Gas Safety Record (CP12)
No.CP12-2026-078
1. General Information
| Inspection date | 7/14/2026 | Address | 789 Elm Street, Manchester, M1 1AA |
| Basis for inspection | Annual landlord gas safety check |
2. Object of Inspection
| Object type | not filled in | Object name | 789 Elm Street Gas Installation |
| Technical condition | not filled in |
3. Main Parameters
| Appliance Type | Boiler | Appliance Make | Worcester Bosch |
| Appliance Model | Greenstar 30i | Serial Number | WB2026123456 |
| Location | Kitchen |
4. Inspection Conditions
5. Inspection Findings
| No. | Damage description | Photos |
|---|---|---|
| 1 | - | not filled in |
| 2 | - | not filled in |
6. Additional Information
| Identification was carried out | Property: 789 Elm Street, Landlord: James Wilson |
| There are remarks | All appliances tested and found safe. Gas tightness test passed. CO reading normal. |
7. Inspection Participants
| No. | Full name | Position / status | Comment |
|---|---|---|---|
| 1 | Michael Green | Gas Safe Registered Engineer | Performed inspection |
| 2 | James Wilson | Landlord | Present during inspection |
| 3 | Emily Davis | Tenant | Provided access |