Title Page
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Conducted on
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Prepared by
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Location
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Customer introduction
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Gas safe card shown
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Action taken to protect customers property
Electrical Testing
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Fuse rating checked
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Safe isolation procedure carried out correctly
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Preliminary electrical tests carried out correctly
Appliance and System Checks
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Flue construction, route & termination examined
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Spillage test carried out correctly
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Ventilation examined fully
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Operating pressure recorded correctly
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Gas rate recorded
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Inlet working pressure tested
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Flue gas analysis carried out
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F.S.D tested correctly
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Gas valve integrity tested correctly
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Case seals inspected and tested
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Condensate pipe examined
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Pressure relief valve pipework examined
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Full tightness test carried out
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All disturbed joints tested
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System walked and bled
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Controls tested
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Visual risk assessment carried out correctly
Health and safety
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Tools maintained and stored correctly
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Site risk assessment carried out
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Appropriate ppe worn
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RCD used
Job completion
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Controls reset & energy efficiency advise given
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Work area left clean and tidy
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HHU fully updated
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App fully completed
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Safety advice/warning notice issued and explained
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Warning label attached
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Appliance turned off/capped
Van checks
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Fire extinguisher
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First aid kit
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Van stock
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Fan heaters
Other
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Other notes
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Photos
Sign off
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Engineer signature
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Auditors signature