Title Page

  • Gas Fitting Notice Number

  • Owners Name

  • Gas Fitters Name and Number

  • Conducted on

  • Location
  • Was a risk assessment part of the acceptance<br>AS3814:2015 Clause 2.1.1.2 Risk assessment requirements

  • Is there foreseeable misuse<br>AS3814:2015 Clause 2.1.1.3 Foreseeable misuse <br>(a) Tool required to gain entry to the control enclosure.<br>(b) Password protected controls.<br>(c) Locking devices.<br>(d) A work permit system.<br>One or more of these might be required after all foreseeable misuses have been assessed

  • Is the appliance suitable for the location<br>AS3814:2015 Clause 2.1.2 Suitability for location, Clause 2.7 ACCESS FOR MAINTENANCE, 2.6 ACCESSIBILITY OF MANUAL CONTROLS

  • Any controls that need to be frequently adjusted easy to use and operate in accordance with AS3814:2015<br>Clause 2.1.3 Controls and indicating devices<br>Clause 2.1.4 Design of adjustable devices

  • Dose the appliance look well-constructed and free of damage <br>AS3814:2015 Clause 2.1.5 Appliance to be well constructed

  • Is the appliance secure from accidental dislodgement and fro satisfactory operation AS3814:2015<br>Clause 2.1.6 Appliance parts to be secure against accidental displacement<br>Clause 2.1.7 Appliance parts to be secure for satisfactory operation

  • All parts of an appliance with which a person might come into contact during normal operation, adjustment or servicing shall be free from sharp projections or edges and projecting screw ends. AS3814:2015<br>Clause 2.1.8 Appliance to be free of sharp edges

  • Are all controls, burners and safety devices shall be accessible for any of the following:<br>(a) Normal operation.<br>(b) Normal servicing.<br>(c) Functional adjustment.<br>(d) Testing.<br>(e) Replacement<br>AS3814:2015 Clause 2.2 CONTROLS, BURNER AND SAFETY DEVICE ACCESS

  • Is the burner flame visible AS3814:2015 Clause 2.3 BURNER FLAME VISIBILITY

  • Is appliance isolation valve easy accessible, labelled in accordance with <br>AS3814:2015 Clause 2.9.7 Appliance isolating valve

  • Does the gas pressure regulator comply with AS3814:2015 Clause 2.10 GAS PRESSURE REGULATION

  • Does the over pressure protection comply with AS3814:2015 Clause 2.11 GAS OVER-PRESSURE PROTECTION<br>Manual Reset, when to be fitted, setting, location

  • Does the low gas pressure protection comply with AS3814:2015 Clause 2.12 GAS LOW-PRESSURE PROTECTION<br>reduction in supply pressure, down stream of appliance gas pressure regulator, cause safety shut down of all burners

  • Is a gas filter in place in accordance with AS3814:2015 Clause 2.14 GAS FILTER<br>Gas supply pressure exceeds 7Kpa, OPP shuts off the supply, located so all safety shut off valves are filtered, down stream of the isolating valve and close a practical to the first safety shut off valve

  • Safety shut off not bypassed unless the bypass is fitted with a safety shut off system.<br>AS3814:2015 Clause2.15.7 Safety shut off system not to be bypassed

  • Does safety shut off valves used in a position-proving system incorporate <br>a proof-of-closure switch, interlock to prevent burner start up, <br>AS3814:2015 Clause 2.15.9 Requirements for a position-proving system

  • Requirements of leakage detection system AS3814:2015 Clause 2.15.10<br>Leakage detection system—AS 4630 or equivalent, interlocked start-up, commencement, alarm shutdown, max. leakage, line pressure, gas use

  • Does the combustion air supply comply with AS3814:2015 <br>Clauses 2.16 Combustion air supply, 2.16.1 Correctly sized, 2.16.2 Air quality, 2.16.3 Air openings, 2.16.4 Not obstructed.

  • Forced and induced draft burners comply with the requirements of AS3814:2015<br> Clauses 2.18.1 Original equipment manufacturer draught specifications, 2.18.2 Proving air flow, 2.18.3 Self-check of air flow device, 2.18.4 Shutdown if air fails, 2.18.5 Air gas mixtures: meet Clause 5.3, max. temp. 50% AIT

  • Does the dampers comply with 3814:2015 <br>Clause 2.19.1 Requirements fixed or adjustable secure, interlocked, correct for ignition, 2.19.2 Automatic requirements—combustion OK, failure safe or lockout, 2.19.3 Manual damper fixed stops, indication

