Title Page

  • Energy Company

  • Measure ID

  • Customer Name

  • Address
  • Contact Number

  • Installed on

  • Crew Number

  • Inspected on

  • Property Type

  • Heating Type

  • Picture of each elevation

Customer

  • Is customer present?

  • Did crew introduce themselves?

  • Did crew show their ID?

  • Were they presentable?

  • Was their vehicle identifiable and presentable?

  • Did they carry out pre installation checks including combustion and ventilation if applicable?

  • Did they carry out post installation checks including combustion and ventilation if applicable?

  • Did the crew leave the property and work areas in an acceptable condition?

  • Were you happy with the work undertaken?

System specifics

  • Drill pattern correct?

  • Mortar match acceptable?

  • All holes pointed up?

  • Was Thermascopic Lance used?

  • Which elevation was it used on?

  • Are drill holes correctly positioned?

  • Are holes matched to an acceptable standard.

  • Cavity barriers been installed?

  • Has cavity barrier been installed correctly?

  • Has essential vents (combustion) been safeguarded?

  • Has non-essential vents been maintained or sealed as appropriate?

  • Is flue cert present?

  • Has smoke spillage test been carried

  • Is there any material ingress?

  • Are the external walls free from cracks?

  • Are the external walls free from damp?

  • Is roof line and guttering in visible good order?

  • Damp course present and clear of the ground by 150 mm?

  • Is the property free from brick dust, bead and any debris created by the installation process?

  • Has there been any structural changes/breaches to cavity? (Please take photos)

  • Any omitted areas?

  • Inspection Fail/Pass

  • Comments/Findings

  • Inspector Name/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.