Information

  • Job Number

  • Engineer Name

  • Engineer Picture

  • Picture of Gas Safe card (both sides)

  • Workstream

  • If subcontractor identify company name

  • Work activity and gas type

  • Location
  • Inspection Date

Pre Visit Checks

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

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

  • What are the emergency procedures?

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

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

Does the engineer understand their Gas Safe requirements?

  • Obtaining manufactures servicing and installation instructions

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

Documentation

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

  • P65 Gas Maintenance Pad

  • P55 Warning advice notice pad

  • Warning label (Do not use)

Hand Tools and equipment

  • Is a first aid kit complete with eyewash available?

  • Is a fire extinguisher available

  • U Gauge & tube

  • U Gauge (LPG)

  • Leak detector spray

  • Steel Wool

  • Gas PTFE tape

  • Earth bonding Clamp

  • Stop end 15mm

  • Chain kit

  • Flexi Hose (Natural and LPG)

  • Hand Bellows

  • Working pressure test nipple

  • Gas Paste

  • Capping off equipment

  • PPE Available

Site set up

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

  • Has the engineer set up a safe working environment?

  • Have provisions been made to protect the existing furnishings?

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

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

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

  • Has the engineer undertaken the relevant tightness test?

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

  • List items visually inspected

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)

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

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

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

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

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

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

Appliance (Take picture)

  • Photo of appliance

  • Appliance location

  • Photo of installation

  • Photo of rating plate

Is the appliance and / or installation safe to use?

  • Is the appliance safe to use?

Defects

  • Details of repair

Have all installation checks been completed?

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

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

  • Is the ECV accessible?

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

  • Safety devices fully operational

  • Correct operating pressure (21-23 mbar)

  • 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?

  • 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.

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?

  • Does the engineer comply with Gas Safe regulations?

  • Ask the engineer 5 questions from the attached competency test then log the question number and engineers answers below

  • Engineers competency answers

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

  • Noted by the auditor, please detail your findings

Sign off audit

  • Engineer signature

  • Auditor signature

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.