17 Caistor Street, Portwood, Stockport SK1 2LF
21/12/23
BOILER
22/11/23
STOP TAP
22/11/23
SMOKE ALARM
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Stop Tap Survey History
STOP TAP
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22/11/23
Last Inspection
22/11/24
Next Safety Check
Under sink
Location of stop tap
Yes
Stop tap in good condition
Pass
Inspection Result
Remedial action required
SMOKE ALARM
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22/11/23
Last Inspection
22/11/24
Next Safety Check
Top of stairs
Location - Smoke Alarm 1
Location - Smoke Alarm 2
Location - Smoke Alarm 3
Location - Smoke Alarm 4
Location - Smoke Alarm 5
Location - Smoke Alarm 6
Pass
Inspection Result
Remedial action required
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Smoke Alarm Survey History
GAS CHECKS
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21/12/23
Last Inspection
21/12/24
Next Safety Check
Yes
Meter/emergency control accessible
Yes
Visible equipotential
bonding at meter
Yes
Is gas installation
safe to use
Yes
Gas meter installation pipework satisfactory
Yes
Gas installation tightness test satisfactory
Gas
Supply fuel type
Gas/LPG
N/A
Location
N/A
Boiler type
N/A
Make
N/A
Model
N/A
Ventilation satisfactory
N/A
Flue type
N/A
Safety controls working
N/A
Flue visual check
N/A
Flue termination satisfactory
N/A
Flue integrity check
N/A
Spillage test satisfactory
N/A
Flue flow satisfactory
N/A
Working pressure/heat input
N/A
Results CO/CO2 ratio
N/A
Flue gas analysis performed
N/A
Appliance safe to use
N/A
Reason code
N/A
Warning notice to be issued
N/A
CO alarm working
N/A
Inspection result
N/A
Remedial action required
kitchen
Location
nerf
Make
234
Model
FL
Flue type
Yes
Safety controls working
Yes
Ventilation satisfactory
18mb
Working pressure/heat input
No
Warning notice to be issued
Yes
Appliance safe to use
Pass
Inspection result
none
Remedial action required
N/A
Location
N/A
Make
N/A
Model
N/A
Flue type
N/A
Safety controls working
N/A
Ventilation satisfactory
N/A
Working pressure/heat input
N/A
Warning notice to be issued
N/A
Appliance safe to use
N/A
Inspection result
N/A
Remedial action required
N/A
Location
N/A
Make
N/A
Model
N/A
Ventilation satisfactory
N/A
Flue type
N/A
Safety controls working
N/A
Flue visual check
N/A
Flue termination satisfactory
N/A
Flue integrity check
N/A
Spillage test satisfactory
N/A
Flue flow satisfactory
N/A
Working pressure/heat input
N/A
Appliance safe to use
N/A
Warning notice to be issued
N/A
Inspection result
N/A
Remedial action required
Joe SMith
Engineer name
Gas Engineer Details
300333
Company Gas Safe Reg No
21/12/23
Date of survey
Email for certificate copy
123456
Gas Safe Card Serial No
I certify that I have carried out the work on the date of survey. The Customer/ Tenant/ Landlord/ Responsible Person has been informed of any faults/remedial to bring the installation(s) up to standard.
GAS SAFETY CHECKS
BOILER
HOB
OVEN
FIRE
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Boiler Survey History
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Gas Safe Certificate