Title Page

  • Document No.

  • Auditor

  • Engineer

  • Conducted on

  • Location
  • Installation Date

  • Boiler Make

  • Controls Make

  • Enter Work Type

Wiring Compliance

  • 84. Cables In Trunking

  • Please State Why

  • 85. Cables Terminated Correctly

  • Please State Why

  • 86. Cores Identified Correctly/Sleeving

  • Please State Why

  • 87. Switch Fuse Spur Serviceable

  • Please State Why

  • 88. Local isolation achieved

  • Please State Why

  • 89. Supply for boiler adequate

  • Please State Why

  • 90. Correct fuse fitted

  • Please State Why

  • 91. Trunking secured correctly

  • Please State Why

  • 93. Trunking lid correctly cut to length

  • Please State Why

Controls (comp)

  • 94. Secured correctly

  • Please State Why

  • 95. Location satisfactory

  • Please State Why

Consumer Unit (H&S)

  • 98. Correct rated circuit used

  • Please State Why

  • 99. Correctly identified

  • Please State Why

  • 100. Help-Link Caution and Services Label fitted

  • Please State Why

Earthing (comp)

  • 101. M E Bonding to gas

  • Please State Size

  • 102. M E Bonding to water

  • Please State Size

Certification (comp)

  • 104. Certificate completed correctly

  • Please State Why

Customer Satisfaction

  • 107. Explanation of controls adequate

  • Please State Why

Reinstatement work (quality)

  • 108. Old controls removed

  • Please State Why

  • 109. Floorboards and carpets refitted satisfactory

  • Please State Why

  • 110. Rubbish / redundant materials removed

  • Please State Why

  • 111. Any damage evident

  • Add media

  • Please State Why

Additional information

  • Comments

  • Any other pictures

  • Assessors name and signature

  • Date

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.