Information

  • Document No.

  • Audit Title

  • Personnel

  • Client / Site

  • Prepared by

  • Location
  • Conducted on

Work Preparation & Customer Care

  • Customer Liaison

  • Gas Safe card / I'd card available

  • Visual / written risk assessment completed

  • Customer care / work area preparation

  • Hot work permit obtained / fire extinguisher.

  • Reference material / Technical bulletins.

Installation gas pipework & valves

  • Initial tightness test completed correctly

  • ECV correctly positioned labelled and operable

  • Gas line diagram installed and up to date Gas pipework correctly identified

  • Gas pipework material of correct type size support & route correct

  • Gas pipework sleeved & sleeves sealed

  • AECV / s correctly positioned labeled & operable

  • Gas isolation valve type fit for purpose and in correct position

  • Point of entry Main equipotential bonding installed

  • Ducts and voids ventilated correctly

  • Final tightness test completed correctly

  • All disturbed joints tested

  • Purging completed correctly

Appliances / Ancillary Plant / Systems

  • Workmanship / visual appearance suitable

  • Installed to manufacturers instructions

  • Ancillary plant installed correctly

  • Ductwork & canopies installed correctly

  • Systems configured correctly

  • Pressure relief pipework / termination correct

  • Condensate pipework / termination correct

Electrical Tests

  • Fuse rating checked and appropriate

  • Electrical isolation check completed correctly

  • Electrical tests identified & completed correctly

Appliance Safety Checks

  • Appliance / associated controls operating correctly

  • Appliance internal components / ignition examined / cleaned

  • Flue size construction route termination and support visually examined and correct

  • Ventilation size and route checked and correct

  • Flue flow continuity check completed correctly

  • Spillage / case seals inspected

  • Operating pressure and / or gas rate checked

  • Safety devices operation checked

Commissioning

  • Combustion analysis completed

  • Commissioned to manufacturers instructions

Safe Working Practices

  • Safe working practices employed

  • Electrical equipment safety and calibration

Underpinning Knowledge

  • Question 1

  • Question 2

Completion

  • Customer instructed in use and instructions left / controls reset

  • Documentation completed correctly

Signatures

  • Auditor

  • Operative

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.