Gas safe bristol & somerset boiler installation survey v1.2 checklist
What does this form include?
This form contains 36 sections:
Existing Heating System Type
- Combi / Sealed
- System boiler / Sealed
- Heat Only Boiler / Open Vented
- Heat Only Boiler / Sealed
- Other - SPECIFY BELOW
Existing Hot Water System Type
- Mains pressure / Combi
- Mains pressure / unvented cylinder
- Gravity / cylinder
MAKE / MODEL / OUPUT information required below
Picture of existing Boiler required
Existing Flue Details
- Balanced / Fan flue / Horizontal
- Balanced / Fan flue / Verticle
- Balanced / Natural Draught / Horizontal
- Balanced / Natural Draught / Vertical
- Open Flue / Vertical
- Open Flue / Horizontal
- Other - SPECIFY BELOW
Picture of Flue terminal required
Existing Boiler Electrical Connections
- Permanent live supply ?
- Switch live supply?
- Pump over run supply?
Existing Gas Supply To Boiler
Existing Controls
- Integral programmer and room stat
- External programmer and room stat
- Programmer only
- Programmable room stat
Picture of heating controls
Specify proposed new Boiler Details below E.G TYPE / OUPUT
Specify the new Boiler location taking into account minimum clearance and cupboards or other site restrictions in close proximity
New Boiler Location
- Is a standoff bracket required?
- Will the Boiler be located in a cupboard?
If YES Specify cupboard dimensions below (Height x Width x Depth)
New Boiler Electrical Requirements
- Does the proposed new Boiler require a permanent live supply?
- Does the proposed new Boiler require a permanent pump over run supply?
- Will a suitably qualified electrician required to carry out Electrical amendments to the system?If YES give details on scope of work required below
New Boiler Flue Details
- Vertical termination
- Horizontal termination
Proposed New Controls Package
- What new controls are required?
How many TRV's are required?
New gas supply requirements
- Is the existing gas supply acceptable? If NO give details of upgrade below
Condense pipe and termination point
- Is there an existing condense pipe?If NO give details of proposed termination point
New Hot Water Cylinder
- Is a replacement hot water cylinder required?
Picture of hot water cylinder being replaced
New hot water cylinder size?
How many replacement radiators including towel rails are required?
Details of all replacement radiators required below (SIZE / TYPE / ROOM / POSITION IN ROOM)E.G 600 x
How many new TRV's are required?
How many Lock-shields with drain off point are required?
How many standard lock-shields are required?
Replacement Radiators
- What size TRV's and lock shields are required?
Making Good
- Will there be any making good of the external wall?If YES give details below
Picture of external brick/wall face required
How many metres of 28mm tube is required?
Core Material List
- How many metres of overflow pipe is required?
- How many metres of 32mm plastic pipe is required?
- How many metres of 40mm plastic pipe is required?
- How many metres of 15mm tube is required?
How many metres of 15mm tube is required?
How many metres of 22mm tube is required?
Use this template