Title Page
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Inspection Conducted On
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Audited By
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Location
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Date Works Carried Out
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Type of works Completed
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Water Sample
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Water Sample passed
CUSTOMER
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Was the Customer satisfied with the contact arrangements
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Did Livv Maintenance keep to the appointment kept?
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Did the Gas Engineer/s identify themselves with their ID Badge?
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Did the customer feel that the Gas Engineer/s fully respect them and their property?
SERVICE ENGINEER
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Has the Landlords gas safety record been completed correctly?
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Is the Earth bonding at the gas meter adequate
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Are controls in proper working order?
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Is there working Smoke Alarms?
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PLEASE RAISE A JOB WITH THE PLANNING TEAM
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Is there Carbon Monoxide (CO) alarms installed?
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PLEASE RAISE A JOB WITH THE PLANNING TEAM
CORRECTIVE ACTIONS
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How would you describe the compliance with statutory regulations?
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PLEASE ESCALATE TO THE GAS PROPERTY MANAGER
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Please identify any Quality Failures
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Is there any follow on Advice or Work required?
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Please list follow on advice/ work required to meet quality assurance standard
CORRECTIVE ACTION FORM
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Does the engineer agree that this is a failure?
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Please describe comments
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Has the engineer been interviewed?
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How has the failure been resolved
- OB - Overbooking of SOR's/Materials
- UB - Underbooking of SOR's/Materials
- TD - Time discrepancy
- IC - Incomplete Works
- PW - Poor Workmanship/Quality
- ID - Incorrect diagnosis of work
- AT - Attitude of Operative
- CS - Customer Satisfaction (Cleanliness, breach of code of conduct)
- CSD - Customer Satisfaction - Damage to Property
- T - Time taken to resolve
- N/A
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Has the issue been resolved?
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Does a works order need to be raised?
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Has it been recorded in the operatives folder?
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Has any service improvement been identified?
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Notes:
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Engineers Name:
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Engineer Signature:
FINAL COMMENTS
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Does the customer wish to add any additional comments?
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Does the auditor wish to add any further comments?
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Auditor Signature
