Information

  • Audit Title

  • Conducted on

Report on the following

  • Property Address

  • Tenant Name

  • Tenant Phone Number

  • Call Date / Time

  • Fault Reported

  • Time Attended

  • Fault Found

  • Add media

  • Details of any repair work carried out

  • Add media

  • Details of any further work required

  • Add media

  • Notes

  • Total Hours

  • Tenant signature

  • Quote info

  • Details

  • Add media

  • Other trades

  • Add media

  • Any other relevant notes

  • Add media

  • Inspection
  • Notes

  • Add media

  • Add drawing

On Van

  • Van audit

Van - External inspection

  • Front views and detail of any damages

  • Side views and detail of any damages

  • Rear views and detail of any damages

  • Windscreen ok?

  • Notes

  • Tyres all ok?

  • Notes

  • Roof rack?

  • Secure and in good condition?

  • Would the van benefit from having one?

  • Notes

  • External condition notes

Van - Internal inspection

  • Open the drivers/passenger door(s) and take photos looking inside

  • Side door?

  • Open the side door and take a photo looking inside

  • Open the rear doors and take a photo(s) looking inside

  • Internal condition notes

On Tools

  • Tools Audit

  • New tool
  • Item

  • In good condition?

  • Condition notes

  • Model no...

  • Serial no...

  • Asset no...

  • Calibration Date

On Gas

  • This QC is a...

  • Address

  • Access to customers property?

  • Was the tenant in when the engineer called?

  • Any relevant comments

  • Any relevant comments

  • Notes

Site inspection

  • What is the QC inspection on?

Installation post inspection

  • Are you taking installation images?

  • Notes

  • Boiler images

  • Boiler notes

  • Flue images

  • Flue notes

  • Condensate images

  • Condensate notes

  • Gas Pipework images

  • Gas Pipework Notes

  • General install images

  • General installation notes

Repair post inspection

  • What was the repair?

  • Notes on the repair

  • Images from the repair

Gas safety inspection

  • Is the attending engineers paperwork available?

  • Gas meter notes

  • Appliances notes

  • General gas installation notes

Gas service post inspection

  • Is the attending engineers paperwork available?

Gas meter & Pipework checks

  • Tightness test carried out at QC visit?

  • Gas pipework sleeved & sleeves sealed

  • ECV correctly positioned labelled and operable

  • Gas pipework material of correct type size support & route correct

  • General notes

  • Add media

Appliance checks

  • Appliance / associated controls operating correctly

  • Appliance internal components / ignition examined / cleaned

  • Flue size construction route termination and support visually examined and correct

  • Gas isolation valve type fit for purpose and in correct position

  • Ventilation correct?

  • Gas rates

  • Burner pressures if taken

  • General notes

  • Add media

  • Address

  • The engineer was...

  • Notes

Engineer

  • Identification badge on show

  • Office

  • Wearing company issued workwear?

  • Notes

  • Wearing company approved safety footwear?

  • Notes

  • Enter flue gas analyser details in the tools audit section

Property details

  • Is there access to the customers property?

  • Notes

  • Tenant in?

  • Is a company provided sign attached to the door advising that the engineer is working in the property?

  • Notes

  • Was the engineers introduction to the customer polite & informative?

  • Notes

  • Was their gas Safe I'd card shown?

  • Notes

  • Did they take care entering the property I.e. Wearing blue overshoes if it was raining?

  • Notes

Site inspection details

  • Relevant site notes

  • Co detector tested and operating?

  • Fitted new one(s)?

  • Visual inspection on appliances

  • Gas meter check satisfactory

  • Notes

  • Tightness test carried out?

  • Correctly?

  • Notes

  • Notes

  • Appliance

Appliance details

  • Photo of appliance

  • Appliance type:

  • Flue type

  • Make

  • Model

  • Location

  • Notes

  • Appliance fuse rating checked and appropriate

Underpinning Knowledge

  • Questions asked?

  • Tightness testing

  • Question 1

  • For an existing installation with appliances connected and providing there is no smell of gas, what is the allowable pressure drop on a

  • Response?

  • Answer: 1mb up to 35mm ( no appliances connected means NO pressure loss )

  • Response?

  • Answer: 4mb up to 28mm and 2.5mb up to 35mm ( no appliances connected means NO pressure loss )

  • Response?

  • Answer: 8mb up to 28mm or 4.5mb up to 28mm ( no appliances connected means NO pressure loss )

  • Question 2

  • After a tightness test should you check and relight gas appliances?

