CP12

Landlord gas safety record

Inspection notes for the boiler, cooker and fire. This is a job record you keep, not a Gas Safe registration.

LandlordLandlord phoneTenantTenant phoneProperty addressEngineer

Boiler

LocationMakeModelOperating pressure (mbar)Flue flowSafety deviceAppliance result

LocationMakeModelOperating pressure (mbar)Flue flowSafety deviceAppliance result

LocationMakeModelOperating pressure (mbar)Flue flowSafety deviceAppliance result

Engineer signature

Tenant signature

Record result: pass. Next reminder 2027-09-20.