Title Page

  • Apartment

  • Building

  • Client / Site

  • Prepared by

  • Apartment Number

  • Occupier Name

  • Occupier contact number

Service Cupboard

  • Access to communal flue cupboard

  • Boiler and communal flue connection visible!

  • Brickwork round flue joint require removal?

  • Fire proofing round connection satisfactory

  • Describe work to be carried out on fire proofing

  • Fireproofing top and bottom of service cupboard ok?

  • Describe fireproofing remedial works.

  • Track pipe taped?

  • Track pipe require brackets?

  • How many brackets

  • Condense satisfactory?

  • Galvanised Pipework fittings satisfactory?

Boiler

  • Boiler Location

  • Boiler Details

  • Enter details of Boiler - Make and Model

  • Track pipe taped?

  • AECV accessible

  • AECV Label affixed?

  • Condense Ok

  • Flue hatch above boiler required

  • Select hatch size

  • Flue bracket above boiler required

Flue

  • Flue in loft space?

  • Is left space accessible

  • Flue angle falling to boiler ?

  • More hatches require?

  • Details of further hatches

  • More brackets required

  • Number of brackets

Photographs

  • Boiler and communal flue connection

  • Track Pipe

  • Galvanised pipework

  • Condense

  • Fireproof 1

  • Fireproof 2

  • Boiler

  • Under the boiler

  • Above boiler

  • Flue route

  • Flue route 2

  • Hatch

  • Misc.

  • Misc.

  • Further information

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.