• Document No.

  • Audit Title

  • Personnel

  • Client / Site

  • Prepared by

  • Location
  • Conducted on

  • Appliances

  • Appliance
  • Type

  • Make

  • Model

Work Preparation & Customer Care

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

  • Reference material / Technical bulletins available.

  • Visual / written risk assessment completed and recorded.

  • Hot work permit obtained.

  • Fire extinguisher available.

  • Customer Liaison

  • Customer care / work area preparation completed

Installation of gas pipework & valves

  • Existing gas installation inspected for suitability.

  • ECV correctly positioned labelled and operable

  • Point of entry Main equipotential bonding installed

  • Gas pipework correctly identified, Gas line diagram available were required

  • Gas pipework size support & route is correct

  • Gas pipework is constructed of approved materials.

  • Gas pipework sleeved & sleeves sealed

  • AECV / s correctly positioned labeled & operable

  • Ducts and voids ventilated correctly

  • Initial tightness test completed correctly

Appliance Installation.

  • Appliance Installed to manufacturers instructions

  • Flue / Ductwork installed correctly

  • Base / proprietary surrounds suitable for installation.

  • Ventilation is suitable for requirements.

  • Workmanship / visual appearance suitable

Electrical Tests

  • Electrical tests identified & completed correctly

  • Electrical isolation check completed correctly

  • Fuse rating checked and appropriate


  • Final tightness test completed correctly

  • Purging completed correctly

  • All disturbed joints tested

  • Commissioned to manufacturers instructions

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

  • Flue flow continuity check completed correctly

  • Spillage / Case seal tests completed correctly

  • Ventilation size and route checked and correct

  • Operating pressure and / or gas rate checked

  • Safety devices operation checked

  • Combustion analysis completed

  • Appliance / associated controls operating correctly

Safe Working Practices

  • Safe working practices employed

  • Electrical equipment safety and calibration checks carried out.


  • Customer instructed in use and instructions left / controls reset

  • Documentation completed correctly

  • Underpinning Knowledge

  • Question
  • Question

  • Response


  • Auditor

  • Operative

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