  • Does the purging process comply with AS3814:2015<br>Clauses 2.20.2 Purging by mechanical means— conditions, conduct (3–5 volume changes, 25% rate, additional measures where necessary), 2.20.3 Purging by natural draught—no forced/induced draught burner, 0.2 m2/m3 openings and position, 5 min minimum, instructions, doors, 2.20.4 Pre-purge timer interlocking and sealing, 2.20.5 Pre-purge interlocks: fitted, ‘no flow’ check, cease if flow fails, reset, zones proved

  • Does the Process controls comply with the requirements of AS3814:2015 <br>Clauses 2.21.1 Requirements for interlocking for safety, 2.21.2 Limit to cause lockout, 2.21.3 Flow check and shutdown, 2.21.4 Over temperature on recirculation fans

  • Does the Ignition systems comply with the requirements in AS3814:2015<br>Clauses2.22.1 Smooth, safe and reliable, 2.22.2 Manual systems: torches, accessibility, 2.22.2 Explosion relief for manually lit main burner

  • Does the Pilot burners comply with the requirements in AS3814:2015<br>Clauses 2.23.1 Stable, supervised, light main burner, pilot turn down, 2.23.2 Multi burners sufficient pilot requirements, 2.23.3 Multi-port pilot requirements, 2.23.4 Unaffected by bleed lines, 2.23.5 Protection from blockage

  • Does the Main burners comply with the requirements in AS3814:2015<br>Clauses 2.24.1 Ignition within combustion chamber, 2.24.2 Assembly divided into zones/ sections—supervision and ignition requirements 2.24.3 Requirements retracted or swivelled, 2.24.4 Cross ignition requirements, 2.24.5 Prevention of blockage

  • Flame safeguard systems<br>2.25.1 Certified to standards, 2.25.2 To be fitted, exceptions,2.25.3 Comply with correct classification for burner input, 2.25.4 Thermoelectric opening 60 s of flame,2.25.5 Shut-off time on flame failure2.25.6 Flame detector certified, 2.25.7 Flame simulation prevented, 2.25.8 Detector not to detect other flame, 2.25.9 Pilot requirements, intermittent or permanent, 2.25.10 Detectors to supervise separate flames, 2.25.11 Two detector/one flame safeguard requirements, 2.25.12 Confirm cross lighting,2.25.13 Hot surface igniter requirements—main burner trial 5 s, energy release,atmospheric. burner openings

  • Does the Appliance and burner process controls and safety instrumented systems comply with the requirements in AS3814:2015 <br>Clauses 2.27.1 Gas actuated controls, 2.27.2 Basic control systems, 2.27.3 Safety systems—acceptable types, 2.27.4 BMS using a PES requirements , 2.27.5 Separated basic control system and SIS using PES, 2.27.5.1 Separated, gas engines concessions, 2.27.5.2 Requirements of a SIS—hardware fault tolerance, HAZOP, SILs, SRS, etc.,

  • does the Ignition sequence comply with AS35814:2015 <br>Clauses 3.2.1 Starting sequence before ignition, 3.2.2 Ignition sequence—commencement, completion, start gas period, 3.2.3 Start gas rate safe, correct

  • Does the Main burners comply with the requirements in AS3814:2015 <br>Clauses 3.3.1 Start flame proving period, 3.3.2 Main flame establishment period, 3.3.3 Man burner supervision—interrupted, intermittent, permanent, 3.3.4 Main burner start at reduced rate

  • Does the Interlocks and limit devices comply with the requirements in AS3814:2015 <br>Clauses 3.4.1 Interlocks and limit devices not to be ineffective, fitted, tested, requirements,3.4.1.3 Interlock prevent unsafe operation, 3.4.2 Limit devices fitted, not operating control, lockout, fail safe

  • Doers the Operation sequences comply with the requirements in AS3814:2015 <br>Clauses 3.5.1 Power interruption safe start or shutdown 3.5.2 Programmed sequence correct, 3.5.3 Shutdown safe, 3.5.4 Lockout on flame failure, 3.5.5 Re-ignition criteria on flame failure

  • Does the Combustion conditions comply with the requirements in AS3814:2015 <br>Clause 3.6.1 Burners satisfactory combustion, 3.6.2 Leakage combustion products prevented

  • Does the Markings and instructions comply with the requirement of AS3814:2015<br>Clauses 4.1.1 Nameplate on appliance, additional markings accessible, easy to read 4.1.2 Markings of controls, dials, gauges, 4.1.3 Non-standard controls marked, 4.2.1 Written instructions provided,4.2.2 Operating instructions, 4.2.3 Limits of safe operation, 4.2.4 Training available

  • Any other comments

  • Defect notice

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