Internal Works Quality Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Client

• Inspection is being carried out for:

  SGN

  tRIIO

  KLT

  K&S

  Connections

Supervisor/Auditor

Date

• Select date

  Date

Job Number

Engineer

Service Infomation

• Service laid correctly

  Yes

  No

  N/A

• ECV Correct

  Yes

  No

  N/A

• Meter Position

  Meter Box

  Wall Bracket

  Floor Bracket

  Unsupported

• Gas On/Off Tape present?

  Yes

  No

  N/A

Meter & Regulator

• Is Meter Box sited correctly?

  Yes

  No

  N/A

• Is Meter bracket fixed to wall or floor?

  Yes

  No

  N/A

• Is Meter position to correct standards?

  Yes

  No

  N/A

• Sheer Bolts and Washers installed?

  Yes

  No

  N/A

• 0800 Sticker on meter?

  Yes

  No

  N/A

• Target regulator exchanged?

  Yes

  No

  N/A

• Regulator sealed?

  Yes

  No

  N/A

• Test nipple checked with LDF?

  Yes

  No

  N/A

• Tightness test satisfactory?

  Yes

  No

  N/A

• Working Pressure correct?

  Yes

  No

  N/A

H&S

• Is all appropriate PPE being worn?

  Yes

  No

  N/A

• Risk Assessment conducted and Team Pack available?

  Yes

  No

  N/A

• Pipe/Cable Locator used?

  Yes

  No

  N/A

• Voltage Stick & Temporary Earth Bond being used?

  Yes

  No

  N/A

• Manual Handling assessed?

  Yes

  No

  N/A

• Environment & Waste considered?

  Yes

  No

  N/A

Customer

• Was Identification shown by engineer?

  Yes

  No

  N/A

• Was customer comments card filled out by customer?

  Yes

  No

  N/A

New Pipework

• Length of Pipework installed?

  Yes

  No

  N/A