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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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Inspection report
Complete the document from this template: sections, fields, photo documentation, and signatures.
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Gas Leak Report
No.GLR-2026-0714
1. General Information
The general information about the inspected gas pipelines, including their purpose, location, and operational context, is presented below.
| Inspection date | 7/14/2026 | Time | 4:00 PM — 5:00 PM |
| Address | 3 Willow Close, Cardiff CF1 2AB |
Expert Daniel Lee , Gas Safe Registered Engineer
The general information has been verified against the operational documentation and found to be consistent.
2. Object of Inspection
The object of inspection is the gas pipeline system, including its main components and associated facilities.
| Object type | Gas Appliance | Object name | Gas cooker supply pipe |
The inspected object has been identified and its boundaries clearly defined.
3. Main Parameters
The main parameters of the gas pipelines, such as diameter, wall thickness, material, and operating pressure, were determined based on design documentation and field measurements.
| Leak Severity | Minor | Gas Detector Reading | 150 |
The measured main parameters are within the permissible tolerances specified in the design documentation.
4. Additional Parameters
Additional parameters, including coating condition, depth of burial, and cathodic protection levels, were assessed during the inspection.
| ☐ Evacuation Required | ☐ Gas Supply Isolated |
| ☐ Ventilation Performed | ☐ Repair Performed |
| Retest Result: Pass | ☐ Customer Advised |
The additional parameters were found to be in satisfactory condition, with no critical deviations observed.
5. Inspection Findings
Lists defects and observations identified during the leak investigation, with descriptions and photos.
| No. | Damage description | Photos |
|---|---|---|
| 1 | - | not filled in |
6. Additional Information
Provides a summary of the incident and any advice given to the customer.
| Identification was carried out | Leak source: Loose connection on gas cooker supply pipe |
| There are remarks | Minor leak detected at cooker connection. Tightened connection, retest passed. |
7. Inspection Participants
Lists the individuals involved in the leak response, including engineer and homeowner.
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | Daniel Lee | Engineer | Gas Safe registered engineer |
| 2 | Helen Moore | Homeowner | Property owner |
Signatures
Captures signatures of participants to confirm the report.
______________________________
Daniel Lee, Gas Safe Registered Engineer
______________________________
Daniel Lee
______________________________
Helen Moore
Report
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
Receive Report
Receive a report of a gas smell or suspected leak from a customer or occupant.
- 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
Isolate and Repair
Isolate the gas supply if safe, ventilate the area, and perform the necessary repair or cap off the affected pipework.
- 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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Capture leak location photos and gas detector readings on site using the mobile app, then integrate them directly into your gas leak report.
Mobile AppDocument Sections
Click a section to jump to it in the sample document.
General Information
The general information about the inspected gas pipelines, including their purpose, location, and operational context, is presented below.
Object of Inspection
The object of inspection is the gas pipeline system, including its main components and associated facilities.
Main Parameters
The main parameters of the gas pipelines, such as diameter, wall thickness, material, and operating pressure, were determined based on design documentation and field measurements.
Additional Parameters
Additional parameters, including coating condition, depth of burial, and cathodic protection levels, were assessed during the inspection.
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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