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Commercial/Domestic Service Job Card - duplicate
Commercial/Domestic Service Job Card - duplicate
Gascraft Engineering LTD

Commercial/Domestic Service Job Card - duplicate

Job Card

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Free Commercial/Domestic Service Job Card - duplicate Checklist

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Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

  • Personnel

  • Account Name

  • Postal Address

  • Name of Client

  • Site Address

  • Customer Description

  • Contact

  • Description of Job

  • Date Received

  • Date Started

  • Date Completed

  • Order Number

  • Quote/Estimate

  • Tax Invoice Number

  • Home

  • Work

  • Mobile

  • Mobile 2

  • Fax

  • Email

Customer Declaration

  • I authorise this contractor to carry out the work as detailed on this form. I understand that no significant additional work will be undertaken without my authorisation and I accept the terms and conditions. I will settle payment by:

  • Customers Signature

Pipework

  • Pressure Test

  • Pressure Test - Pressure kpa

  • Installation Test kpa

Safety Verification of Gas System/Supply

  • Suitable Fittings

  • Gas Tightness

  • Available Flow Rate mj/hr

  • Gas Pressure kpa

  • Drop Test kpa

  • Meter

Service Procedure

  • Isolate gas supply and/or electrical supply to the appliance

  • Remove gas control knobs and any panels from the gas appliance to gain access to gas valves, burners and pilot assembly

  • Clean inspirators primary air inlet Clean all openings from dust,spider webs etc.

  • Remove burner and clean all burner ports, check for corrosion

  • Remove pilot burner and clean both pilot injector and main burner injector

  • Reassemble both pilot burner and main burner

  • Visually check wires and electrical connections

  • Test all electrical safety interlocks for sound operation

  • Check ignitor probe for positioning and quick ignition

  • Check flame rectification probe for correct milliamp signal and positioning

  • Check thermocouple and/or thermopile for correct millivolt and positioning

  • Visually check flame picture and flame stability, check that aeration is correct

  • Check dynamic pressure and adjust if necessary

  • Leak test gas pipe work and controls for soundness

  • Which test did you use?

  • Check gas control valves for correct operation, physical damage and general wear and tear, clean any gas filters gauze or fabric

  • Ensure the draught diverter is clear of obstructions and check for draught using smoke while gas appliance is still cold

  • Check for condition of flue system and gas terminal to ensure that it has not been affected by any foreign or organic matter clear any flue blockage

  • Check the gas appliance position in relation to any combustible materials

  • Check room size for correct ventilation requirements against ASNZS 5601:2010

  • Ensure the room enclosure is not used to store flammable goods or chemicals, as flames will contaminate the combustion air and create toxic or deadly chemical reactions

  • Locate the date and ensure that the gas appliance is suitable for its intended use

  • Recommission the appliance in accordance with ASNZS 5601:2010

OSHE ~ Hazards Identifaction & Site Safety Requirements

  • Temperature - Climate Conditions

  • Action

  • Combustibles - Fire Resistant Material - Flammable Gas Signage

  • Action

  • Visitors - Induct all visitors and contractors with induction cards

  • Action

  • Moving Vehicles - Keep clear - Stay visible to operator - Signage

  • Action

  • Ladders - Only commercial grade in good condition - Used correctly

  • Action

  • Scaffolding - Installed correctly - Regularly checked - Certified

  • Action

  • Falls from height - Use fall protection - Scaffolding in place - Height notifiable work

  • Action

  • Overhead Work - Secure tools from falling - Visitors keep clear

  • Action

  • Electricity in use - Use RCD's - Check leads regularly - Tagged

  • Action

  • Powertools in use - Check in good condition - Use correctly - Tagged

  • Action

  • Excavations - Cover holes - Secure site - Stay visible to operator

  • Action

  • Tripa/Slipa - Keep site tidy - Use waste bin on site

  • Action

  • Illness/Disease - Toilet on site - Running water on site

  • Action

  • First Aid Certificate - Current - ABC's

  • Action

  • Gas Set/Mapp Gas - Oxygen - Acetylene - Shut off when not in use

  • Action

  • First Aid Kit - Upgraded - Where is it?

