Title Page
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Document No.
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Auditor
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Engineer
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Conducted on
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Location
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Installation Date
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Boiler Make
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Controls Make
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Enter Work Type
Wiring Compliance
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84. Cables In Trunking
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Please State Why
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85. Cables Terminated Correctly
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Please State Why
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86. Cores Identified Correctly/Sleeving
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Please State Why
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87. Switch Fuse Spur Serviceable
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Please State Why
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88. Local isolation achieved
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Please State Why
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89. Supply for boiler adequate
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Please State Why
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90. Correct fuse fitted
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Please State Why
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91. Trunking secured correctly
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Please State Why
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93. Trunking lid correctly cut to length
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Please State Why
Controls (comp)
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94. Secured correctly
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Please State Why
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95. Location satisfactory
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Please State Why
Consumer Unit (H&S)
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98. Correct rated circuit used
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Please State Why
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99. Correctly identified
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Please State Why
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100. Help-Link Caution and Services Label fitted
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Please State Why
Earthing (comp)
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101. M E Bonding to gas
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Please State Size
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102. M E Bonding to water
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Please State Size
Certification (comp)
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104. Certificate completed correctly
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Please State Why
Customer Satisfaction
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107. Explanation of controls adequate
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Please State Why
Reinstatement work (quality)
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108. Old controls removed
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Please State Why
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109. Floorboards and carpets refitted satisfactory
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Please State Why
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110. Rubbish / redundant materials removed
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Please State Why
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111. Any damage evident
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Add media
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Please State Why
Additional information
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Comments
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Any other pictures
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Assessors name and signature
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Date