Gas Appliance Commissioning Checklist
No.GACC-2026-0033
1. General Information
| Inspection date | 7/14/2026 | Address | 22 Park Avenue, London N1 4AA |
2. Object of Inspection
| Object type | not filled in | Object name | Worcester Bosch Greenstar 30i (SN GB1234567890) |
| Technical condition | not filled in |
3. Main Parameters
| Gas Tightness Test | Pass | Pipework Visual Inspection | Satisfactory |
| Ventilation Check | Adequate | Flue Check | Satisfactory |
| Gas Type Verification | Correct | Gas Pressure Check | 21 |
4. Additional Parameters
| Appliance Ignition Test: Pass | Flame Appearance Check: Normal |
| Safety Device Test: Operational | CO Reading Test: 45 |
| Appliance Operation Test: Pass |
5. Inspection Findings
| No. | Damage description | Photos |
|---|---|---|
| 1 | - | not filled in |
6. Additional Information
| Identification was carried out | Appliance: Worcester Bosch Greenstar 30i, SN GB1234567890 |
| There are remarks | All pre-commissioning checks passed. Commissioning tests passed. Gas pressure 21 mbar. CO reading 45 ppm. Commissioning result: Passed. |
7. Inspection Participants
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | Gary Smith | Gas Safe Registered Engineer | Performed commissioning |
| 2 | Tom Wilson | Customer | Witnessed commissioning |