Title Page
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Document No. QHS0015 issue01
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Conducted on
Details
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Housing Association / Local Authority
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Works being audited
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Tenant's Name
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Address
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Telephone Number
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Engineer's Name:
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Works carried out date
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Audit date
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Auditor
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Work Status
Boiler Details
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Boiler
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Make
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Model
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GCN
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Boiler Location
Audit Questions
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Did the engineer show identification?
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Was the appointment kept?
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Was advice given on the system?
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Is flue to current standards?
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Is flue effective and working efficiently?<br>Enter readings
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Is ventilation to current standards?
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Burner pressure / heat input recorded properly <br>Enter readings
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Is appliance operation safe and functioning correctly?
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Tightness test recorded correctly
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Are the smoke detectors working?
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Is the CO detector working?
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Has all the waste materials been removed?
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Was the cooker visually checked
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Was a water sample test carried out?
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Does the above accurately represent the Gas Safety Inspection Record Issued?
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Where applicable has a minor work certificate been issued to the tenant?
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Was a warning notice issued?
Unsafe situations
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Unsafe situations report
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Remedial works required
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Date required by
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Any training required for the engineer / other actions required
Resident Satisfaction
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How satisfied are you with how the overall service and standard of work was carried out?
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How satisfied are you with the information you received on when and how long the works would take?
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Were the engineers wearing their Quality Heating Services uniform?
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How satisfied are you with their cleanliness and tidiness?
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How satisfied are you with the attitude and reliability & timekeeping of our engineers?
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How satisfied are you with the support provided by Quality Heating Services?
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Overall, how satisfied are you with the finish of works?
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Any other information you would like to pass back to Quality Heating or the Landlord?
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Signed by Auditor
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Signed by Tenant
