Gas Compliance Sheet - rev 1

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Address of Survey

• Address
  Address

Boiler Position

• Photographs of boiler installed

  Media

• Details of boiler position

• Appliance cover fitted and secure

  Yes

  No

  N/A

• Min distances adhered to 150mm to bottom, 200mm above, 5mm to sides

• Min manufactures clearance adhered to

  Yes

  No

  N/A

• Benchmark completed - User Manuel Left - Verbal Instruction given

  Yes

  No

  N/A

• Magna Clean installed

  Yes

  No

  N/A

• Fernox label attached

  Yes

  No

  N/A

• Temp filling Loop disconnected and capped

  Yes

  No

  N/A

• Blow off sleeved through wall - client specific

  Yes

  No

  N/A

• Rectification Required

  Required

  Not Required

Flue information

• Flue type

  Horizontal

  Vertical

• Approximate flue length to include bends 1Metre to be added for 90 bends 0.5 for 45 bends

• Max length for horizontal and vertical flues 10 Metres,

• Manufactures recommended min distance for clearance adhered to

  Compliant

  Non Complianr

• Correct Degree of fall on flue not less than 1.5 degrees

  Yes

  No

• Brackets fitted where required to manufactures instructions

  Compliant

  Non Complianr

• Rectification Required

  Required

  Not Required

Condensate

• Condensate termination

  Internal pumped

  External to drain

  External to soak away

  Internal

• Condensate termination

  Media

• 50 mm fall over every meter on condensate pipe

  Yes

  No

• External Condensate should be insulated

• Rectification Required

  Required

  Not Required

Gas meter

• ECV accessible

• Isolation indicator label fitted

• Emergency contact information label on meter

• Bonding in place

• Rectification Required

  Required

  Not Required

Gas pipework

• External pipework protected

  Yes

  No

• Gas pipe passing cavity walls correctly installed and sealed

  Compliant

  Non Complianr

• All pipework supplying combination boiler should be 22mm or over all 15mm should be removed

• Correct size pipework used throughout

  Compliant

  Non Complianr

• Ventilation as required by Regulations and Manufactures instruction

  Yes

  No

  N/A

• Rectification Required

  Required

  Not Required

All other pipework

• All pipework installed neatly and clipped

  Yes

  No

• Screws and fixings in place as per manufactures instructions

  Yes

  No

• Rectification Required

  Required

  Not Required

Post Installation Gas checks

• List Checks Completed

  Select Let By Tightness OPM OP Appilance Spillage Flue Analyser Gas Rate

  • Let By
  • Tightness
  • OPM
  • OP Appilance
  • Spillage
  • Flue Analyser
  • Gas Rate

• Let by test

  Compliant

  Non Complianr

• Tightness Test

  Compliant

  Non Complianr

• Operating pressure at meter

  Compliant

  Non Complianr

• Reading for operating pressure at meter

• Operating Pressure at Appliance

  Compliant

  Non Complianr

• Reading for operating Pressure at meter

• Gas Rate in kW net

  Compliant

  Non Complianr

• Gas rate reading kW net

• Gas reading M/3 per hour

• Gas Flue analyser

  Compliant

  Non Complianr

• CO - CO2 - O2 readings on maximum running test

• Co - CO2 - O2 readings at minimum running

• Spillage checks

  Compliant

  Non Complianr

Signature

• Notes On Installation

• Signed

  Sign