Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Signed

COMPLETION CHECKS

  • Fire checks completed?

  • Site specific RAMS completed & Signed?

  • All waste responsibly cleared from site?

  • Property left in a safe & clean condition?

Operational Checks

  • System filled & pressure tested?

  • Tightness test completed?

  • Hot water delivery & temperature checks completed and confirmed correct as per MI's

  • Heating function test completed and all radiators tested for correct operation?

  • Heating & hot water controls tested for correct operation?

  • Programmer set to residents requirements?

Resident Handover Process

  • Have the boiler controls, functions & features been explained to the resident?

  • Have the boiler instructions & fault finding sheet been left with the resident?

  • Have the heating & hot water system controls been explained to the resident?

  • Have the programmer & thermostat instructions been left with the resident?

  • Has the resident satisfaction survey form been completed and signed by the occupants?

  • Has the Gas Safe Energy Saving Tips leaflet been left at the property?

Commissioning Documents

  • Has the Benchmark form been completed?

  • Image of Benchmark Form

  • Has an LGSR been completed?

  • Has the CO detector been checked for operation?

  • Co detector expiry date

  • Has the smoke detectors been checked for operation?

  • Smoke detector 1 expiry date

Installation images

  • Image of boiler

  • Image of flue terminal

  • Image of condense termination point

  • Image of thermostat and programmer

  • Image of hot water cylinder

  • Image of new radiators (CAPTURE IMAGES OF ALL RADIATORS IF NEW)

  • Image of flue route & brackets (ONLY IF NOT STANDARD HORIZONTAL FLUE)

  • Image of filter

  • Clear image of boiler serial number

  • Clear image of filter serial number

  • Image of gas meter

Notable Damage

  • Have there been any damage caused to the property or residents belongings whilst completing the installation?

  • Has the office been informed?

  • Has the resident been informed?

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.