Title Page

  • Who is completing this audit?

  • Audit Reference

  • Audit Type

  • Job Type

  • Client Name

  • Location
  • Operative Name

  • Operative Unvented 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

  • Has the operative checked all equipment has been installed in accordance with current building regulations and individual trade legislations?

  • Has the operative checked the safe operation of the system PRV's

  • Has the operative checked what type of system has been fitted? (e.g. pressurised / drain back)

  • Has the operative checked that all pipework from the collectors has been adequately clipped?

  • Has the operative checked the collectors are securely fitted with no roof leaks?

  • Has the operative checked all thermal safety shut off devices are operating correctly?

  • Has the operative checked all thermostats are operating correctly?

  • Has the operative checked the expansion vessel charge?

  • Has the operative checked that the D1 & D2 pipework installed meets IAW document G building regulations?

  • Has the operative checked that the pump station is adequately supported?

  • Has the operative checked the correct pressure on the outlet of the reducing valves?

  • Has the operative checked the draw off temperature at the furthest outlet?

  • Has the operative checked that all components used are steam rated?

  • Has the operative checked all air vents are operating correctly? (auto / manual)

  • Has the operative checked all zone controls are operating correctly?

  • Has the operative checked the system has the correct mixture of antifreeze?

  • Has the operative checked the operation of the NTC's?

  • Did the operative check the pipework is correctly lagged?

  • Has the operative set the controls back to user settings and discussed their operation to the user?

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.