Electrical Boiler Inspection Report V 2.0

Information

Document No.
Address (Mandatory Requirement)
Auditor

INSTALLATION DETAILS

Date and Time:
Name of Occupant:
Address:
Installation Engineer(s)

PLEASE SELECT FROM ONE OF THE FOLLOWING AUDITS

Multiple audits can be completed if required.

IMPORTANT NOTICE:

It is a mandatory requirement that the Occupant/Home Owner and the Assessor sign this report upon completed.
Electrical QA Audit

ELECTRICAL QA AUDIT

Has RCD Protection been provided to the works/circuit being worked on?
Insert Image
WARNING - DO NOT PROCEED UNTIL WORKS HAVE BEEN CARRIED OUT TO A SATISFACTORY STANDARD
PLEASE ENSURE BY HAVING NO RCD PROTECTION THE INSTALLATION IS STILL COMPLIANT TO CURRENT WIRING REGULATIONS
Type of Main Incoming Electrical Supply?
NOTE:

BOTH GAS AND WATER EARTHS MUST BE PRESENT.
MINIMUM CABLE CSA IS 6.0mm
MAIN EARTH TO FUSE BOARD MUST HAVE A CSA OF 10.0mm

Key: CSA - Cross Sectional Area
NOTE:

BOTH GAS AND WATER EARTHS MUST BE PRESENT.
MINIMUM CABLE CSA IS 10.0mm
MAIN EARTH TO FUSE BOARD MUST HAVE A CSA OF 16.0mm

Key: CSA - Cross Sectional Area
THE WHOLE PROPERTY MUST HAVE RCD PROTECTION NO EXCEPTIONS

NOTE:

BOTH GAS AND WATER EARTHS MUST BE PRESENT.
MINIMUM CABLE CSA IS 10.0mm
MAIN EARTH TO FUSE BOARD MUST HAVE A CSA OF 16.0mm

Key: CSA - Cross Sectional Area
Main Water Bond Visible?
Is the clamp within 300mm of the services?
Is the clamp tight and secure?
Select CSA of the cable
WARNING - NOT COMPLIANT UPGRADE REQUIRED
WARNING - NOT COMPLIANT UPGRADE REQUIRED
COMPLIANT - HOWEVER UPGRADE RECOMMENDED TO BRING UPTO 17th EDITION WIRING REGULATIONS
COMPLIANT
THE EARTH BOND MUST BE PRESENT TO COMPLY WITH 17th EDITION WIRING REGULATIONS.

PLEASE MAKE ARRANGEMENTS WITH VALLEY SERVICES HEAD OFFICES FOR THESE WORKS TO BE COMPLETED.
Main Gas Bond Visible?
Is the clamp within 300mm of the services?
Is the clamp tight and secure?
Select CSA of the cable
WARNING - NOT COMPLIANT UPGRADE REQUIRED
WARNING - NOT COMPLIANT UPGRADE REQUIRED
COMPLIANT - HOWEVER UPGRADE RECOMMENDED TO BRING UPTO 17th EDITION WIRING REGULATIONS
COMPLIANT
THE EARTH BOND MUST BE PRESENT TO COMPLY WITH 17th EDITION WIRING REGULATIONS.

PLEASE MAKE ARRANGEMENTS WITH VALLEY SERVICES HEAD OFFICES FOR THESE WORKS TO BE COMPLETED.
Installation of fused spur
IMPORTANT NOTICE - please check and confirm the fuse size in accordance with manufacture recommendations.
Fuse Size:
Refer to manufacturers requirements to confirm 5 amp is adequate.
IMPORTANT NOTICE - Incorrect fuse size, please install the correct size.
Insert Image
Programmer installed satisfactory?
Insert Image
WARNING - DO NOT PROCEED UNTIL WORKS HAVE BEEN CARRIED OUT TO A SATISFACTORY STANDARD
Room thermostat satisfactory?
Insert Image
Make:
Model:
Serial Number:
WARNING - DO NOT PROCEED UNTIL WORKS HAVE BEEN CARRIED OUT TO A SATISFACTORY STANDARD
Comments in relation to any item in this section.
Insert Ze (Ohms):
Insert PFC (kA):
RCD X1 (mS):
RCD X5 (mS):

SIGN OFF FORMS

Image of Test Certificate:
Image of Customer Satisfaction Form:
Image of Occupant Sign off Form:
Are there any Customer Care Issues?

CUSTOMER CARE (To be completed in all cases)

Property damage?
Damage to Property?
Insert Image:
Insert Comment:
Dust sheets used?
Installed in a neat and tidy manner?
Redundant materials removed?
Customer informed of works completed?
Customer advised of use of controls?
System flushed correctly?
Comments in relation to any item in this section.
Are any Follow Ups Required?

FOLLOW UP REQUIRED?

Remedial's required?
NO ACTION REQUIRED
Description of remedial works:
Insert Image of remedial works required.
Have the issues been notified to head office?
Who was this reported to?
Method of notification:
Date and Time Notified:
NOTIFY HEAD OFFICE AND REPORT
Do you require the occupant to sign this report?

DECLARATION - TO BE COMPLETED BY THE CUSTOMER

Have all works been completed to a satisfactory level?<br><br>
Please give details of where you feel you have not received a quality service.
Please rate us from 1 to 10 on the service you have received from start to finish.
Would you recommend us to others?
We are very sorry to hear this and apologise in advance for the issues you are not happy with.
Excellent.... Did you know you can earn money for referring to friends and family.

Please ask the assessor for a leaflet to pass around.
I agree that by signing this report I am happy that the inspection and works have been carried out to a satisfactory standard.

In addition to this, I can confirm no damage has been made during the course of these works.
Customer Signature - Print & Sign
Date:
Would you please be kind enough to write a few words for our testimonial page on our website?
Customer Testimonial:
Do you require the assessor to sign the report?

SIGN OFF - TO BE COMPLETED BY THE ASSESOR

I the assessor have given a true and accurate account of the inspection and can confirm the installation is satisfactory and the customer is happy with the services received by our companies.
Assessor - Print & Sign
Date:
PLEASE EMAIL THIS TO donna.gilbert@corsan.co.uk AT HEAD OFFICE.

THIS REPORT FORMS PART OF THE QA AND HEALTH & SAFETY COMPLIANCE.