High Rise Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

High Rise Post Audit

• Name of engineer being Audited

• Address details
  Address

• Building Owner

• LDZ

  NW

  EA

  EM

  NL

  WM

• Description of building owner

  Select I&C Organisation Local Authority Housing Association Private Landlord & Tenants Individually owned/Private Unknown

  • I&C Organisation
  • Local Authority
  • Housing Association
  • Private Landlord & Tenants
  • Individually owned/Private
  • Unknown

• Type of building use

  Residential

  Commercial

  Mixed

• Estimated year of construction

• Number of storeys

• Number of flats per storey

• Total number of flats

• Have previous corrosion records been identified

  Yes

  No

  Not applicable

General

• Is there a cellar basement or underground garage

  Yes

  No

  Not applicable

• Has the engineer obtained an asbestos report

  Yes

  No

  N/A

• Building construction type

  System built modular

  Masonry/ Brick

  Concrete/Steel Frame

  Not Determined

• Meter positions and configurations

• Diagram displaying current riser network available

  Yes

  No

  Not applicable

Supply Pipe Details

• Is the supply pipe entry point correctly identified?

  Yes

  No

  N/A

• Has the supply pipe material been captured correctly

  Yes

  No

  N/A

• Has the supply pipe diameter been identified correctly

  Yes

  No

  N/A

• Is there cathodic protection present and what is its condition ?

  Yes

  No

  Not known

  Not applicable

• Is surveyed supply pipe distinguishable as Gas Pipework?

  Yes

  No

  N/A

• EP : Entry point has adequate access for inspection maintenance and Repair

  Yes

  No

  N/A

• EP: Entry point does not compromise building fire resistance

  Yes

  No

  N/A

• EP: Entry point does not compromise safe egress in an emergency

  Yes

  No

  N/A

• Insulation joint installed correctly

  Present and installed correctly

  Present

  Not Present

  N/A

PIV Details

• Has the pipeline isolation valve (PIV ) been located

  Present Identifiable and Acessible

  Present identifiable and Restricted Access

  Present Not Identifiable Not Accessible

  Present not on plan ( DR4 Required)

  Not Present

• PIV location correct

  Yes

  No

  N/A

• PIV location correctly referencing supply

  Yes

  No

  N/A

• Has DR4 process been raised

  Yes

  No

  N/A

IIV Detail

• Is an inlet isolation valve (IIV) Present and locatable

  Present Identifiable and Acessible

  Present identifiable and Restricted Access

  Present Not Identifiable Not Accessible

  Present not on plan ( DR4 Required)

  Not Present

• Has the location of the IIV been captured correctly?<br>

  Yes

  No

  N/A

• Is the IIV accessible for maintenance?

  Yes

  No

  N/A

• IIV, Has the IIV Been clearly identified as a gas valve

  Yes

  No

  N/A

• IIV , Is the IIV Accessible to members of the public ?

  Yes

  No

  N/A

• IIV ; If IIV is not located internally is it in a locked compartment at point where the pipeline enters the building

  Yes

  No

  N/A

• IIV : If IIV is located in a locked compartment is there advice where the keys may be found

  Yes

  No

  N/A

• IIV : Have permanent identification and gas escape notices been posted on or near the IIV

  Yes

  No

  N/A

• Has the handle been removed from the IIV

  Yes

  No

  N/A

Riser Details

• Number of external Risers

• Number of internal Risers

• EFV Installed on Riser

  Yes

  No

  N/A

• RIV: Has aRIV/ BIV been fitted to the maintenance and isolation of individual Risers

  Yes

  No

  N/A

• Riser Pipe Length

• Has the Riser Pipe diameter been captured correctly

  Yes

  No

  N/A

• Has the Riser Pipe material been captured correctly

  Yes

  No

  N/A

• Has the Base of the Riser been checked

  Yes

  No

  N/A

• Is there evidence of any external building modifications that could affect the safety of the network pipe work

  Yes

  No

  N/A

• Is the Riser referenced to correct supply pipe

  Yes

  No

  N/A

• Has the percentage of the Riser visible been captured correctly

  Yes

  No

  N/A

• Can the base of the Riser be checked

  Yes

  No

  N/A

• Has corrosion be been identified on the Riser

  Yes

  No

  N/A

• Has the Riser location been correctly identified

  Yes

  No

  N/A

• Is the number of visible repairs correct

  Yes

  No

  N/A

• If so are they still fit for purpose

  Yes

  No

  N/A

• Is the Riser supported every 3mtr for horizontal

  Yes

  No

  N/A

• Is the Riser supported 2.5 mtr for vertical

  Yes

  No

  N/A

• After leakage has the engineer found and recorded locations

  Yes

  No

  N/A

• Has the leak been repaired and captured

  Yes

  No

  N/A