Title Page

  • Conducted on

  • Prepared by

  • Location

Homeowner/Tenant details

Name

Address

Telephone No:

Ref No

Installer

Installation Date

  • Select date

Final Inspection Date

  • Select date

QAA Date

  • Select date

QAA Inspectors Name

  • UNSAFE SITUATIONS: ID Yes/No AR Yes/No RIDDOR

  • If Yes, name person at HO informed by phone

System Installation

  • Does the percentage of the measure installed match the specification?

  • Have all injection holes been filled?

  • Have all injection holes been finished to an aesthetically acceptable standard?

  • Are combustion vents/flues/chimneys clear of insulation and in compliance with HSE/CIGA Guidance?

  • Have combustion air core vents been fitted where required?

  • Have cavity brushes been fitted where appropriate?

  • Has all access equipment i.e. Scaffolding been removed from site?

  • Are there any other health and safety issues related to the installation?

Fire Detection to meet requirements of BS5839- Grade F:Cat LD2

  • Lounge & Kitchen (Heat detection)

  • Upper & Lower Hall forming escape routes (Smoke detection)

  • Carbon Monoxide/Dioxide Alarm installed to manufacturers instructions

Customer Documents

  • System documentation & CWI installation completion certificate/s left with documents

Customer Care

  • Contact & Punctuality of Surveyors/Installers/Inspectors

  • Polite & Professional team -Surveyors/Installers/Inspectors

  • Care of customer property/damages (has the customer advised WW)

  • Is the customer competent on using the system controls

  • Does the customer know what to do in case of an emergency

Customer Care Cont'd

  • Did the customer receive advise on fuel tariff's

  • Contact details left for Warmwork's

  • Assistance moving furniture and lifting carpets (where specified)

  • Have all redundant materials been removed

  • Installation neat and tidy

SCHEME COMPLIANCE

  • All Measures Installed as expected

  • Works previously QA'd by National Scheme manager's Assessor

  • Inspection Feedback/comments/concerns if any:

SIGNATURES

  • Customer signature is required only to confirm that a Quality Assurance Inspector has visited a property and carried out a visual inspection

  • Does the customer have a complaint issues?

  • Complaint Details

  • Customer signature Print name

  • QAA Inspectors Signature Print name

  • Emergency calls to be logged to Pennington 01928 568842 & XXXX FIELD SERVICE MANAGER (NEST) TEL NO XXXX FIELD SERVICE MANAGER (ARBED) TEL NO

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.