Any Company Limited Gas Inspection
|
Property address: |
||||||||
|
Contact: |
Tel: |
|||||||
|
Inspected by: |
Order: |
|||||||
|
Description |
Condition |
Maint
acceptable |
CP12
acceptable |
|||||
|
Radiators/ Radiators Secure |
|
|
|
|
|
|
||
|
Rad Valves / Filling Loop |
|
|
|
|
|
|
||
|
Pipework |
|
|
|
|
|
|||
|
Accessibility |
|
|
|
|
|
|||
|
Boiler |
make |
|
|
|
|
|
|
|
|
Location |
age |
|
|
|
|
|
|
|
|
Life
Expectancy |
|
|
|
|
|
|||
|
Service Req? |
burner pres |
|
|
|
|
|
|
|
|
Ventilation |
dis. pipe |
|
|
|
|
|
|
|
|
Flue Type |
termination |
|
|
|
|
|
|
|
|
Flue Flow |
spillage |
|
|
|
|
|
|
|
|
Safety Device |
safe to use? |
|
|
|
|
|
|
|
|
Desludge |
|
|
|
|
|
|||
|
Inhibitor |
|
|
|
|
|
|||
|
Pump & Valves |
|
|
|
|
|
|||
|
Motorised Valves |
|
|
|
|
|
|||
|
Open Vent / F&E Tank |
|
|
|
|
|
|||
|
Other Defects |
|
|
|
|
|
|||
|
Standard of System |
|
|
|
|
|
|||
|
Cooker/Hob Condition |
|
|
|
|
|
|||
|
Gas Pipework into Property |
|
|
|
|
|
|||
|
Cooker/Hob Pipe Connections |
|
|
|
|
|
|||
|
Cooker/Hob Connector Chain |
|
|
|
|
|
|||
|
Pos. Meter |
soundness |
|
|
|
|
|
|
|
|
Emergency C |
earth bonding |
|
|
|
|
|
|
|
|
|
Works required excluding VAT
|
|
|
|||||
|
Date:
|
Total including VAT |
|
|
|||||
|
BFM |
o |
ACQ |
o |
PRE |
o |
TMD |
o |
HBK |
o |