Installation job card final version checklist
Installation job card
What does this form include?
This form contains 98 sections:
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
- Site assessment with construction plans & task analysis
- Mark out gas appliance location & flue pathways
- Discuss technical detail and compliance with Owner/Builder
- Install gas pipework & pressure test to
KPa
Install gas appliance as per specific instructions
- Install gas appliance as per specific instructions
- Leak test gas pipework to
Commission & certify to AS/NZS 5601:2010
- 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:
- 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
- Adventitious Ventilation
- Additional Ventilation Required
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 ...
- Have you remedied the ...
What is the Root Cause of this failure or breakdown?
Date Signed Date
Use this template