Gas Installation Audit Template

• Owners Name or Company

• Brief description of work

• Gas Fitters Name & Practitioners Number

• Conducted on

  Date
• Location
  Address

• Do you have reason to suspect that anyone at the premises has been exposed to Coronavirus (COVID-19)?

  Yes

  No

• ■ Advise the consumer that the inspection will need to be cancelled and rescheduled..
  ■ Leave the premises and ensure personal hygiene practices are observed
  ■ Advise your manager of the situation immediately.

• Is anyone at the premises:<br>• displaying flu-like symptoms,<br>• in self-isolation due to having contact with someone with a suspected or diagnosed case of Coronavirus (COVID-19), or<br>• in self-isolation due to the government protocols for overseas travellers entering or returning to Australia?

  Yes

  No

• ■ Advise the consumer that the inspection will need to be cancelled and rescheduled..
  ■ Leave the premises and ensure personal hygiene practices are observed
  ■ Advise your manager of the situation immediately.

• • is anyone at the premises a vulnerable or at-risk person, such an elderly person or a person with a pre-existing medical condition?

  Yes

  No

• ■ Advise the consumer that the inspection will need to be cancelled and rescheduled..
  ■ Leave the premises and ensure personal hygiene practices are observed
  ■ Advise your manager of the situation immediately.

• Gas Type

  Select Natural Gas (NG) Liquefied Natural Gas (LNG) Compressed Natural Gas (CNG) Liquefied petroleum Gas (LPG) Bio-gas

  • Natural Gas (NG)
  • Liquefied Natural Gas (LNG)
  • Compressed Natural Gas (CNG)
  • Liquefied petroleum Gas (LPG)
  • Bio-gas

• The primary gas supply is compliant with the requirements in appendix J of AS/NZS 5601.1 and AS/NZS 1596(LPG Cylinders)

  Yes

  No

  N/A

• Has cylinder restraint been fitted to comply with section 4.4.11 of AS/NZS1596 <br>-9KG to 90 KG<br>

  Yes

  No

  N/A

• is the installation supplied by 8.5kg or smaller

  Yes

  No

  N/A

• are the pigtails the LCC27 type, from 1st April 2022

  YES

  NO

  NOT APPLICABLE

• The location of cylinder has been selected to minimise the risk of impact from vehicles<br><br>Commercial/industrial LPG installations must comply with appendix Q of AS/NZS1596

  Yes

  No

  N/A

• Natural Gas Meter proximity -all measurement from centre of regulator -1m opening to buildings horizontally -500mm to switch board horizontally -3m above regulator to any opening or switch board

  Select YES NO NOT APPLICABLE

  • YES
  • NO
  • NOT APPLICABLE

• is the inspection proactive or Re-active

  Proactive

  Re-active

• Nature of complaint or incident

• Installation type

  complex

  prescribed standard

  standard

• Gas Pressures Kpa

  Select 2.75 kpa 3 kpa 7 kpa 35 kpa 70 kpa 90 - 200 kpa Other

  • 2.75 kpa
  • 3 kpa
  • 7 kpa
  • 35 kpa
  • 70 kpa
  • 90 - 200 kpa
  • Other

• Photo of gas supply point

  Media

• Approved compliance plate fitted with Permanent and legible details

  Yes

  No

  N/A

• Photo of the gas fitter compliance plate fitted

  Media

Materials, Fittings &Components

• The materials fitting and components used with in the installation comply with the requirements outlined in section 4.1AS/NZS 5601.1

  Yes

  No

  N/A

• All accessible and visible components of the consumer pipe work appear to comply with the requirement outlined in section 5 <br><br>-condition<br>-corrosive environment<br>-free from buckles or cracks<br>-no reduction to building fire resistance from penetrations <br>-pipe markings for pressure over 7 kPa

  Yes

  No

  N/A

• The design of the consumer piping system appears to comply with section 5.1 of AS/NZS 5601.1<br><br>-pressure rating of piping components<br>-suitable of appliance pressure rating <br>-pipe sizes<br>-means of disconnection<br>-isolation valves into buildings and appliances