  • Yes actually there is a need to check and relight appliances and duty of care requires a visual inspection to ensure safe operation of all appliances (TB 045)

  • Question 3

  • If you service a boiler is a tightness test on the whole installation required?

  • It is not required as per GSIU however the company wants good practice applied and a test should be carried out on the whole installation (TB 046 )

  • Correct but the appliance still needs to be tightness tested downstream of the appliance installation valve. ( TB 046 )

On Office Paperwork

  • Paperwork check
  • Landlords / Homeowner Certificate

  • Document image

  • Address

  • Site Inspection date

  • Any noted issues

  • Quote requirements

  • Isolating services

  • Water

  • Is the mains water easily shut off?

  • Notes

  • Tanks

  • Cold water storage tank

Cold water tank notes

  • Add media

  • Notes

  • Easily accessed?

  • Link over to mains required?

  • Remove the old tank?

  • >>>> Include time for this on the quote <<<<

  • The tank material is

  • Feed & Expansion

F&E tank notes

  • Add media

  • Notes

  • Hot water cylinder?

  • Add media

  • Gas meter and pipework

  • Any issues to note?

  • Add media

  • Notes

  • Draining

  • Heating drain located?

  • Notes

  • Location

  • Notes

  • >>>> Note a disclaimer on the quote explaining that if the heating drain location cannot be found prior to install then it can affect the drain down, flushing and commissioning process <<<<

  • Existing System details

  • Add media

  • System type?

  • Record the pressure gauge reading

  • Any known pressure loss issues?

  • Relevant images?

  • Relevant notes

  • Boiler type

  • What to do with the redundant vent?

  • What to do with the redundant boiler

  • ^^^^^^^^^^ Arrange a builder for this ^^^^^^^^^^

  • Notes

  • Add media

  • Boiler make and model

  • Relevant notes

  • Boiler removal

  • Add media

  • Is there a co detector fitted?

  • Any other issues to note?

  • Add media

  • Is there any showers?

  • Shower details

  • Add media

  • New boiler details

  • New boiler type?

  • Client preferred boiler?

  • Notes

  • Boiler position

  • Add media

  • Notes

  • Is a pad required for mounting the boiler?

  • Cupboards to clear and or remove?

  • Add media

  • Sockets below the boiler to move?

  • Add media

  • System filter required?

  • Earth bonding to upgrade?

  • Details on upgrade

  • Flue details

  • Flue Notes

  • Add media

  • Flue route being changed?

  • New flue type

  • Is the flue

  • Is there suitable access to the roof?

  • How can the roof be accessed?

  • Notes

  • Flue Core

  • Is there adequate space to core the new hole?

  • Notes

  • Flue core length

  • Can the old / new flue be sealed ok?

  • How can the flue be sealed?

  • Add media

  • Flue core dust

  • Builder required

  • Control detail

  • Use existing controls?

  • Programmer required?

  • Thermostat required

  • Condensate detail

  • Add media

  • Condensate terminating to

  • To where?

  • Gas detail

  • Add media

  • General pipework

  • Add media

  • Are there any rooms requiring radiators to add?

  • Room
  • Room Name

  • Radiator Type / Size required

  • Radiator position

  • Flooring type

  • Add media

  • Other trades required

  • Electrician

  • Joiner

  • Builder

  • Other trades

  • Material Required

  • Boiler

  • Flue Parts Required

  • Condensate Components Required

  • Controls Required

  • Other material required

  • General material for install

  • 1 x Sentinel X100 Inhibitor
    1 x Sentinel X800 Cleanser
    9mtr 22mm copper
    9mtr 15mm copper
    6mtr Condensate pipe
    10 x 15mm snap over pipe clips
    12 x 15mm York 90
    6 x 15mm York tee
    6 x 15mm York str
    6 x 15mm kut 90
    4 x 15mm kut str
    2 x 15mm tectite 90
    2 x 15mm tectite str
    2 x 15mm tectite tee
    10 x 22mm snap over pipe clips
    6 x 22mm york 90
    6 x 22mm York tee
    6 x 22mm york str
    2 x 22mm x15mm x22mm York tee
    2 x 22mm x 22mm x 15mm york tee
    6 x 22mm Kut straight
    2 x 22mm kut 90
    2 x 22mm tectite str
    6 x Condensate 90
    6 x Condensate 45
    6 x Condensate str
    1 x Condensate clamp for 1 1/4" & 1 1/2"
    1 x box brown plugs


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.