Safety Checklist Form Template

Instantly Create Your Checklist, Just enter your details

Flue Gas Analysis and Combustion Testing Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Flue Gas Analysis and Combustion Testing Safety Checklist Template below
50% off your first month Standard £4.99 · Pro £12.49 for month one — applied automatically. Ends 31 July Claim offer
Safety Checklist Creator
Guest

Loading Safety Checklist Creator

Please wait while we prepare your workspace

Checklist Questions

Every question is included by default. Untick any you want to leave out, or delete the ones you don't need.

Click Add Question to add your own custom checks. Click a row to edit its wording, and drag to reorder.

The Yes / No / N/A tick-boxes and comments space are added automatically on the exported PDF or Word document.

No questions added yet — add your first one below.

Logo & Sign-off

Custom Branding Not Available

Create a free account, then upgrade to add your company logo.

Sign to confirm you completed this checklist

Click to sign on behalf, or leave blank for on-paper approval.

Review & Export

Choose your page orientation, then export a print-ready checklist.

Preview Document

See exactly how your checklist PDF will look before downloading.

Download PDF

Print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

Export to Word

An editable Word (.doc) version with Yes / No / N/A tick-boxes and a comments space.

Export to Excel

A spreadsheet version for digital tracking and filtering.

Important: The documents produced by this tool are templates only. They must be reviewed and approved by a competent person or your HSEQ representative prior to publication or circulation, in accordance with our Terms & Conditions.

PDF Preview

100%

Creating preview

Building your PDF preview…

Still Using Paper Sign-Off Sheets?

Once you've generated and saved your document, create a secure share link to distribute across any platform. Collect encrypted digital signatures from your team and generate professional sign-off reports.

Generate
Save
Share
Sign
Report
Try It Free

Increased Limits Available

Risk Assessment Description:

This flue gas analysis and combustion testing safety checklist template from Health & Safety Zone helps Gas Safe registered engineers and plumbing supervisors ensure gas appliances are operating safely and efficiently before, during and after testing.

It covers all essential checks across planning, competence, work environment, specific appliance and flue condition, gas supply, PPE, collective safeguards, emergency arrangements and final make‑safe actions. It references the Gas Safety (Installation and Use) Regulations 1998 and HSE guidance such as HSG48 on safe gas work.

Use this checklist for:

  • Pre‑test preparation – confirm risk assessment, permits and engineer competence.
  • In‑process testing – verify equipment, flue condition and gas analyser calibration.
  • Post‑test sign‑off – record results, make the area safe and complete documentation.

During the test, record each response on the attached worksheet, investigate any No answers immediately, and if necessary repeat measurements or adjust the appliance before proceeding. This systematic approach helps maintain compliance and protects occupants from unsafe combustion.

Each item is answered Yes, No or N/A – any No answer must be resolved before proceeding.

Fully editable and shareable — customise the questions to your site, download as a PDF and share with your team.

Compliant with: Gas Safety (Installation and Use) Regulations 1998; HSG48.

Sample PDF Document Image:

Checks covered in this Flue Gas Analysis and Combustion Testing checklist

This Flue Gas Analysis and Combustion Testing safety checklist template covers 24 checks. Customise the questions to your workplace, then download a professional, print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

#Checklist item
1Has a risk assessment for the flue gas analysis been completed and briefed to all operatives?
2Is the engineer carrying a valid Gas Safe registration card?
3Is the appliance covered by a current gas safety certificate and in‑date thorough examination?
4Has the work area been isolated from other occupants and clearly sign‑posted?
5Is adequate ventilation provided for the testing location, with fresh air flow maintained?
6Are carbon monoxide detectors installed and functional in the test area?
7Is the gas analyser calibrated and within its service interval?
8Are the gas supply pressures set to the manufacturer’s specifications before testing?
9Is the flue visibly free of blockages, cracks or corrosion?
10Is the flue termination positioned at the correct height and clear of combustible materials?
11Are burner flames steady, blue and free of soot or yellow tips?
12Is the gas pressure regulator inspected and securely attached?
13Are all safety devices (e.g., flame failure device, pressure relief valve) present and operational?
14Is the combustion air inlet unobstructed and of the correct size?
15Is the appliance’s control panel clean, free of damage and functional?
16Are appropriate PPE – safety glasses, gloves and, if required, a respirator – being worn?
17Is a fire extinguisher suitable for gas fires readily accessible nearby?
18Are emergency shut‑off valves clearly identified and operable?
19Has a first‑aid kit been checked and is a trained first aider on site?
20Are test results recorded on the gas safety record sheet and compared to manufacturer limits?
21If any reading is out of range, has corrective action been taken before completing the test?
22Has the gas supply been isolated and the appliance secured after testing?
23Has the work area been cleared of tools and debris and left in a safe condition?
24Have all relevant documents (risk assessment, test records, certificates) been filed appropriately?

Frequently asked questions

Are these safety checklist templates really free to download?

Yes — completely free. Customise any checklist to your workplace and download a professional, print-ready PDF in minutes. No paywall, and no signup required for guests.

What format do the safety checklists download in?

Checklists download as a professional PDF, ready to print and complete on-site — each question has clear Yes / No / N/A tick-boxes and a comments space. You choose portrait or landscape at download. Word and spreadsheet formats are being added.

Can I customise the checklist questions to my workplace?

Yes — fully. Add your own questions, edit or remove any of the pre-written ones, and reorder them to suit your site, task or inspection before you download.

Are the safety checklists suitable for UK workplaces?

Yes. The checklists are written around UK health and safety good practice and HSE guidance, and are suitable for inspections, audits, toolbox checks and routine workplace monitoring.

Do I need an account to use the checklist templates?

No — guests can build and download a checklist for free without signing up. Register a free account if you want to save checklists to your dashboard and edit them later.

Can I add my company logo and branding to the checklist?

Yes — add your company logo, colours and details on Standard and Pro plans, so the exported checklist carries your own branding. Guests and Free downloads carry Health & Safety Zone branding.

How do I complete the checklist once it is downloaded?

The exported checklist is a blank, ready-to-use document: print it and tick Yes, No or N/A against each question and write any comments in the notes space, then sign and date it in the sign-off section.

What types of safety checklist can I create?

We are building specialist checklists across a wide range of subjects and industries — fire safety, workplace inspections, equipment and machinery checks, site inductions, vehicle checks, PPE, first aid and more. Browse by category to find the right one.

How often should safety checklists be completed?

It depends on the activity and your risk assessment — many checks are daily, weekly or monthly, while others are done before each task or shift. Completed, dated checklists provide a useful record of your monitoring.

Are the checklists a substitute for a risk assessment?

No. A checklist is a monitoring and inspection tool that complements your risk assessments and method statements — it helps confirm that controls are in place and working. Use them alongside your risk assessments.