1 Test Street, Irlam, Manchester M44 6NE
14/1/24
BOILER
22/12/23
STOP TAP
22/12/23
SMOKE ALARM
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Stop Tap Survey History
STOP TAP
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22/12/23
Last Inspection
22/12/24
Next Safety Check
Under sink
Location of stop tap
Yes
Stop tap in good condition
Pass
Inspection Result
None
Remedial action required
SMOKE ALARM
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22/12/23
Last Inspection
22/12/24
Next Safety Check
Kitchen
Location - Smoke Alarm 1
Bottom of stairs
Location - Smoke Alarm 2
Location - Smoke Alarm 3
Location - Smoke Alarm 4
Location - Smoke Alarm 5
Location - Smoke Alarm 6
Pass
Inspection Result
None
Remedial action required
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Smoke Alarm Survey History
GAS CHECKS
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14/1/24
Last Inspection
14/1/25
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
Under Stairs
Location
Combi
Boiler type
Baxi
Make
FAFDS57g
Model
Yes
Ventilation satisfactory
RS
Flue type
Yes
Safety controls working
Pass
Flue visual check
Yes
Flue termination satisfactory
Pass
Flue integrity check
Pass
Spillage test satisfactory
Pass
Flue flow satisfactory
0.15
Working pressure/heat input
0.01
Results CO/CO2 ratio
Yes
Flue gas analysis performed
Yes
Appliance safe to use
0
Reason code
No
Warning notice to be issued
Yes
CO alarm working
Pass
Inspection result
Passed
Remedial action required
Kitchen
Location
Bosch
Make
14524G
Model
RS
Flue type
No
Safety controls working
Yes
Ventilation satisfactory
0.15
Working pressure/heat input
Yes
Warning notice to be issued
No
Appliance safe to use
Fail
Inspection result
Hob dials are broken
Remedial action required
Kitchen
Location
Bosch
Make
475454T
Model
RS
Flue type
Yes
Safety controls working
Yes
Ventilation satisfactory
0.15
Working pressure/heat input
No
Warning notice to be issued
Yes
Appliance safe to use
Pass
Inspection result
Passed
Remedial action required
Front Room
Location
British Gas
Make
454AFF
Model
Yes
Ventilation satisfactory
RS
Flue type
Yes
Safety controls working
Pass
Flue visual check
Yes
Flue termination satisfactory
Pass
Flue integrity check
Pass
Spillage test satisfactory
Pass
Flue flow satisfactory
0.15
Working pressure/heat input
Yes
Appliance safe to use
No
Warning notice to be issued
Pass
Inspection result
Passed
Remedial action required
Dan Fleming
Engineer name
Gas Engineer Details
752165
Company Gas Safe Reg No
14/01/24
Date of survey
Email for certificate copy
1254852
Gas Safe Card Serial No