Information

  • Job Number:

  • Customer:

  • Address:

  • Installer name:

  • Assessor Name:

  • Conducted on:

Boiler

  • Manufacturer:

  • Model:

  • Serial Number:

  • GC Number:

1. Gas compliance

  • Boiler location and clearances correct and securely fitted?<br>

  • Flue installation correct - route/terminal/support/Fixings<br>Making good - internal minimum - external if possible<br>

  • Gas supply correctly sized?<br>

  • Gas supply sleeved and sealed (At Risk)

  • Gas supply correct - route and fixings?

  • Gas tightness test complete and correct?

  • Meter outlet working pressure correct? ( Record reading below)

  • mbar

  • Boiler inlet working pressure correct? (Record reading below)

  • mbar

  • Gas rate and volume correct? (Record reading below)

  • kw

  • m3/ph

  • Flue gas anyalyser test correct? (Record reading below)

  • CO ppm :

  • CO2 vol %:

  • CO/CO2 Ratio:

2. System Details

  • Has the compensate discharge been correctly installed?<br>

  • Has the safety discharge pipe been installed correctly?<br>

  • Has all pipe work been installed neat and tidy, are all pipes clipped and clean etc?<br>

  • System water clean and inhibition correct?<br>

  • Has the system been correctly balanced?<br>

  • System bypass fitted and/or correctly set?<br>

  • Have TRV's been fitted?

  • Have the Hot Water cylinder and assosciated paperwork correctly lagged?<br>

  • Filling loop fitted correctly, hose link removed and connections capped?

  • Does the system have an adequate and accessible drain off fitted?<br>

  • Where dust sheets used?<br>

  • Property left clean after work?

  • Waste removed from site?

  • Building work/making good carried out by:

  • Building work including all making good (internal & external) complete?

  • Customer instructed on use of new system/controls?

  • Benchmark certificate left inside and filled out correctly?

  • CP12 on site and correctly completed?

Electrical and misc

  • Have controls been fitted correctly and to specification?

  • Main and/or supplementary bonding correct?

  • All electrical work is tidy including all trucking etc?

  • Is the ECV operational and accessible?

  • Has the installation been completed in accordance with posted measures on DRC?

  • If NO please provide further information:

  • Correct access points for flue in voids ?

Summary

  • Visit outcome:

  • Has the installer been informed of any defects or corrective remedial work?

  • Feedback on assessment and any corrective action taken:

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.