Information
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Document No IA/004/02/070514
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Auditor
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Engineer
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Audit Title ( enter Type of Audit, WIP, Post Audit, Skills, etc)
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Conducted on
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Location
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Installation Date
Work Type (Please Tick)
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Enter Work Type
- Service
- Breakdown
- Private Installation
- Carillion Installation
- Local Authority
- Affordable Warmth
Job Type (Please Tick)
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Enter Job Type
- Combi
- Conv-Conv
- Conv-Combi
- Heating
- New
- Existing
Equipment ( * = MUST CARRY )
(Tools and equipment)
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U-gauge*
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Flow cup*
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S/bombs*
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Temporary continuity bonds*
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LDF*
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Matches
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Safety Forms*
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Ref Manuals*
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RCD*
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Safety Labels*
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2 Pole Voltage detector*
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Plume Tube
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Clamp Stats*
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Closure tape
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Thermometer*
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Transformer
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Gas Analyser
Health and Safety ( Are Being Used/Done Safely), Note * at the end of question means engineer Must Have..
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Capped Boots*
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Ear Defenders*
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Hot Work Boards*
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Eye Protection*
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First Aid Box*
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Gloves*
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Fire Extinguisher 2KG*
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Fire extinguisher charged and in date*
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Fire Extinguisher 1KG*
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Fire extinguisher charged and in date*
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Hard Hat*
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Dust Mask*
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Does engineer have Safety Harness*
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Safety Harness Serial Number
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Is the Harness in good condition
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Report on defects and action taken
Meter and Supply, Competence and knowledge
(Training)
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Let by Test
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ECV Labelled
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Tightness Test
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Falls To Off
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Meter working pressure
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Continuity bonds used*
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Pipe sizing
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Governor seal on meter
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Bonding
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Visual check*
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Standing Pressure
Appliance, competence and knowledge ( if applicable please input appliance details being tested)
(Training)
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Is the engineer being tested on an appliance
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Make
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Model
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Category
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Flue type
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Location
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Visual check
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Flue Flow
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Flue in loft adequately supported
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Inlet pressure
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Checked kW
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Spillage
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Flue Gas Analysis
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Termination
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Burner Pressure
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Zero Gov Let-By
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Flame Picture
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Ventilation
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Flue Route
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Gas Rate
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Safety Device
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Siting
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Catchment Area
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Appliance Isolation
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Fuse Check
Electrical
(Compliance)
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Does the engineer have a copy of the Unsafe Situations Book on their iPad?
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Please contact compliance for the Unsafe Situations Book pdf
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Does the engineer have a copy of the Rules of Registration for Gas Safe?
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Please contact compliance for the Rules of Registration pdf
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Does the engineer have the most up to date Risk Assessments, COSHH assessments and Method Statements?
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Please contact Compliance for the relevant documents.
Unsafe Situation ( Did the operative identify hazards and the unsafe installation procedure), competence and knowledge
(Training)
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Categorised correctly
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Gas Supplier Called
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L/L Safety Report
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Warning Notice
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Got customers signature
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Riddor Report
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Labelled
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Capped Appliance
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Cross Bonding Notice
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Customer informed
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Isolated Supply
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CP1 filled in correctly
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Defects recorded
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Capped Meter
PAT Testing
(Compliance)
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Have all appliances have been PAT tested
Quality of Workmanship
(Quality)
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Dust Sheets / carpet protector
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P/W Cleaned
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Customer Satisfaction
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Site Clean
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P/W Clipped
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Explained Use
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Brickwork Level
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P/W Level
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Holes made good
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Fitted correctly
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Condense ok
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Siting ok
(Customer satisfaction)
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Floorboards
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Rubbish Removed
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Any damage
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Take pictures of any issues.
Ladders (if FAIL please give reason)
(Tools and equipment)
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Roof Ladders
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Registered number
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Extending ladders
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Registered Number
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Step ladders
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Registered Number
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Additional Help-Link issued ladders
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Registered Number
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Comments
Additional items Required
(Compliance)
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Gas Safe registration cards available to customer
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ID cards available to customer
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Correct uniform
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Wet specification for Central Heating Systems (includes risk assessment)
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Tap to enter Sketch or Drawing
Any other comments please write below
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Comments
Finish
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Assessors name
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I, the engineer below hereby accept the following findings and have made the inspecting supervisor aware of any issues and or concerns.
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Engineers name
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Select date
