Engineer Audit - Gas QA V7

• Work order No. - Engineers name

• Engineer name

• Conducted on

  Date

• Prepared by

• Location
  Address

Engineer

• Employed by ?

  ABM

  Sub Contractor

• If Sub Contractor - identify company

  Yes

  No

• Engineer name

• Engineer picture

  Media

• Gas safe card in date<br>(picture both sides)

  Yes

  No

Work activity & gas types (Tick all applicable)

• undefined

  Select Installation Servicing Reactive Landlord check Work in progress Post inspection LPG cyl LPG bulk tank LPG/air Natural gas Domestic Industrial/commercial New installation Existing installation Gas engineer inspection

  • Installation
  • Servicing
  • Reactive
  • Landlord check
  • Work in progress
  • Post inspection
  • LPG cyl
  • LPG bulk tank
  • LPG/air
  • Natural gas
  • Domestic
  • Industrial/commercial
  • New installation
  • Existing installation
  • Gas engineer inspection

Documentation

• CP15 - Plant commissioning servicing record (non domestic)

  Yes

  No

• CP1 - Gas Safety Record

  Yes

  No

• Gas safety certificate<br>(Domestic landlords certificate)

  Yes

  No

• CP4 - Gas Safety Inspection

  Yes

  No

• Warning advice notice

  Yes

  No

• Gas testing purging non domestic

  Yes

  No

• Appliance history sticker

  Yes

  No

• The gas industry unsafe situations procedure - Current Edition

  Yes

  No

• Warning labels immediately dangerous

  Yes

  No

• Warning label at risk

  Yes

  No

• GID1 - Gas safe essential gas safety manual - domestic or equivalent

  Yes

  No

• ND1 - Gas safe essential gas - commercial natural gas handbook or equivalent

  Yes

  No

Hand Tools

• Tool box/bag cleaning

  Safe

  At Risk

  N/A

• Tool box/bag safe and secure

  Yes

  No

• Hand tools clean

  Yes

  No

• Hand tools safe and fit for purpose

  Yes

  No

• Manometer & tube

  Yes

  No

• Leak detector fluid

  Yes

  No

• Smoke matches

  Yes

  No

• Smoke pellets

  Yes

  No

• Gas marking tape

  Yes

  No

• Earth bonding strap

  Yes

  No

• Stop watch

  Yes

  No

• Calibrated combustion analyser with printer

  Yes

  No

• Make

• Add media

  Media

• Model number

• Add media

  Media

• Serial number

• Add media

  Media

• Calibration number

• Add media

  Media

• Calibration expires

  Date

• Capping off equipment

  Yes

  No

• Appliance
  (Take picture)

Appliance (Take picture)

• Make

• Add media

  Media

• Model number

• Add media

  Media

• Location

Is the appliance and / or installation safe to use?

• Appliance
  (Take picture)

Appliance (Take picture)

• Select category - if RIDDOR register with gas safe immediately

  N/A

  NCS

  AR

  ID

  RIDDOR

• If any of the above are not N/A has appropriate warning notice been raised

  Yes

  No

Defects

• To be rectified by engineer

  Yes

  No

General comments and observations

• Noted by auditor

• Do you understand your Gas safe requirements. e.g. <br>1. Obtaining manufacturers servicing & installation instructions.<br>2. Gas safe site login to notify new installs and unsafe conditions.

  Yes

  No

Sign off audit

• Engineer signature

  Sign

• Auditor signature

  Sign