Title Page

  • Audit completed by

  • Audit Reference

  • Audit Type

  • Job Type

  • Client Name

  • Location
  • Operative Name

  • Operative Gas Safe Licence Number

  • Labour Type

  • Inspection Date

Work In Progress

  • Customer Liaison / interaction

  • Operative worked in a safe manner

  • Protection of customers property (e.g. dust sheets used)

  • I.D / Licence card shown

  • Operative knows where to find company RAMS / Technical bulletins etc

  • Safe isolation carried out

  • Preliminary electrical tests done

Appliances

    Appliance Details
  • Photo of appliance

  • Appliance make & model

  • Appliance location

  • Type of inspection

  • Was the expansion vessel charge checked?

  • Was the heating system glycol concentration level checked?

  • Was a visual inspection of the radiators & heating pipework completed?

  • Did the operative check the operation of the thermostat and controls?

  • Did the operative inspect and clean heat exchanger?

  • Did the operative check all electrical connections & mains isolator?

  • Did the operative check the magnetic system filter?

  • Did the operative check the installation meets with manufacturers instructions & specifications?

  • Did the operative check the compressor running current?

  • Did the operative check the operation on the motorised valves?

  • Has the operative removed and cleaned the integral "Y" strainer?

  • Has the operative checked the integrity of the water pipework & lagging?

Documentation

  • Is the correct documentation available?

  • Has the work record been completed correctly?

Audit Outcome

  • Audit outcome

  • Who will be involved in closing the corrective actions?

  • What are the recommendations?

  • What actions are to be implemented?

  • What is the target date to have closed the corrective action?

  • Additional Notes

  • Operative Signature

  • Quality Assessor 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.