Information
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Job Number
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Engineer Name
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Engineer Picture
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Picture of Gas Safe card (both sides)
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Workstream
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If subcontractor identify company name
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Work activity and gas type
- 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
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Location
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Inspection Date
Pre Visit Checks
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Does the engineer know how to access RAMS & COSHH (Van file, LearnUpon)
- Yes
- No
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Are the engineers aware of incident reporting & emergency procedures?
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What are the emergency procedures?
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Is the engineer aware of the National Gas Service contact number? (0800 111 999)
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Does the engineer have a copy of the gas industry unsafe situations procedure - Current Edition
Does the engineer understand their Gas Safe requirements?
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Obtaining manufactures servicing and installation instructions
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Gas safe site login to notify new installs and unsafe conditions. (Gas card license number and company registration number)
Documentation
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Does the engineer have a copy of the Domestic Gas Safety On Site Guide?
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P65 Gas Maintenance Pad
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P55 Warning advice notice pad
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Warning label (Do not use)
Hand Tools and equipment
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Is a first aid kit complete with eyewash available?
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Is a fire extinguisher available
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U Gauge & tube
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U Gauge (LPG)
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Leak detector spray
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Steel Wool
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Gas PTFE tape
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Earth bonding Clamp
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Stop end 15mm
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Chain kit
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Flexi Hose (Natural and LPG)
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Hand Bellows
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Working pressure test nipple
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Gas Paste
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Capping off equipment
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PPE Available
Site set up
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Has the engineer carried out a pre work dynamic risk assessment?
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Has the engineer set up a safe working environment?
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Have provisions been made to protect the existing furnishings?
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Has all electrical safety protocols been followed in line with the company standards
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Have all additional hazards been identified & appropriate control measures put in place?
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Has the engineer carried out a pre-work dynamic risk assessment?
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Has the engineer undertaken the relevant tightness test?
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Have the engineer addressed their duty of care to visually inspect all gas appliances in the property?
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List items visually inspected
Electrical Safety & Safe Isolation Process
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Can the Operative make correct use of the non-contact Volt Detector? (photos of the engineer conducting the test required)
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Visual Inspection (plug top, fuse rating, mains cable, sockets etc)
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Can the Operative perform an Earth Loop Impedance Test? (photos of the engineer conducting the test required)
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Can the Operative perform an Earth Continuity Test? (photos of the engineer conducting the test required)
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Can the Operative perform an Insulation Resistance Test? (photos of the engineer conducting the test required)
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Locking off of MCB/Plug top (photos of the engineer conducting the test required)
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Can the Operative make use of the 2-Pole Indicator to provedead? (photos of the engineer conducting the test required)
Appliance (Take picture)
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Photo of appliance
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Appliance location
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Photo of installation
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Photo of rating plate
Is the appliance and / or installation safe to use?
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Is the appliance safe to use?
Defects
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Details of repair
- Parts required
- Disconnected
- Warning notice issued
- Gas emergency services contacted
Have all installation checks been completed?
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Ventilation (Cooker/hotplate/Oven/Grill) Openable window direct to outside (100cm2)
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Pipework defects (Installation issue/Corrosion/Flexi hose position)
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Is the ECV accessible?
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Flame picture (before & after repair including maximum and minimum settings)
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Safety devices fully operational
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Correct operating pressure (21-23 mbar)
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Tightness test carried out or explained the procedure in full
Has the engineer addressed their duty of care to visually inspect all gas appliances within their working vicinity and access/egress routes?
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Appliance model number/type
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Serial number
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Location
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Flueing
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Ventilation
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Signs of distress
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Stable/secure
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Flame picture (Considered best practice)
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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.
Auditors general comments and observations
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Has the above information been correctly documented on the appropriate notice forms including descriptions on mobile connect complete/actions taken?
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Does the engineer comply with Gas Safe regulations?
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Ask the engineer 5 questions from the attached competency test then log the question number and engineers answers below
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Engineers competency answers
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Is the engineer competent and safe to continue gas work?
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Noted by the auditor, please detail your findings
Sign off audit
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Engineer signature
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Auditor signature