• Engineers name

  • Which Engineer

  • Address
  • Date of inspection

  • Carried out by

  • Engineer Gas safe card present

  • What is expiry date

  • Card to be carried at all times

Protocol

  • Did Engineer arrive at appointed time

  • Did customer receive SMS prior to appointment

  • Did Engineer indentify himself

  • Did engineer explain what work would be carried out prior to proceeding

Gas Installation

  • Meter Location

  • Has the engineer checked exposed metal around meter/applliance with an approved volt stick?

  • Safe isolation must be carried out for your safety

  • Does the ECV fall to off?

  • Did the engineer follow the correct process and contact gas provider

  • Is the ECV accessible and operable?

  • Can the installation safely continue?

  • Has gas providor been notified and installation capped, warning notices issued

Gas Installation

  • Has the engineer correctly performed the initial LET-BY test?

  • Has the engineer correctly performed the initial TIGHTNESS TEST?

  • Correct size Pipework to appliance

  • Meter working pressure correct

  • Equipotential Earth bonding correct at meter

Appliance installation

  • Appliance location correct

  • Flue Type

  • Flue installation correct

  • Ventilation correct

  • Gas rate & Standing pressure correct

  • Has condense pipe been installed correctly

  • System set at correct pressure

  • Has a system filter been installed

  • Filling loop installed correctly

  • Inhibitor added at correct dosage and labelled on boiler

  • Pipework is neat and tidy

  • Has PRV been installed correctly

Electrical

  • Electrical isolation has correct fuse rating

  • Correctly supported and protected cabling

  • Controls installed in appropriate position

New gas boiler appliance compliance

  • Make

  • Model

  • Appliance safe to use and installed correctly

  • CO/CO2 ratio correct

  • Any outstanding remedial work to be completed

Audit

  • Audit Outcome

  • Reason for Failure

  • Have you provided any coaching during the site visit?

  • Please provide any good feedback observed during the site visit

  • Signed by Engineer

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.