Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Boiler Replacement Address Details
  • Date Of The Boiler Replacemeant

  • Has the Boiler Assessment Checklist been complete

  • Please take a clear and in focus photo of all pages (Boiler assessment Checklist)

  • Have you completed your has safety certificate (CP12)

  • Please take a clear and in focus photo of you completed CP12

  • Have you completed the benchmark (Gas Boiler Commissioning Checklist)

  • Please take a clear and in focus photo of you completed benchmark (Gas Boiler Commissioning Checklist)

  • Have you completed the Boiler Replacement Warranty - 2 Years Document

  • Please take a clear and in focus photo of your completed Worksmenship

  • Have you completed the Declaration of Conformity

  • Brand and Model of old boiler

  • Please take a clear and in focus of the Declaration of Conformity (all pages)

  • Photo Of The Old Boiler In Situ

  • Photo Of The Old Boiler Data Plate

  • Photo Of The Old Boiler Flue Inside & Outside

  • Brand & Model Of the New Boiler

  • Photo Of The New Boiler In situ

  • Add media

  • Please Scan the new boiler barcode

  • By signing this document you are confirming that all the infomation/question above have been completed

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