  Yes

  No

  N/A

• The location of all visible,above ground consumer pipe work appears to comply with the requirements outlined in section 5.3AS/NZS 5601.1 <br><br> -not within a prohibited location<br>- likelyhood of being damaged 50mm above ground level

  Yes

  No

  N/A

Corrosion control

• From what can be determined from above ground indicators and any plans in your possession, the location of underground consumer piping appear to comply with section 5.4 of AS/NZS5601.1<br>- bedding and support of pipe<br>-depth of cover <br>-bedding and backfill,<br>-marker tape<br>-termination of plastic pipe

  Yes

  No

  N/A

Quick connect devices

• The location requirements of the quick connect devices listed with in clause 5.10 of AS/NZS5601.1 meet the installation location of all quick connect devices <br>- 300mm above ground if located outside <br>-securing a restraining wire fitted on BBQ within 50mm of outlet<br>-positioned to avoid entry of water and dust

  Yes

  No

  N/A

Hose assemblies

• All hose assemblies fitted within the consumer installation complies with the requirements outline in section 5.9 of AS/NZS5601.1<br>- Not exceeding 3m in length of adequate diameter<br>-certified to AS/NZS 1869 <br>-not within bedroom, bathroom, sauna, toilet, hallway or residential garage <br>-connection point not with in 1m of doorway <br>-no hose through door way

  Yes

  No

  N/A

• All appliances fitted with casters, rollers or wheels or designed to be slid out for servicing and weight is over 20 kg must have a safety chain maximum of 80% of flexible hose lenth

  Yes

  No

  N/A

Gas appliance support and movement

• All gas appliances within the installation are supported adequately and the support meets the requirements outlined in clause 6.2.10 of AS/NZS 5601.1<br>-plumb level <br>-not solely supported by consumer piping

  Yes

  No

  N/A

Gas equipment regulator

• All consumer pressure regulators used comply with the requirements outlined in clause 5.11.1-5.11.1.6 of AS/NZS 5601.1<br>- outlet capacity, expected load and a pressure drop suitable<br>-above ground well ventilated, vent protected from water entry and accessible for maintenance <br>-prohibited location lift shaft or motor room, electrical switch board room, fire separated stairway or passage way , fire hydrant <br>cabinet sprinkler or hydrant pump room <br>-correct pressure at appliances

  Yes

  No

  N/A

• 1. All elements with regard to the consumer gas pressure regulators comply with over pressure protection requirements stated in section 5.11.2 of AS/NZS 5601.1<br>- The maximum over-pressure of piping and components supplied by the regulator up to and including the next downstream regulator; and<br>- In place if higher than 7kPa NG and 14kPa LPG<br><br>2. Where an over-pressure system shuts of the gas supply<br>- to be of a manual reset type<br>- gas filter located upstream no more than 5m from device that shuts off the gas supply<br>

  Yes

  No

  N/A

Gas equipment -sub meter, vent lines and pressure raising device

• Does the installation have a sub meter, vent line or gas pressure raising device

  Yes

  No

  N/A

• The gas equipment (sub meter, regulator, or raising device) within the installation that is fitted indoors or in an enclosure has been ventilated in accordance with either clause 5.13.2 natural ventilation to outside or clause 5.13.4 mechanical ventilation

  Yes

  No

  N/A

• All requirements with regards to vent pipe performance, construction, interconnection, length, termination, water/insect protection hazardous zoning clearance complies with 5.11.5 through to 5.11.6.7

  Yes

  No

  N/A

Test point

• A gas pressure test point is fitted in an accessible position in the following locations within the installation <br>-outlet of all gas pressure regulator<br>-inlet and outlet of all gas pressure raising devices <br> -outlet of the vent of a double block and vent safety shut off system<br>-inlet of gas appliance if not fitted by manufacture <br>-where a permanent pressure gauge is fitted , provision to fit an alternate test point is provided <br>-self sealing over 7 kPa

  Yes

  No

  N/A

Requirements for gas appliances

• All appliances with in the installation are approved for use with the gas that is being supplied

  Yes

  No

  N/A

• All appliances that have been converted from another gas type, appear to have been commissioned correctly

