas Safe card and ACS elements correct for work to be carried out.

  • Reference material / Technical bulletins available.

  • Visual / written risk assessment completed and recorded.

  • Hot work permit obtained.

  • Fire extinguisher available.

  • Customer Liaison

  • Customer care / work area preparation completed

Installation of gas pipework & valves

  • Existing gas installation inspected for suitability.

  • ECV correctly positioned labelled and operable

  • Point of entry Main equipotential bonding installed

  • Gas pipework correctly identified, Gas line diagram available were required

  • Gas pipework size support & route is correct

  • Gas pipework is constructed of approved materials.

  • Gas pipework sleeved & sleeves sealed

  • AECV / s correctly positioned labeled & operable

  • Ducts and voids ventilated correctly

  • Initial tightness test completed correctly

Appliance / Ancillary Plant / Systems Installation.

  • Appliance Installed to manufacturers instructions

  • Pressure relief pipework / termination correct

  • Condensate pipework / termination correct.

  • Flue / Ductwork installed correctly

  • Ventilation is suitable for requirements.

  • Ancillary Plant installed correctly.

  • Systems configured correctly.

  • Workmanship / visual appearance suitable

Electrical Tests

  • Electrical tests identified & completed correctly

  • Electrical isolation check completed correctly

  • Fuse rating checked and appropriate

Commissioning

  • Final tightness test completed correctly

  • Purging completed correctly

  • Commissioned to manufacturers instructions

  • Flue size construction route termination and support visually examined and correct

  • Flue flow continuity check completed correctly

  • Spillage / Case seal tests completed correctly

  • Ventilation size and route checked and correct

  • Operating pressure and / or gas rate checked

  • Safety devices operation checked

  • Combustion analysis completed

  • All disturbed joints tested

  • Appliance / associated controls operating correctly

Safe Working Practices

  • Safe working practices employed

  • Electrical equipment safety and calibration checks carried out.

Completion

  • Customer instructed in use and instructions left / controls reset

  • Documentation completed correctly

  • Underpinning Knowledge

  • Question
  • Question

  • Response

Signatures

  • Auditor

  • Operative

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.