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⚠️ Gas Warning Notice Generator
Gas Safety (Installation and Use) Regulations 1998
Company Logo (Optional)
Certificate Number
Company / Installer Details
Engineer Name *
Gas Safe Reg No *
Company Name
ID Card No
Company Address
Post Code
Tel No
Job Address
Property Name / Number & Street *
Address Line 2
Town / City
Post Code
Tel No
Client / Landlord Details
Client Name
Company
Address
Post Code
Tel No
Mob No
The Gas Appliance / Gas Installation
Location / Position / Room
Make
Type
Model
Serial No
Classification
Select...
Immediately Dangerous (ID)
At Risk (AR)
Not to Current Standards (NCS)
Issue Type (tick all that apply)
Gas Escape
Pipework Issue
Ventilation Issue
Meter Issue
Chimney/Flue Issue
Other Issue
Classification
Immediately Dangerous (ID)
At Risk (AR)
Not to Current Standards (NCS)
Details of Faults
Actions
Actions Taken
Actions Required
RIDDOR Reporting
Reported to HSE under RIDDOR 11(1) (Gas Incident)
No
Yes
Reported to HSE under RIDDOR 11(2) (Dangerous Gas Fitting)
No
Yes
Signatures
Issued by (Print Name)
Received by (Print Name)
Date *
The gas user was not present at the time of this visit and, where appropriate, an ID or AR situation has been made safe and notice left on the premises.
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