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Gas Leak Report Template

Document the discovery and response to a gas leak with this structured template. Record leak details, actions taken, defects, and photo evidence. Open the template in the online editor to start.

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Gas Leak Report

No.GLR-2026-0714

1. General Information

Inspection date7/14/2026 Time4:00 PM — 5:00 PM
Address3 Willow Close, Cardiff CF1 2AB
Expert Daniel Lee , Gas Safe Registered Engineer

2. Object of Inspection

Object typenot filled in Object nameGas cooker supply pipe

3. Main Parameters

Leak SeverityMinor Gas Detector Reading150

4. Additional Parameters

☐ Evacuation Required ☐ Gas Supply Isolated
☐ Ventilation Performed ☐ Repair Performed
Retest Result: Pass ☐ Customer Advised

5. Inspection Findings

No.Damage descriptionPhotos
1-not filled in

6. Additional Information

Identification was carried outLeak source: Loose connection on gas cooker supply pipe
There are remarksMinor leak detected at cooker connection. Tightened connection, retest passed.

7. Inspection Participants

No.Full namePosition / statusComment
1Daniel LeeEngineerGas Safe registered engineer
2Helen MooreHomeownerProperty owner

Signatures

______________________________
Daniel Lee, Gas Safe Registered Engineer
______________________________
Daniel Lee
______________________________
Helen Moore

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Purpose and Procedure for Drafting the Document

What Is a Gas Leak Report?

A gas leak report is a structured document used to record the discovery, assessment, and response to a gas leak. It captures essential details such as the leak source, severity, gas detector readings, and actions taken to make the situation safe.

Who Uses This Template?

This template is designed for Gas Safe registered engineers and gas safety professionals who need to document leak investigations and repairs. It may also be used by homeowners or property managers as a record of the incident.

Key Features

The template includes sections for incident details, actions taken, findings (defects and observations), participants, and photo evidence. It supports multiple participants and allows attachment of photographic evidence for a complete record.

Gas Leak Investigation

When a gas smell or suspected leak is reported, this template helps the engineer document the location, severity, and source of the leak, as well as the actions taken to isolate and repair it.

Emergency Response

In emergency situations where a gas leak poses immediate danger, this report records evacuation, gas supply isolation, ventilation, and any emergency repairs performed.

Post-Repair Documentation

After a gas leak repair, this template documents the retest result and confirms that the system is safe. It also records advice given to the customer.

Insurance and Legal Records

The report may be used as supporting evidence for insurance claims or legal proceedings related to gas leaks, providing a detailed account of the incident and response.

Compliance and Audit

Gas safety regulations may require documented evidence of leak investigations. This template helps maintain compliance records for audits or regulatory inspections.

  1. 1

    Receive Report

    Receive a report of a gas smell or suspected leak from a customer or occupant.

  2. 2

    Attend Site and Assess

    Attend the site, evacuate if necessary, and use a gas detector to locate the leak. Assess the severity and determine the source.

  3. 3

    Isolate and Repair

    Isolate the gas supply if safe, ventilate the area, and perform the necessary repair or cap off the affected pipework.

  4. 4

    Complete Report

    After re-testing for gas tightness, complete the Gas Leak Report with all findings, actions, and participant signatures.

Photo Report Generator

Use the photo report generator to create a professional document with your gas leak report data, including photos and signatures, ready for export.

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Mobile Photo Documentation App

Capture leak location photos and gas detector readings on site using the mobile app, then integrate them directly into your gas leak report.

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Document Sections

Click a section to jump to it in the sample document.

General Information

Records the date, time, location of the leak, and the Gas Safe registered engineer responding.

Object of Inspection

Identifies the source of the leak, such as a pipeline or appliance.

Main Parameters

Records the leak severity (minor to critical) and gas detector reading.

Additional Parameters

Records actions taken: evacuation, gas supply isolation, ventilation, repair, retest result, and customer advice.

Inspection Findings

Lists defects and observations identified during the leak investigation, with descriptions and photos.

Additional Information

Provides a summary of the incident and any advice given to the customer.

Inspection Participants

Lists the individuals involved in the leak response, including engineer and homeowner.

Signatures

Captures signatures of participants to confirm the report.

Document Fields and Columns

General Information

Inspection date
Date of the leak report.
Time
Time of the leak report.
Address
Location where the leak occurred.
Expert
Name and Gas Safe registration number of the engineer.

Object of Inspection

Object type
Type of object where the leak originated, e.g., pipeline, appliance.
Object name
Specific identifier of the leak source.

Inspection Findings

No.
Sequential number for each defect or observation.
Element
Component or area where the defect was found.
Defect
Type of defect or observation.
Damage description
Detailed description of the defect or observation.
Photos
Photographic evidence of the defect.

Inspection Participants

No.
Sequential number for each participant.
Full name
Full name of the participant.
Position / status
Role of the participant, e.g., engineer, homeowner.
Comment
Any additional comments about the participant.

Frequently Asked Questions about Photo Reports and Photo Tables

What information should be included in a gas leak report?

A gas leak report should include the date and time of the report, location and source of the leak, severity, gas detector readings, actions taken (evacuation, isolation, ventilation, repair), retest results, and any defects or observations. It should also list participants and include photo evidence.

Who typically completes a gas leak report?

A Gas Safe registered engineer typically completes the report after attending a gas leak incident. The homeowner or occupant may also be listed as a participant. The engineer is responsible for accurate documentation of findings and actions.

Can this template be used for emergency gas leaks?

Yes, this template is suitable for documenting emergency gas leaks. It includes fields for evacuation, gas supply isolation, ventilation, and emergency repairs. For major emergencies involving fire or carbon monoxide, consider using the Gas Emergency Report template.

Is photo evidence required in a gas leak report?

Photo evidence is highly recommended to support the findings. The template includes a dedicated photo section for capturing the leak location, gas detector readings, and surrounding area. Photos provide visual proof of the leak and response actions.

How does this template differ from a Gas Emergency Report?

A Gas Leak Report focuses on the discovery and response to a gas leak, including repair and retest. A Gas Emergency Report is used for major emergencies such as large leaks, carbon monoxide incidents, or fires, and includes notification of gas network and emergency services.

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