PAS - Gas Safety Audit v2

• Job Number

• Engineer Name

• Engineer Picture

  Media

• Picture of Gas Safe card (both sides)

  Media

• Workstream

  Direct employed

  Partner

• If subcontractor identify company name

• Work activity and gas type

  Select Installation Servicing Reactive Landlord check Work in progress Post inspection LPG cyl LPG bulk tank LPG/air Natural gas Domestic Industrial/commercial New installation Existing installation Gas engineer inspection

  • Installation
  • Servicing
  • Reactive
  • Landlord check
  • Work in progress
  • Post inspection
  • LPG cyl
  • LPG bulk tank
  • LPG/air
  • Natural gas
  • Domestic
  • Industrial/commercial
  • New installation
  • Existing installation
  • Gas engineer inspection
• Location
  Address

• Inspection Date

  Date

Pre Visit Checks

• Does the engineer know how to access RAMS & COSHH (Van file, LearnUpon)

  Select Yes No

  • Yes
  • No

• Are the engineers aware of incident reporting & emergency procedures?

  Yes

  No

  N/A

• What are the emergency procedures?

• Is the engineer aware of the National Gas Service contact number? (0800 111 999)

  Yes

  No

• Does the engineer have a copy of the gas industry unsafe situations procedure - Current Edition

  Yes

  No

Does the engineer understand their Gas Safe requirements?

• Obtaining manufactures servicing and installation instructions

  Yes

  No

• Gas safe site login to notify new installs and unsafe conditions. (Gas card license number and company registration number)

  Yes

  No

Documentation

• Does the engineer have a copy of the Domestic Gas Safety On Site Guide?

  Yes

  No

• P65 Gas Maintenance Pad

  Yes

  No

  N/A

• P55 Warning advice notice pad

  Yes

  No

  N/A

• Warning label (Do not use)

  Yes

  No

  N/A

Hand Tools and equipment

• Is a first aid kit complete with eyewash available?

  Yes

  No

  N/A

• Is a fire extinguisher available

  Yes

  No

  N/A

• U Gauge & tube

  Yes

  No

  N/A

• U Gauge (LPG)

  Yes

  No

  N/A

• Leak detector spray

  Yes

  No

  N/A

• Steel Wool

  Yes

  No

  N/A

• Gas PTFE tape

  Yes

  No

  N/A

• Earth bonding Clamp

  Yes

  No

  N/A

• Stop end 15mm

  Yes

  No

  N/A

• Chain kit

  Yes

  No

  N/A

• Flexi Hose (Natural and LPG)

  Yes

  No

  N/A

• Hand Bellows

  Yes

  No

  N/A

• Working pressure test nipple

  Yes

  No

  N/A

• Gas Paste

  Yes

  No

  N/A

• Capping off equipment

  Yes

  No

  N/A

• PPE Available

  Media

Site set up

• Has the engineer carried out a pre work dynamic risk assessment?

  Yes

  No

• Has the engineer set up a safe working environment?

  Media

• Have provisions been made to protect the existing furnishings?

  Media

• Has all electrical safety protocols been followed in line with the company standards

  Yes

  No

  N/A

• Have all additional hazards been identified & appropriate control measures put in place?

  Yes

  No

  N/A

• Has the engineer carried out a pre-work dynamic risk assessment?

  Yes

  No

  N/A

• Has the engineer undertaken the relevant tightness test?

  Yes

  No

  N/A

• Have the engineer addressed their duty of care to visually inspect all gas appliances in the property?

  Yes

  No

  N/A

• List items visually inspected

  Yes

  No

  N/A

Electrical Safety & Safe Isolation Process

• Can the Operative make correct use of the non-contact Volt Detector? (photos of the engineer conducting the test required)

  Pass

  Fail

• Visual Inspection (plug top, fuse rating, mains cable, sockets etc)

  Pass

  Fail

• Can the Operative perform an Earth Loop Impedance Test? (photos of the engineer conducting the test required)

  Pass

  Fail

• Can the Operative perform an Earth Continuity Test? (photos of the engineer conducting the test required)

  Pass

  Fail

• Can the Operative perform an Insulation Resistance Test? (photos of the engineer conducting the test required)

  Pass

  Fail

• Locking off of MCB/Plug top (photos of the engineer conducting the test required)

  Pass

  Fail

• Can the Operative make use of the 2-Pole Indicator to provedead? (photos of the engineer conducting the test required)

  Pass

  Fail

Appliance (Take picture)

• Photo of appliance

  Media

• Appliance location

• Photo of installation

  Media

• Photo of rating plate

  Media

Is the appliance and / or installation safe to use?

• Is the appliance safe to use?

  Yes

  No

Defects

• Details of repair

  Select Parts required Disconnected Warning notice issued Gas emergency services contacted

  • Parts required
  • Disconnected
  • Warning notice issued
  • Gas emergency services contacted

Have all installation checks been completed?

• Ventilation (Cooker/hotplate/Oven/Grill) Openable window direct to outside (100cm2)

  Yes

  No

• Pipework defects (Installation issue/Corrosion/Flexi hose position)

  Yes

  No

• Is the ECV accessible?

  Yes

  No

• Flame picture (before & after repair including maximum and minimum settings)

  Yes

  No

• Safety devices fully operational

  Yes

  No

• Correct operating pressure (21-23 mbar)

  Yes

  No

• Tightness test carried out or explained the procedure in full

  Yes

  No

Has the engineer addressed their duty of care to visually inspect all gas appliances within their working vicinity and access/egress routes?

• Appliance model number/type

• Serial number

• Location

• Flueing

• Ventilation

• Signs of distress

• Stable/secure

• Flame picture (Considered best practice)

• Do you the engineer understand your Gas safe requirements. e.g. <br>1. Obtaining manufacturer servicing & installation instructions.<br>2. Gas safe site login to notify new installs and unsafe conditions.

  Yes

  No

Auditors general comments and observations

• Has the above information been correctly documented on the appropriate notice forms including descriptions on mobile connect complete/actions taken?

  Yes

  No

• Does the engineer comply with Gas Safe regulations?

  Yes

  No

• Is the engineer competent and safe to continue gas work?

  Yes

  No

• Noted by auditor

Sign off audit

• Engineer signature

  Sign

• Auditor signature

  Sign