Gas Audit

Gas Audit
Submitted By*
(Your First and Surname)
Date Completed*

DayMonthYear
Date
Destination*
Villa Name - Algarve*
Villa Name - Amalfi Coast*
Villa Name - Andalucia*
Villa Name - Corfu*
Villa Name - Corsica*
Villa Name - Costa Blanca*
Villa Name - Costa Brava*
Villa Name - Costa Del Sol*
Villa Name - Crete*
Villa Name - Croatia*
Villa Name - Cyprus*
Villa Name - Florida - Gulf Coast*
Villa Name - Florida - Orlando*
Villa Name - French Riviera*
Villa Name - Fuerteventura*
Villa Name - Gozo*
Villa Name - Gran Canaria*
Villa Name - Halkidiki*
Villa Name - Ibiza*
Villa Name - Kefalonia*
Villa Name - Kos*
Villa Name - Lanzarote*
Villa Name - Lefkas*
Villa Name - Madeira*
Villa Name - Mallorca*
Villa Name - Malta*
Villa Name - Menorca*
Villa Name - Montenegro*
Villa Name - Provence*
Villa Name - Puglia*
Villa Name - Rhodes*
Villa Name - Sardinia*
Villa Name - Sicily*
Villa Name - Tenerife*
Villa Name - Turkey*
Villa Name - Zakynthos*
Villa Name - Other
(System) Villa Name Mapped
Gas Safety
1. What type of fuel is used to produce hot water/heating?*
2. Is there a valid installation or service certificate available for the gas water heater/ boiler?*
Please give date of last gas boiler service

DayMonthYear
Date
3. Is the gas boiler/water heater located internally (in the property or within 3 metres from the property) OR externally (3 metres or more away from the property)?*
3a. Please select the location of the boiler*
3a. Please select the location of the boiler*
3a. Other*
System Mapped Boiler Location
4. Please enter the make and model of the boiler*
5. What type of flue system is it?*
6. Is the flue securely fitted and in good condition?*
7. Does the flue go straight to the outside air?*
8. Is the flue terminal located within 3m of any window, door or opening that leads back into the property?*
Please state what room it leads into*
File Upload

Cancelof
9. Is there a carbon monoxide detector installed in this room?*
10. Is the pool heated by gas?
11. Is the gas pool heater serviced in line with local regulations?
12. Where is the gas pool heater located?
12a. Is there a working carbon monoxide detector installed within 3 metres of the heater?
12a. Is the flue terminal within 3 metres of any door window or opening back into the villa?
If there is no flue, please answer N/A
12b. Is there a working carbon monoxide detector installed inside the villa within 3 metres of the flue terminal?
Please attach photos of the gas boiler casing/flue/flue terminal point:
File Upload

Cancelof
File Upload

Cancelof
File Upload

Cancelof
File Upload

Cancelof
File Upload

Cancelof
Signature*

Clear
Should be Empty:

Gas Audit

Gas Safety