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CP12 generator

Create and download a complete Landlord Gas Safety Record PDF for any gas appliance.

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Engineer

Your business detailsOptionalShown in the certificate header.

Landlord or agent

Their correspondence address, which may differ from the property.

Correspondence address

Inspection & property

Property address
Add the landlord's address above to use it here.

Appliance 1

Type

Boiler type

Location

Make

Model

Gas type

Flue type

Safety device(s) correct operation

Ventilation provision satisfactory

Visual condition of flue and termination satisfactory

Flue integrity test

Analyser at the air-inlet sampling point, at maximum and minimum rate.

Gas tightness test

Appliance serviced

Combustion readings

Condition classification

Whole-property checksOptional

CO alarm fitted

CO alarm tested

CO alarm satisfactory

Emergency control accessible

Gas tightness satisfactory

Pipework visual inspection satisfactory

Equipotential bonding satisfactory

Defects and remedial actionOptionalLeave blank if you found no defects.

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