Title Page

  • Inspection Conducted On

  • Audited By

  • Location
  • Date Works Carried Out

CUSTOMER

  • Was the Customer satisfied with the contact arrangements

  • Did Livv Maintenance keep to the appointment kept?

  • Did the Gas Engineer/s identify themselves with their ID Badge?

  • Did the customer feel that the Gas Engineer/s fully respect them and their property?

SERVICE ENGINEER

  • Has the Landlords gas safety record been completed correctly?

  • Is the Earth bonding at the gas meter adequate

  • Are controls in proper working order?

  • Is there working Smoke Alarms?

  • PLEASE RAISE A JOB WITH THE PLANNING TEAM

  • Is there Carbon Monoxide (CO) alarms installed?

  • PLEASE RAISE A JOB WITH THE PLANNING TEAM

CORRECTIVE ACTIONS

  • How would you describe the compliance with statutory regulations?

  • PLEASE ESCALATE TO THE GAS PROPERTY MANAGER

  • Please identify any Quality Failures

  • Is there any follow on Advice or Work required?

  • Please list follow on advice/ work required to meet quality assurance standard

CORRECTIVE ACTION FORM

  • Does the engineer agree that this is a failure?

  • Please describe comments

  • Has the engineer been interviewed?

  • How has the failure been resolved

  • Has the issue been resolved?

  • Does a works order need to be raised?

  • Has it been recorded in the operatives folder?

  • Has any service improvement been identified?

  • Notes:

  • Engineers Name:

  • Engineer Signature:

FINAL COMMENTS

  • Does the customer wish to add any additional comments?

  • Customer Signature

  • Does the auditor wish to add any further comments?

  • Auditor Signature

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.