Information
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Audit Title
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Prepared by
Information
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Date
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Name & address
Appliance
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Type of appliance
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Make & model of appliance
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Flue type
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Visual condition/termination of appliance/flue
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Terminal guard fitted
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Flue flow test
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Spillage test
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Ventilation
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Flame picture
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Inlet pressure
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Burner pressure
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Gas rating results
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Combustion analysis reading
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Appliance safe to use
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Recommend replacement of appliance
Gas pipe work / meter
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Gas pipe/meter satisfactory
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Tightness test satisfactory
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LDF used on test nipples
Electrical
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Earth bonding satisfactory
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RCD fuse box fitted
Additional information
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Comments / extra details