  Yes

  No

  N/A

General installation requirements

• The gas supply pressure and related pipe sizing appear to be adequate for the safe combustion of all appliances within the installation

  Yes

  No

  N/A

• All appliances appear to be installed to manufactures instructions and operation instructions have been left with owner

  Yes

  No

  N/A

• All appliances within the installation appear to be installed so that the surface temperature of any adjoining or adjacent surfaces do not exceed 65degree c above ambient temperature

  Yes

  No

  N/A

• All appliances within the installation are certified safe to operate and suitable for the location of installation

  Yes

  No

  N/A

Electrical isolation

• All appliances that require electrical supply for there operation have an accessible means of isolation adjacent the appliance

  Yes

  No

  N/A

Appliance location

• Adequate protection has been provided for appliances likely to sustain physical damage<br>Refer- 6.3.2 of AS/NZS 5601.1

  Yes

  No

  N/A

• All appliances within the installation appear to be installed having taken into account the operation of air handling systems and exhaust systems and have been positioned as far as practicable to minimise any adverse effects on the air supply for combustion <br>Refer- 6.3.1 of AS/NZS5601.1

  Yes

  No

  N/A

• Appliances have been installed in such away as to provide sufficient clearance and accessibility to allow access to and removal of, all serviceable components <br>Refer- 6.3.3AS/NZS 5601.1

  Yes

  No

  N/A

Appliances at height

• Appliances in a roof space must comply with Clause 6.3.11of AS/NZS 5601.1<br>-able to take the weight of appliance<br>-have walk way 750mm board around<br>-light near appliance for service and repairs

  Yes

  No

  N/A

• Appliances that are located on a roof for wall or elevated structure (excluding single story premises) must comply with clause 6.3.13 AS/NZS 5601.1<br>-structure capable of supporting load<br>-instilled more than 1.5m in from edge of roof<br>-height of base of the appliance exceeding 2.5m from ground unless a written statement from the property owner is received stating their willingness to provide other means of access to service appliance e.g scissor lift ,scaffold

  Yes

  No

  N/A

Appliance under floor

• All appliances installed under the floor of a building must comply with clause 6.4.14 AS/NS 5601.1<br>- min clearance of 200mm between any part of appliance and floor <br>-appliance located 1.2m of access door<br>-light fitted, lights switch near door

  Yes

  No

  N/A

Air supply to appliance

• All element with regards to the adequacy of air supply for the entire installation appears to be such that the combustion of gas, flue operation and ambient temperature of the surrounding will not be affected by the appliance operation under normal operation conditions

  Yes

  No

  N/A

Flue design and installation

• Does the installation have a flue?

  Yes

  No

  N/A

• All appliances within the installation that are designed to have flue are fitted with a flue; that has been designed and installed in accordance with requirement outline in section 6.7 & 6.8 of AS/NZS 5601.1<br>-flue gases not to cause an nuisance<br>-prohibited location lift shaft, duct,chute

  Yes

  No

  N/A

• All other aspects of the flue terminal location appear to comply with clause 6.2 of AS/NZS 5601.1<br>-cowl clearance above the a roof 500mm <br>-location of flue terminal in figure 6.2 of AS/NZS 5601:1

  Yes

  No

  N/A

Requirements of specific gas appliances

• Does the installation have any cooking appliance?

  Yes

  No

  N/A

• All clearance surrounding domestic or commercial cooking appliance appear to comply with the clause listed in clause 6.10.1-6.10.2.5 in AS/NZS 5601.1<br>- figure6.3, protection of combustible surfaces<br>-multiple cookers in a science classroom<br>-clearance above the high level grill<br>-flue of elevated cooking appliance<br>-BBQ in residential premises table 6.8<br>- restraints fitted

  Yes

  No

  N/A

Water heater appliance

• Does the installation have a water heater ?

  Yes

  No

  N/A

• All water heaters in the installation comply with clause 6.10.3-6.10.5.6 of AS/NZS 5601.1<br>-prohibited location instantaneous water heater<br>-flue less water heater not indoors<br>-storage water heater limitation<br>-pool heater requirements

  Yes

  No

  N/A

Gas heating appliance

• Does the installation have a gas heater?

