Title Page
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Address
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Conducted on
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Engineer name
- Dave Carson
- Dominic Hughes
- Tom Branch
- Karl King
- Chris Hoban
- Sean Willams
- Kevin Green
- Martin Crudden
- Graham Roche
- Lee Kuya
- Ste McCoy
- Ste Richardson
- Glyn Murray
- Jon Fagan
- Kevin Williams
- Mark Williams
- Rob Jones
- Ste Wareing
- John Stone
- Carl Fairhurst
- Tony Miller
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Carried out by
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Engineer Gas safe card present
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what is expiring date
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why not
Protocol
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Did Engineer arrive at appointed time
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What time did he arrive
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Did customer receive SMS prior to appointment
- Yes
- No
- N/A
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Did Engineer indentify himself
- Yes
- No
- N/A
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Did engineer show ID card
- Yes
- No
- N/A
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Did engineer explain what work would be carried out prior to proceeding
- Yes
- No
- N/A
Techincal Inspection
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Meter Location
- internal
- external
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Has the engineer visually checked appliances before starting AGS
- Yes
- No
- N/A
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Did the engineer ask customer if there where any issues with appliances
- Yes
- No
- N/A
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Has the engineer checked exposed metal around meter/applliance with an approved volt stick?
- Yes
- No
- N/A
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Safe isolation must be carried out for your safety
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Does the ECV fall to off?
- Yes
- No
- N/A
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Did the engineer follow the correct process and contact gas provider
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CAT2 G23 ECV does not fall to off
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Is the ECV accessible and operable?
- Yes
- No
- N/A
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Can the installation safely continue?
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Has gas providor been notified and installation capped, warning notices issued
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engineer to carry out works
- Yes
- No
- N/A
Testing and Isolation
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Has the engineer correctly performed the initial LET-BY test?*-
- Yes
- No
- N/A
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Why not,Evidence opertive doing this operation
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Has the engineer correctly performed the initial TIGHTNESS TEST?
- Yes
- No
- N/A
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Was there a pressure drop?
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is the drop within permissible limits
- Yes
- No
- N/A
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has meter been capped and work order raised, warning notice issued
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Engineer to continue with AGS
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evidence operative doing this operation
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Did the engineer check the Standing pressure test at meter
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Prompt
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record reading
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Did the engineer carried the working pressure test at meter
- Yes
- No
- N/A
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confirm readings
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Evidence him doing in
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Has engineers carried AGS to satifactory Standard
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has standing pressure test been carried on all landlords appliances
- Yes
- No
- N/A
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Have all Gas regulation 29/6 been carried out and recorded on LGSR
- Yes
- No
- N/A
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Gas Rate
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observe engineer carring out tests
- Yes
- No
- N/A
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Have all observations been recorded on LGSR
- Yes
- No
- N/A
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Has the engineer correctly performed the final TIGHTNESS TEST?
- Yes
- No
- N/A
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Advise to carry out
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Has the engineer correctly used LDF on the installation and carefully wiped off after
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Advise to carry out
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Auditor obsevations
Completion Process
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Please provide details of any unsafe situations identified
- ID
- AR
- N/A
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Details
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what action has been
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What action has been taken
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Where the engineer identified a fault with the installation, did they notify the customer and inform them of the appropriate next steps?
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door step protocol not applied appropriately
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Has handheld been completed correctly?
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Data incorrectly submitted,Handheld unit incorrectly used
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Did the engineer leave the site as found?
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Provide details
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Audit outcome
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reason failure
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Have you provided any coaching during the site visit?
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Please provide any good feedback observed during the site visit
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Signed by Engineer
