Information
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Document No. Ver 16-01-14
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Client
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Audit Title
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Site
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Service Provider
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Engineer
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Audit Type (Post Complete, Work in Progress, etc)
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Auditor
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Conducted on
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Installation date
Boiler (Compliance)
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Make and Model
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Correct make & Model
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Please state correct Make & Model (Include GC number & photo of data badge if possible)
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Boiler Location Satisfactory
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Please state why
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Boiler to Manufacturers Instructions
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Please state why
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Gas supply Acceptable
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Please state why and actions to be taken
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External by-pass fitted
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Magnaclean or other fitted on return to boiler<br>
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Could magnetic filter have been fitted on return
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Water softener fitted
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Filling Loop/Link correct
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Adequate brackets on vertical flue
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Please state action required to resolve
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Standard Flue bracketed if Long run
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Please state action required to resolve
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Boiler pipes Cross bonded
Boiler External (Compliance)
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Flue to manufacturers instructions
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Please state why
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PRV pipe to standard
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Condensate to standard
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Please state why
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Brickwork/rendering
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Please state actions required to resolve
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Photos
Pipework (Quality)
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Pipes sleeved and made good
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Pipework neat and tidy
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Pipework clipped and level
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Pipework to spec and no leaks
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Pipework lagged/ cylinder
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Push fit connectors ok
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Photos
Radiators (Quality)
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Rads installed in agreed position
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Lock shields fitted opposite TRV's
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Hall/Loop radiator has 2 lock shields
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Radiators fixed securely
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Anti-vibes fitted
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Correct size radiators fitted
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All rads heat up correctly
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Please state why
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TRV's fitted as required
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System flushed
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Dosed with inhibitor
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Photos
Gas Meter (Compliance)
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ECV labelled & correct operation
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Emergency number on meter
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Pipe sleeved and sealed through wall
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New gas connection to standard
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ME bonding satisfactory
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Governor seal
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Photos
Electrical (Compliance)
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Electrical supply to spec
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Programmer timer fitted correctly
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Thermostat location satisfactory
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Bathroom Radiator bonded
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Gas / water bonded
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Frost Stat fitted if required
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Electrical certificate available
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Photos
Certification (Compliance)
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Benchmark filled out correctly
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Please give details
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CP12 Gas Safety certificate filled in correctly
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Please give details of incorrect information
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Is the CP12 filled in electronically
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Photos
Customer Satisfaction
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Installer appointment kept
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Full system instruction given
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Reinstatement work satisfactory
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Please state why
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Floorboards fitted correctly
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Please state why.
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Rubbish/redundant materials removed
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Any damage evident
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Please give details
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Photos
Gas checks ( Compliance)
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Satisfactory Let-by
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Satisfactory Gas Tightness Test
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Gas Installation Pipework Safe
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Emergency Control Accessible
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Standing pressure
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Working pressure at meter
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Working pressure at boiler
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Gas rate
Additonal Work
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Is there any further work required for this installation? Ie. remedial/electrical
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Please give details of further work required
Additional information
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Comments
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Other Pictures
General Comments/Notices
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Is there any General Comments/Notices in reference to the installation?
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Auditor Signature
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Scope/ This report has been completed and issued by Gas-elec Safety (UK) Ltd. The report is based on an independent audit carried out by a Gas-Elec engineer based on standard Gas Safe industry Procedures. The audit is not intended to be an investigation and diagnosis of faults or defects that may already exist during the course of the audit.
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Gas-elec Safety (UK) Ltd or it's employees accept no liability for the consequences of any errors or omissions on this report.
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Gas-elec Safety (UK) Ltd, The Old Bomb Store, Summer Road, Walsham-Le-Willows, Suffolk, IP31 3AJ
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Tel: 0800 041 8614