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GAS SAFETY
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STOP TAP
SMOKE ALARM
STATUS
3 Swift Close, Woodley, Stockport SK6 1JL
16/1/24
BOILER
9/2/24
STOP TAP
9/2/24
SMOKE ALARM
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Stop Tap Survey History

STOP TAP

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9/2/24

Last Inspection

9/2/25

Next Safety Check

Under si nk

Location of stop tap

Yes

Stop tap in good condition

Pass

Inspection Result

Remedial action required

SMOKE ALARM

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9/2/24

Last Inspection

9/2/25

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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16/1/24

Last Inspection

16/1/25

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
hfd

Location

grdg

Boiler type

ege

Make

g

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

sa

Working pressure/heat input

fa

Results CO/CO2 ratio

Yes

Flue gas analysis performed

Yes

Appliance safe to use

dasf

Reason code

No

Warning notice to be issued

Yes

CO alarm working

Pass

Inspection result

fdsf

Remedial action required

fdsf

Location

fds

Make

dsf

Model

RS

Flue type

Yes

Safety controls working

Yes

Ventilation satisfactory

fds

Working pressure/heat input

No

Warning notice to be issued

Yes

Appliance safe to use

Pass

Inspection result

fds

Remedial action required

fds

Location

sdff

Make

fds

Model

FL

Flue type

Yes

Safety controls working

Yes

Ventilation satisfactory

fds

Working pressure/heat input

No

Warning notice to be issued

Yes

Appliance safe to use

Pass

Inspection result

fdsf

Remedial action required

fds

Location

fds

Make

dsf

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

fds

Working pressure/heat input

Yes

Appliance safe to use

No

Warning notice to be issued

Pass

Inspection result

fdsf

Remedial action required

sad

Engineer name

Gas Engineer Details
41324321

Company Gas Safe Reg No

16/01/24

Date of survey

Email for certificate copy

123213

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.

Email for certificate copy

da

Full Name

Resident Details
GAS SAFETY CHECKS
BOILER
HOB
OVEN
FIRE
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Boiler Survey History

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Gas Safe Certificate

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