Phoenix Gas Services Ltd Central Heating Service / Repair Audit

• Audit completed by

  Select

• Audit Reference

• Audit Type

  Work In Progress

  Post Inspection

• Job Type

  Service

  Repair

• Client Name

  Select Aspire Housing Peaks & Plains Connexus Newark & Sherwood District Council Homes Plus Group East Midlands Homes WATMOS

  • Aspire Housing
  • Peaks & Plains
  • Connexus
  • Newark & Sherwood District Council
  • Homes Plus Group
  • East Midlands Homes
  • WATMOS
• Location
  Address

• Operative Name

• Operative Gas Safe Licence Number

• Labour Type

  Direct

  Labour Only

• Inspection Date

  Date

Work In Progress

• Customer liaison / interaction

  Pass

  Fail

  N/A

• Operative worked in a safe manner

  Pass

  Fail

  N/A

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

  Pass

  Fail

  N/A

• I.D / Licence card shown

  Pass

  Fail

  N/A

• Operative knows where to find RAMS / Technical bulletins etc

  Pass

  Fail

  N/A

• Safe isolation carried out

  Pass

  Fail

  N/A

• Preliminary electrical tests done

  Pass

  Fail

  N/A

• Flue Gas Analyser in date

  Pass

  Fail

  N/A

• Flue Gas Serial Number

Appliance Details

• Photo of appliance

  Media

• Appliance Type

  Select Boiler Fire Cooker Unvented Cylinder ASHP HIU MVHR

  • Boiler
  • Fire
  • Cooker
  • Unvented Cylinder
  • ASHP
  • HIU
  • MVHR

• Flue Type

  Room Sealed

  Open Flued

  Flueless

  N / A

• Appliance Make & Model

• Appliance Location

• Type of inspection

  Technical

  Visual

Appliance Checks

• 1) Flue route / construction / support / termination

  Pass

  Fail

  N/A

• 2) Ventilation size / configuration

  Pass

  Fail

  N/A

• 3) Appliance installed to manufacturers instructions

  Pass

  Fail

  N/A

• 4) Appliance controls and operation

  Pass

  Fail

  N/A

• 5) Fuse rating checked

  Pass

  Fail

  N/A

• 6) Appliance cleaned / inspected

  Pass

  Fail

  N/A

• 7) Flue operational and visual checks

  Pass

  Fail

  N/A

• 8) Safety device operational

  Pass

  Fail

  N/A

• 9) Gas Rate / Operating Pressure

  Pass

  Fail

  N/A

• 10) CO / CO2 Ratio High

  Pass

  Fail

  N/A

• 11) CO / CO2 Ratio Low

  Pass

  Fail

  N/A

Pipework and meter installation

• 12) Meter installation / ECV / Labels

  Pass

  Fail

  N/A

• 13) Tightness test / LDF used in disturbed joints

  Pass

  Fail

  N/A

• 14) Visual inspection of pipework

  Pass

  Fail

  N/A

• 15) Equipotential Earth Bonding at Meter

  Pass

  Fail

  N/A

• Meter Operating Pressure (mBar) =

Unsafe situations

• 16) Unsafe situations correctly identified

  Pass

  Fail

  N/A

• 17) Warning label attached / notice issued

  Pass

  Fail

  N/A

• 18) Installation left safe to use

  Pass

  Fail

  N/A

Documentation

• 19) Correct documentation available

  Pass

  Fail

  N/A

• 20) Work record / LGSR completed correctly

  Pass

  Fail

  N/A

Audit Outcome

• Audit Outcome

  Pass

  Fail

• Who will be involved in closing the corrective actions

  Operative

  Lead Engineer

  Engineer Manager

  Contract Manager

• What are the recommendations

• What actions have been implemented

• What is the target date to close the corrective action

  Date

• Additional Notes

• Operative signature

  Sign

• Quality Assessor signature

  Sign