Title Page

  • Audit Title

  • Site

  • Prepared by

  • Conducted on

  • Location

Fuel Burning Appliances and Equipment

  • Instructions
    -------------------
    1. Answer "Yes", "No", "N/A" for the questions below.
    2. Add any photos and notes by clicking on the paperclip icon.
    3. To create a corrective action click on "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing a digital signature.

Venting of Exhaust Gases

  • Outdoors away from intakes and windows

  • Chimney and flue constructed and installed properly (per manufacturer)

  • Chimney and flue inspected annually and cleaned

Combustion Air

  • Adequate combustion air ducted to unit or

  • Anobstructed area large enough to provide adequate combustion air

  • Small mechanical areas have sufficient combustion air and ventilation openings

  • No hazardous or flammable vapor sources near combustion equipment

Operation and Maintenance

  • Instructions available for proper operation and maintenance

  • Equipment operated and maintained as intended within design limits

  • Warning labels (English and local language) present on combustion appliances

  • Add signature

Clearance to Combustibles

  • Adequate clearance from exhaust flue to combustible materials

  • Adequate clearance from equipment to combustible materials

  • Boiler and furnace rooms not used for storage areas

Fuel Type and Storage

  • Fuel used is appropriate for appliance(s)

  • Proper type and location of fuel storage container (including tanks)

  • Protect fuel storage containers from damage and secure them for protection against weapons of opportunity

Carbon Monoxide Alarms

  • Carbon monoxide alarm installed, at about eye level, outside of sleeping areas (including household staff) in residences with any combustion appliance (other than cooking oven/stove) or an attached garage

Generators

  • Adequate space and, if leased, landlord agrees to the generator

  • Placed outdoors as far away as practical and a minimum of 1.5 meters (5 feet) from any building

  • Exhaust outlets >= 3 feet from exterior walls and roofs, 10 feet from operable openings into buildings, and 10 feet above adjoining grade

  • If the distance and direction of the exhaust is not feasible, then extend 3 ft. above the building. (See 'Venting of Exhaust Gases' section)

Portable Kerosene Heaters

  • Single family home use only

  • Correct grade of clear kerosene (K-1) fuel stored outside in safety cans

  • Refuel outdoors away from sources of ignition, and after the heater has cooled completely

  • Set the wick height to the manufacturer's recommended level

  • Chimney is seated properly

  • Window opened slightly (e.g., 25mm/1 inch) in the room with the heater

  • Do not leave the heater unattended and turn off before going to bed

  • Keep the heater at least 1 m (3 ft.) from combustibles unit is operated and maintained according to the manufacturer's instruction and residents are informed of the instructions

  • Carbon monoxide alarms must be placed in dwelling

Liquefied Petroleum (Propane)Gases (LPG)

  • Cylinders during use:

  • Must be located on the exterior of the building

  • Equipped with a pressure regulator having a pressure relief valve

  • Upright and securely anchored or chained in place

  • At least 7.6 m (25 ft.) from sources of ignition and 1.5 m (5 ft.) from building openings

  • Cylinder storage:

  • Outside within a fenced enclosure

  • Outlet valves closed with cap or cover

  • Steel posts or barriers if vehicle damage is possible

  • "No Smoking" signs clearly displayed around the storage enclosure with universal symbols or local language and English

  • Secure tanks to ensure they cannot be used as weapons of opportunity

  • Trained employees for LPG installation and cylinder replacement

  • Refilled tanks or bottles delivered, no recharging or filling of tanks or bottles at the site

Completion

  • Signature:

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.