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Homeowner gas safety check record: free blank PDF

Download a printable homeowner gas safety check record for England, Wales, Scotland. The PDF contains the record sections shown below and writing space for the actual findings.

Print the blank record and keep the completed copy with the job.

First page of the Homeowner gas safety check PDF rendered by Tradehand
The blank Homeowner gas safety check record, page 1

What the Homeowner gas safety check record covers

Record an owner-occupier's appliance and flue checks, defects, actions and sign-off. A voluntary homeowner check and a landlord's statutory safety record serve different purposes; choose the record for the actual premises and customer.

Who needs one

  • The Gas Safe registered individual with the scope for the appliances and fuel checked.
  • Record scope: England, Wales, Scotland.
  • Keep the completed record with the source documents, findings and job reference.

Questions sole traders ask

What is included in the download?

The blank PDF contains the record sections shown below, writing space and sign-off. Its fields come from the record definition used to export this PDF.

Who completes this record?

The Gas Safe registered individual with the scope for the appliances and fuel checked.

Get on with the work.

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