Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

House Details

  • House Type

  • Address Picture

  • Window Types

  • Outside Walls

Occupation type

  • Occupation type

Boiler details

  • Enter details of Boiler Position

  • Boiler Position

  • Gas Meter Position

  • Flue Type

  • Condensate

  • Length of Gas Run

Electrical Details

  • Position of Thermostat

  • Distribution Board

  • Board Type Model

  • Type of Board Protection

  • Picture of Board

  • Earth bonding to gas

  • Size

  • Earth bonding to water

  • Size

  • Electrical Work Required for Instalation

  • Is there a possibility of this property containing any Asbestos Materials ( if so State Where )

Radiator Pipework Details

  • Type of pipework

  • 15mm

  • 10mm

  • 8mm

Radiator Details

KITCHEN

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

LOUNGE

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

LOUNGE 2

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

REAR LOBBY

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

FRONT LOBBY

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

HALL

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Space Above Room

  • Room Dimensions Length / Width / Height

GF/ WC

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

STUDY

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

DINING ROOM

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

LANDING

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

BEDROOM 1

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

BEDROOM 2

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

BEDROOM 3

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

BEDROOM 4

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

BATHROOM

  • Radiator

  • Height

  • Type of Rad

  • Width

  • Valve Type

  • Number of External Walls

  • Space Above Room

  • Room Dimensions Length / Width / Height

EXTRA INFO

  • NOTES

  • DRAWING NOTE

  • Agreed Fitting Date

  • Customer

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.