House Gas Safety Checklist Safety Check Declaration LP / LPG / Yes No Are LP / /
Facility
i.e. terminal / i . e .ii . e ..i . e .ei . e ..i . e . i . e .ti . e .ei . e .ri . e .mi . e .ii . e .ni . e .ai . e .li . e . / /
IndustryTerm
identified gas appliances / gas retailer / gas distribution / gas appliance / natural gas / gas safety purposes / gas installation / metal flue / gas appliances / gas installations / gas installation safe / /
Rooming House Gas Safety Checklist Add reference number, e.g. invoice number or job card number Contact details Safety check completed by: