Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Name

  • Address

  • Postcode

  • Installer

  • Telephone

  • Installation Date

  • QAA Date:

  • UNSAFE SITUATIONS: ID Yes/No AR Yes/No RIDDOR

System Installation

  • Does the percentage of the measure installed match the specification

  • If less than 100%, does the reason match the reason match what was supplied to auditor?

  • Has the pre-installation survey been completed fully in accordance with

  • PAS2030 requirements?

  • Has the insulation been installed as specified? i.e. To the system designer's specification?

  • Where services have penetrated service boards have these been sealed appropriately?

  • Are there any signs of water penetration?

  • Has the render/cladding been fully applied?

  • Have window and door reveals been fully insulated?

  • Where required have air supply vents been installed for combustion materials

  • Have all flues, chimneys and ventilation air supplies for combustion appliances been safe guarded?

  • Has adequate provision been made to safeguard, relocate or provide access to gas services?

  • Has adequate provision been made to safeguard, relocate or provide access to electrical services?

  • Has adequate provision been made to safeguard, relocate or provide access to water services?

  • Has adequate provision been made to safeguard, relocate or provide access to telecoms services?

  • Has adequate provision been made to safeguard, relocate or provide access to

  • TV services?

  • Can all doors and windows still be fully opened?

  • Are all air bricks free of insulation material?

  • Has all access equipment i.e. Scaffolding been removed from site?

  • Are there any other health and safety issues related to the installation?

Lounge & Kitchen (Heat detection)

Upper & Lower Hall forming escape routes (Smoke detection)

  • Carbon Monoxide Alarm installed to manufacturers instructions

  • Have all redundant materials been removed

  • Installation neat and tidy

SCHEME COMPLIANCE

  • All Measures Installed as expected

  • Overall Impression and appearance in public spaces

  • Fire Detection to meet requirements of BS5839- Grade F:Cat LD2

Customer Documents

  • DOCUMENTS ON SITE

  • The Scottish Government Technical QA Sheet v3.xls

SIGNATURES

  • Customer signature is required only to confirm that a Quality Assurance Inspector has visited a property and carried out a visual inspection

  • Does the customer have a complaint issues?

  • Customer signature Print name

  • QAA Inspectors name

  • INSPECTORS SIGNATURE

SUPPORTING PHOTOS

  • Add media

INSPECTOR COMMENTS

PASS-PASS ADVISORY-FAIL

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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.