Audit

Customer details

Title

Name (inc. initials)

Job address

Telephone number

Resource Information

Name

Payroll number

Visit details
Time issued
Time ONRT
Time ONST
Time completed
Job completion codes

JOC 1

JOC 2

JOC 3

Work completion reason

Mandatory data form - status of supply

Gas off time

Final tightness test carried out?

Outlet pipe required?

Did you check/work on Appl/inst pipe work

Did you work on on meter or installation

Number of storeys in building

Supplier safety check carried out?

Appliance/installation information

Appliance type

Location

Appliance state

Appliance satisfactory

At risk

Immediately dangerous

Uncommissioned appliance

Concern for safety?

Please ensure each question is filled out

Visual check and relight only

Disconnected

Flue satisfactory

Ventilation satisfactory

Dang appliance instal label attached

Existing/Removed meter details

Location

Make

Model

Serial number

Year of man.

MET/IMP

Status

Index

SYN/ULTRA/ROT

Condition

Third party meter

Installed/new meter details

Location

Make

Model

Serial number

Year of MAN

MET/IMP

Status

Index

SYN/ULTRA/ROT

Condition

Battery details

Existing/removed regulator details

Make

Model

Serial/ batch number if present

Reason if not present

Installed regulator details

Make

Model

Serial/ batch number

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.