  • Action

Combustion Related Test

  • CO/CO2 %

  • Flue Temp 300 C

  • Ventilation

  • CO ppm

  • Flue Material C

  • Temperature - Climate Consitions

  • Flue Condition

  • Gas appliance used for intended purpose

  • Gas appliance used for intended purpose - Reason

Gas Appliance Markings

  • Make

  • Model

  • Serial Number

  • Isolating Valve

  • Clearances

  • Flue Type

  • Flue Position

  • Appliance Pressure

  • Appliance Pressure High

  • Appliance Pressure Low

  • Input Rating

  • Commissioned

  • Ventilation

  • Combustion

  • Seismic Restraint

  • Date of Install

  • Gas Certification Number

  • Category

  • Type

  • Gas Supplier

  • Labelled

  • Test Pressure

  • Test Time

  • Nil Leak Tolerance

  • Regulators

  • Auto

  • Manual

  • LP-HP

  • First Stage

  • Second Stage

  • Appliance Reg

Materials

  • Quantity

  • Supplier Code

  • Description

  • Unit Cost

  • Amount

  • Materials Total

Labour & Travel

  • Date

  • Select date

  • Select date

  • Select date

  • Select date

  • Select date

  • Select date

  • Select date

  • Time

  • Select date

  • Select date

  • Select date

  • Select date

  • Select date

  • Select date

  • Select date

  • Initials

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Travel

  • Description

  • Materials Total

  • Labour Total

  • Travel Total

  • Sub Total

  • GST

  • Invoice Total

Ventilation Requirements

  • For further information see ASNZS 5601:2010, Ventilation requirements, parts 1 & 2
    In brief:
    - Ventilation shall ensure proper operation of the gas appliance and flueing system and maintain safe ambient conditions
    - Where a gas appliance is installed in a room, that room shall be ventilated
    - Where the total input of open flued appliance exceeds 3MJ/hr for each cubic metre of room volume, the area shall be ventilated
    - Where the total input of open flued appliance does not exceed 3MJ/hr per cubic metre of room volume, the required air may be provided by adventitious openings, ie gaps around doors and windows
    - to establish whether the required air is to be provided by adventitious openings or additional openings. Calculate the total input of the gas appliance or appliances in the room in MJ/hr and divide by the room volume in cubic metres

  • Total gas input MJ/HR

  • Divided by

  • Room Volume m3 L x W x H

  • X

  • X

  • = m3

  • = MJ per cubic metre

  • Natural ventilation. Two permanent openings shall be provided each with a minimum free area as calculated using:
    A = FxT formula
    A = Minimum free area mm square
    F = Factor given in table 13
    T = Total gas consumption of all gas appliances

  • Adventitious Ventilation

  • Additional Ventilation Required

  • Checked

  • Initials

Commissioning and Final Testing Checks (normal operating conditions)

  • Leak Test

  • OK

  • Comments

  • Gas Consumption

  • OK

  • Comments

  • Operation

  • OK

  • Comments

  • Reignition

  • OK

  • Comments

  • Flame Picture

  • OK

  • Comments

  • Temperature Hazards

  • OK

  • Comments

  • Safeguard System

  • OK

  • Comments

  • Safety Shut Down

  • OK

  • Comments

  • Visually Check Wires

  • OK

  • Comments

  • Earth Continuity Test 3 Volts less than 0.5 ohm

  • Comments

  • Insulation Resistance 500 Volts less than 1M ohm

  • Comments

  • Polarity Test

  • Comments

  • Troubleshooting and Fault Finding

  • Have you remedied the ...

  • What is the Root Cause of this failure or breakdown?

Completion of Work & Job Card

  • Signature of Technician

  • Date Signed

Commercial/Domestic Service Job Card - duplicate
Gascraft Engineering LTD

Commercial/Domestic Service Job Card - duplicate

Job Card

Use this Template
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.

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