Gas Operative Heating Breakdown

• Document No.

• Audit Title

• Personnel

• Client / Site

• Prepared by

• Location
  Address

• Conducted on

  Date

• Appliances

Appliance

• Type

• Make

• Model

• Fault Reported

Work Preparation & Customer Care

• Gas Safe card and ACS elements correct for work to be carried out.

  Yes

  No

  N/A

• Reference material (Manufacturers Instructions) / Technical bulletins available.

  Yes

  No

  N/A

• Visual / written risk assessment completed and recorded.

  Yes

  No

  N/A

• Customer Liaison

  Yes

  No

  N/A

• Customer questioned on appliance / system performance / problems

  Yes

  No

  N/A

• Customer care / work area preparation completed

  Yes

  No

  N/A

Appliance / Ancillary Plant / Systems Checks

• Appliance Installed to manufacturers instructions

  Yes

  No

  N/A

• Gas pipework size, support, construction, route correct

  Yes

  No

  N/A

• Pressure relief pipework / termination correct

  Yes

  No

  N/A

• Condensate pipework / termination correct

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Ventilation size and route checked and correct

  Yes

  No

  N/A

• Ancillary Plant installed correctly.

  Yes

  No

  N/A

• Systems configured correctly.

  Yes

  No

  N/A

Electrical Tests

• Electrical tests identified & completed correctly

  Yes

  No

  N/A

• Electrical isolation check completed correctly

  Yes

  No

  N/A

• Fuse rating checked and appropriate

  Yes

  No

  N/A

Appliance / System fault diagnosis & repair.

• Appliance / System controls fault diagnosis flow charts in manufacturers instructions followed

  Yes

  No

  N/A

• Fault diagnosis procedure followed logically and cause of fault identified.

  Yes

  No

  N/A

• Rectification work carried out

  Yes

  No

  N/A

• Appliance / associated controls operating correctly

  Yes

  No

  N/A

• Operating pressure and / or gas rate checked

  Yes

  No

  N/A

• Safety devices operation checked

  Yes

  No

  N/A

• Flame picture correct

  Yes

  No

  N/A

• Combustion analysis completed

  Yes

  No

  N/A

• Flue flow continuity check completed correctly

  Yes

  No

  N/A

• Spillage / Case seal tests completed correctly

  Yes

  No

  N/A

• Final tightness test completed correctly where required

  Yes

  No

  N/A

• All disturbed joints tested

  Yes

  No

  N/A

Safe Working Practices

• Safe working practices employed

  Yes

  No

  N/A

• Electrical equipment safety and calibration checks carried out.

  Yes

  No

  N/A

Completion

• Customer instructed in use and instructions left / controls reset

  Yes

  No

  N/A

• Documentation completed correctly

  Yes

  No

  N/A

• Underpinning Knowledge

Question

• Question

• Response

Signatures

• Auditor

  Sign

• Operative

  Sign