Installation job card final version checklist

Template Information

Installation job card

Category: construction

Template Questions

  • Account Name
  • Postal Address
  • Name of Client
  • Site Address
  • Or GPS locate the site address Address
  • Customer Description
  • Contact
  • Description of Job
  • Date Received Date
  • Site assessment with construction plans & task analysis
  • KPa
  • Install gas appliance as per specific instructions
  • Commission & certify to AS/NZS 5601:2010
  • Date Started Date
  • Date Completed Date
  • Order Number
  • Quote/Estimate
  • Tax Invoice Number
  • Home
  • Work
  • Mobile
  • Mobile 2
  • Fax
  • Email
  • Make
  • Model
  • Serial Number
  • Isolating Valve
  • Clearances
  • Flue Type
  • Flue Position
  • Appliance Pressure
  • Appliance Pressure High
  • Appliance Pressure Low
  • Input Rating
  • Commissioned
  • Ventilation
  • Combustion
  • Seismic Restraint
  • Date of Install Date
  • Gas Certification Number
  • Category
  • Type
  • Gas Supplier
  • Labelled
  • Test Pressure
  • Test Time
  • Nil Leak Tolerance
  • Regulators
  • Auto
  • First Stage
  • Second Stage
  • Appliance Reg
  • Sign Initials
  • I authorise this contractor to carry out the work as detailed on this form. I understand that no significant additional work will be undertaken without my authorisation and I accept the terms and conditions. I will settle payment by:
  • Card Number
  • Expiry Date
  • Customers Signature
  • Quantity
  • Supplier Code
  • Description
  • Unit
  • Amount
  • Materials
  • Labour
  • Travel
  • Sub Total
  • GST
  • INVOICE TOTAL
  • Date
  • Select date Date
  • Time
  • Initials
  • Add signature
  • Comments
  • For further information see ASNZS 5601:2010, Ventilation requirements, parts 1 & 2In brief:- 1.6.4 Ve
  • Total gas input MJ/HR
  • Divided by
  • Room Volume m3 L x W x H
  • X
  • = m3
  • = MJ per cubic metre
  • 2.6.6.1 Natural ventilation. Two permanent openings shall be provided each with a minimum free area a
  • Adventitious Ventilation
  • Checked
  • Gascraft Engineering LtdPO Box 3176, ChristchurchRequirements for Pipesizing- Calculate the total Gas
  • Pipe Section
  • Length M
  • Gas Flow MJ
  • Pipe Size MM
  • Completion of Work and Job Card
  • Signature of Technician
  • Date Date
  • Troubleshooting and Fault Finding
  • Have you remedied the ...
  • What is the Root Cause of this failure or breakdown?
  • Date Signed Date