The Boiler Service and Gas Safety Certificate Template UK is available in multiple formats, including PDF, Word, and Google Docs. This template features editable and printable samples for your convenience.
Boiler Service And Gas Safety Certificate Template UK Editable – PrintableSample
Boiler Service and Gas Safety Certificate Template UK 1. Client Information 2. Service Provider Information 3. Property Information 4. Boiler Information 5. Service Details 6. Service Date 7. Safety Checks Conducted 8. Observations and Recommendations 9. Certification Statement 10. Signatures and Agreement 11. Declaration and Signatures
PDF
WORD
Examples
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
[Name of the Service Provider]
[Provider’s ID]
[Provider’s Address]
[Provider’s Phone]
[Provider’s Email]
This document certifies that the boiler service was completed on [Service Date], ensuring that the appliance is safe to use and complies with current safety regulations.
The Provider agrees to perform a comprehensive service of the boiler, which includes:
– Inspection of the boiler and associated equipment.
– Testing of gas operating pressures and inputs.
– Cleaning of the boiler components as necessary.
– Carbon monoxide testing and safety checks.
The Client agrees to pay the Provider a fee of [Amount] for the service provided, with payment due upon receipt of the invoice.
Following successful service completion, the Provider will issue a Gas Safety Certificate, which confirms that the boiler has been serviced in accordance with the Gas Safety (Installation and Use) Regulations 1998.
The Client must ensure that the boiler is accessible for the service appointment and inform the Provider of any previous issues regarding the appliance.
The Provider holds liability for any defects in service as stipulated by the Consumer Rights Act 2015, and will address concerns raised by the Client in a timely manner.
[Signature of the Client]
[Name of the Client]
[Signature of the Service Provider]
[Name of the Service Provider]
[Name of the Client]
[Client’s ID]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
[Name of the Service Provider]
[Provider’s ID]
[Provider’s Address]
[Provider’s Phone]
[Provider’s Email]
This agreement serves to confirm that the boiler servicing performed on [Service Date] meets all regulatory and safety requirements, ensuring the safe operation of the appliance.
The Provider commits to deliver the following services during the boiler service:
– Complete visual inspection of the boiler and flue.
– Testing of gas supply and burner combustion.
– Ensuring adequate ventilation for safe operation.
– Servicing of ancillary equipment, such as thermostats and controls.
The Client agrees to the following payment terms: [Specify total amount, due date, and any applicable late fees].
Upon successful service, the Provider will issue a Gas Safety Certificate, valid for one year, stating that the appliance is safe for use and compliant with the relevant regulations.
The Client is responsible for maintaining the boiler in good condition and notifying the Provider promptly of any concerns or operational issues.
In the event of a disagreement regarding the service rendered, both parties agree to engage in mediation prior to involving legal authorities.
[Signature of the Client]
[Name of the Client]
[Signature of the Service Provider]
[Name of the Service Provider]
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