Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Job Type

  • Appliance type

  • Appliance Make and Model

  • GC Number -

  • Serial No:

  • Appliance Location

  • Appliance Flue Type

  • Operative name

  • Operative Licence Number

  • Add location
  • Select date

  • Are all electrical safety checks carried out to standard

  • Is fuse rating in spur 3A

  • Flue (Chimney)Visual inspection?

  • Is the chimney in a void?

  • Is the chimney in void to standard?

  • Condensate disposal to standard?

  • Appliance location to standard?

  • Appliance compartment ventilation to standard?

  • Appliance combustion ventilation to standard?

  • Compartment label fitted?

  • Appliance safety devices

  • Gas Tightness Test

  • All disturbed joints/valves tested with LDF

  • Emergency number on meter

  • ECV to standard?

  • On/OFF tape correctly fitted?

  • MEB to standard?

  • Meter Location?

  • Meter location to standard

  • Were any other appliances visually inspected

  • Were any other appliances worked on?

  • Are all new radiators installed to standard?

  • Are TRVs installed on all radiators other than the by-pass radiator/s

  • Is there a bypass radiator

  • Is the room thermostat located in the same room as the bypass radiator

  • Is the drain point visible/accessible?

  • Are all visible pipes insulated?

  • Is there a fire extinguisher?

  • Is the extinguisher in date and useable?

  • Is all re-instatement work complete

  • Did the engineer call the customer before visiting?

  • Did the engineer show his company/Gas Safe Register IDs?

  • Did the engineer use a dust sheet?

  • Did the engineer have on his uniform?

  • Did the engineer have on his safety footwear?

  • Did the engineer wear his safety glasses?

  • Did the engineer wear his gloves?

  • Did the engineer wear any other PPE when required?

  • Did the engineer ask if there were any problems before starting work?

  • Did the engineer explain the appliance operation?

  • Did the engineer explain the work that was carried out?

  • Did the engineer offer any energy efficiency advice?

  • Did the engineer offer any advice on the products installed?

  • Did the engineer tidy up on completion of the job?

  • Is the customer happy with the service that they have received from E.ON?

  • Overall, how would the customer rate our service?

  • Are the Hot Works Risk Assessments available & completed?

  • Has the engineer completed a risk assessment?

  • Does the manual paperwork match your findings?

  • Is the paperwork correctly completed?

  • Is the installation to standard?

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.