Title Page
-
Audit Type
-
Job Number
-
Address
-
Conducted on Engineer
-
Auditor Name
-
date
-
Repair/ASV/CP12
Boiler Details
-
Boiler Make
-
Boiler Model
-
Boiler GC Number
Health & Safety
-
Site Risk Assessment Carried Out
-
Appropriate PPE Worn for task
-
RCD Used (If Applicable)
-
Safe Working Practices Observed
-
Tools Maintained and Stored Correctly ( Take pictures including FGA Calibration picture)
-
PPE in good condition and correct stock
Electrical Testing
-
Does the engineer have correct equipment compliant with TB118a
-
Fuse Rating Checked
-
Ask underpinning knowledge question and record question number and result
-
Safe Isolation Procedure Carried Out
-
Ask underpinning knowledge question and record question number and result
-
Preliminary Electrical Tests Carried Out
Appliance Checks
-
Flue Construction, Route & Termination
-
Ask underpinning knowledge question and record question number and result
-
Flue Flow Test
-
Ask underpinning knowledge question and record question number and result
-
Spillage Test
-
Ask underpinning knowledge question and record question number and result
-
Ventilation Examined Fully
-
Ask underpinning knowledge question and record question number and result
-
Operating Pressure
-
Ask underpinning knowledge question and record question number and result
-
Heat Input
-
Ask underpinning knowledge question and record question number and result
-
Inlet Working Pressure
-
Ask underpinning knowledge question and record question number and result
-
Flue Gas Analysis
-
Ask underpinning knowledge question and record question number and result
-
F.S.D. Test
-
Ask underpinning knowledge question and record question number and result
-
Case Seals Inspected & Tested
-
Ask underpinning knowledge question and record question number and result
-
Condensate Pipe
-
Pressure Relief Pipework
-
Full Tightness Test
-
Ask underpinning knowledge question and record question number and result
-
All Disturbed Joints Tested
-
System Walked & Bled
-
Controls Tested
-
Unsafe Situation(s) Identified
-
Ask underpinning knowledge question and record question number and result
Job Completion
-
Controls Reset
-
Hand Held Device Fully Updated
-
Customer Job Sheet Completed
-
Safety Advice/Warning Notice Issued
-
Warning Label Attached
-
Appliance Turned Off/Capped Off
Customer Satisfaction
-
Vehicle Parked Appropriately
-
Customer Introduction
-
Gas Safe & company ID present & Card Shown to customer
-
Action Taken To Protect Customer’s Property with dust matts and shoe covers
-
Work Area Left Clean & Tidy
-
General Conduct
Engineer & Auditor Signature. I hereby confirm that the above form is a true representation of the responses given and tasks completed.
-
Engineer Signature
-
Auditor Signature
-
Audit Result