  Yes

  No

  N/A

• All specific requirements that are required in clause 6.10.6-6.10.13.3of AS/NZS 5601.1<br>- limitation on space heaters,open flued appliances with rear register, restrictions on flue less space heaters <br>-25 mj/h max<br>-table 6.11. 0.4 mj/h/m3 thermostatically controlled or 0.2 mj/h/m3 for non thermostatically controlled

  Yes

  No

  N/A

Pole mounted heaters

• Does the installation have a pole mounted heater?

  Yes

  No

  N/A

• All pole mounted heater are to comply with clause 6.10.8.2 of AS/NZS 5601.1<br>-not mounted on bracket unless certified <br>- be secured to prevent tilting<br>- if connected to fixed consumer piping, be installed to prevent strain on consumer piping <br>- if connected to hose assembly must not cause a hazard,no stress on hose

  Yes

  No

  N/A

Overhead heater

• does the installation have a over head heater ?

  Yes

  No

  N/A

• All over head radiant gas heater installed outdoors must comply with clause 6.10.7.2 of AS/NZS 5601.1<br>- be wall mounted<br>- manufacturers installation instructions but in no instance be less than 1.8m above finished floor<br>-independently supported <br>

  Safe

  At Risk

  N/A

• All over head heaters installed indoors must comply with clause 6.10.7.1<br>-manufactures instructions but no less than 2.5m above floor level<br>-independently supported<br>-minimum clearance <br>-6mj/h 750mm<br>-12mj/h 900mm<br>Greater than 12mj/h 1100mm unless adequate protection is provided 65C above ambient <br>

  Yes

  No

  N/A

Flue-less gas appliances

• Does then installation have a flueless gas appliance?

  Yes

  No

  N/A

• Any flue less gas appliances within the installation are not installed in prohibited location and not exceed 0.4 mj/h per meter cubed for thermostatically controlled heater or 0.2mj/h for non thermostatically controlled heaters<br>-bedroom<br>-bathroom<br>-toilet <br>-sauna <br>-spa room<br>-the room where the heater is to be installed shall be isolated from sleeping rooms

  Yes

  No

  N/A

Direct fired air heater

• Does the installation have a direct fired air heater ?

  Yes

  No

  N/A

• Direct fire air heater must be installed clause 5.7 of AS/NZS3814 and can't be installed in<br>Any type of <br>-hospital, residential premise, education institute <br>

  Yes

  No

  N/A

Over head radiant tubes

• Does the installation have a over head radiant tube heater ?

  Yes

  No

  N/A

• Radiant over head heaters installation where atmosphere is contaminated by dust, lint, chemical vapours <br>-combustion air taken from outside <br>-the flue should be ducted outside

  Yes

  No

  N/A

• All radiant over head heaters must comply with clause 6.10.13 of AS/NZS 5601.1<br>-be installed at a height complying with manufactures instruction but no less than 3.5m unless approved by the technical regulator <br>- independently supported of consumer piping

  Yes

  No

  N/A

Laundry dryer

• Does the installation have a laundry dryer ?

  Yes

  No

  N/A

• Laundry dryers within the installation comply with clause 6.10.14 of AS/NZS 5601.1<br>-if dryer incorporates an exhaust fan is gas supply interlocked with the fan<br>-exhaust duct must be fitted over 10mj/h<br>-exhaust duct is longer than 900 mm long an access opening shall be provided

  Yes

  No

  N/A

Unusual appliances

• Does then installation have any unusual appliances ?

  Yes

  No

  N/A

• All gas lights, incinerators, pottery kiln and gas refrigerators that may be part of the installation have been check agains clause 6.10.15- 6.10.18.4 of AS/NZS 5601.1<br>

  Yes

  No

  N/A

Commissioning

• As aware as reasonably practicable it would appear that the installation and appliances has/have been commissioned in accordance with the requirements set out in 6.11.4 of AS/NZS 5601.1

  Yes

  No

  N/A

• Defect notice issued

  Yes

  No

  N/A

• Is the installation compliant

  Yes

  No

• COMMENT