Title Page

  • Conducted on

  • Prepared by

  • Location
  • Customer introduction

  • Gas safe card shown

  • Action taken to protect customers property

Electrical Testing

  • Fuse rating checked

  • Safe isolation procedure carried out correctly

  • Preliminary electrical tests carried out correctly

Appliance and System Checks

  • Flue construction, route & termination examined

  • Spillage test carried out correctly

  • Ventilation examined fully

  • Operating pressure recorded correctly

  • Gas rate recorded

  • Inlet working pressure tested

  • Flue gas analysis carried out

  • F.S.D tested correctly

  • Gas valve integrity tested correctly

  • Case seals inspected and tested

  • Condensate pipe examined

  • Pressure relief valve pipework examined

  • Full tightness test carried out

  • All disturbed joints tested

  • System walked and bled

  • Controls tested

  • Visual risk assessment carried out correctly

Health and safety

  • Tools maintained and stored correctly

  • Site risk assessment carried out

  • Appropriate ppe worn

  • RCD used

Job completion

  • Controls reset & energy efficiency advise given

  • Work area left clean and tidy

  • HHU fully updated

  • App fully completed

  • Safety advice/warning notice issued and explained

  • Warning label attached

  • Appliance turned off/capped

Van checks

  • Fire extinguisher

  • First aid kit

  • Van stock

  • Fan heaters

Other

  • Other notes

  • Photos

Sign off

  • Engineer signature

  • Auditors signature

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.