Title Page
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Audit Type
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Job Number
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Address
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Conducted on Engineer
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Auditor Name
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date
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Repair/ASV/CP12
Boiler Details
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Boiler Make
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Boiler Model
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Boiler GC Number
Electrical Testing
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Fuse Rating Checked
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Safe Isolation Procedure Carried Out
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Preliminary Electrical Tests Carried Out
Appliance Checks
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Flue Construction, Route & Termination
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Flue Flow Test
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Spillage Test
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Ventilation Examined Fully
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Operating Pressure
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Heat Input
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Inlet Working Pressure
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Flue Gas Analysis
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F.S.D. Test
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Case Seals Inspected & Tested
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Condensate Pipe
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Pressure Relief Pipework
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Full Tightness Test
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All Disturbed Joints Tested
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System Walked & Bled
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Controls Tested
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Unsafe Situation(s) Identified
Job Completion
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Controls Reset
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Hand Held Device Fully Updated
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Customer Job Sheet Completed
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Safety Advice/Warning Notice Issued
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Warning Label Attached
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Appliance Turned Off/Capped Off
Customer Satisfaction
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Customer Introduction
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Gas Safe & company ID present & Card Shown to customer
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Action Taken To Protect Customer’s Property with dust matts and shoe covers
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Work Area Left Clean & Tidy
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General Conduct
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Auditor check engineer GSR for compliance to auditor findings & adherence to Manufacture instructions & Normative Documents#### UPOLOAD GSR TO THIS AUDIT SHEET###
Auditor Signature. I hereby confirm that the above form is a true representation of the responses given and tasks completed.
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Auditor Signature
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Audit Result
