Safety Checklist Form Template

Instantly Create Your Checklist, Just enter your details

Gas Boiler Servicing and Maintenance Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Gas Boiler Servicing and Maintenance Safety Checklist Template below
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, Branding & Sign-off

Company brandingStandard+

Add your company logo and brand colours, and customise how your documents look. Available on our Standard and Pro plans.

Add my branding →

For the best result, upload a PNG with a transparent background — this lets your logo blend cleanly into headers and signature blocks across every generated document. JPG is also accepted but will appear with a white background.
Recommended size: at least 500×150px. Max file size: 5MB.

Choose the background colour for the header on shared documents. Select a colour that complements your logo and brand identity.

Select your brand colour for accents and borders that matches your company logo. Use HEX format (e.g., #E4B700 for yellow).

Colours are automatically synced with your Branding settings.

Sign to confirm you completed this checklist

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

Review & Export

Your checklist is ready. Register free to download your PDF — it opens in a new tab and signs you in here automatically, so don't refresh or leave this page.

Preview Document

See exactly how your checklist PDF will look before downloading.

Your checklist is ready

Ready to download

Register a free account to download your PDF. Your checklist stays right here.

Register to Download →

No card required · instant access

Save to Account

Not saved

Create a free account to save this checklist and re-export it any time.

Sign in to save

Manage Document

Save your checklist first, then manage it, edit it and collect sign-offs here.

Manage Document

A free account keeps this checklist on your dashboard, where you can edit and re-export it any time.

Sign in to save

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.

Share & Sign

Not available for checklists — each checklist carries its own printed sign-off section instead.

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 gas boiler servicing and maintenance safety checklist template from Health & Safety Zone helps Gas Safe registered engineers and plumbing supervisors ensure safe, compliant boiler service work.

It covers the full range of safety dimensions: planning and documentation, competence, work environment, task‑specific hazards, boiler equipment checks, substances, personal protective equipment, collective safety measures, emergency provisions and post‑work completion. The checklist aligns with the Gas Safety (Installation and Use) Regulations 1998 and relevant HSE Gas Safety Guidance. It guides you through verifying risk assessments, confirming permits, isolating the gas supply, checking ventilation, inspecting burners, pressure relief devices, flues, gas detectors and ensuring proper PPE and fire safety measures.

Use this checklist for:

  • Pre‑service checks – confirm risk assessments, permits and engineer competence before work begins.
  • During the service – verify equipment condition, gas detection, ventilation and PPE throughout the task.
  • Post‑service sign‑off – ensure the boiler is made safe, records are updated and any issues are reported.

Each item is answered Yes, No or N/A – any No answer must be resolved before proceeding. Record responses on site, investigate any non‑conformities immediately, and retain the completed checklist as part of the boiler’s service history.

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; HSE Gas Safety Guidance.

Sample PDF Document Image:

Checks covered in this Gas Boiler Servicing and Maintenance checklist

This Gas Boiler Servicing and Maintenance safety checklist template covers 30 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 boiler service been completed and briefed to operatives?
2Is a relevant permit or method statement in place for the work?
3Is the engineer performing the service Gas Safe registered and licence current?
4Has the engineer received training and is competent on this specific boiler type?
5Is the work area adequately ventilated and free from obstructions?
6Are flues and exhaust routes clear of blockages?
7Is gas leak detection equipment (e.g., portable gas detector) available and calibrated?
8Is the boiler isolated by closing the isolation valve before any work begins?
9Is the boiler pressure gauge functional and reading within safe limits?
10Is the safety (pressure relief) valve visible, unobstructed and not tampered with?
11Is the boiler water level correct and the sight glass clear?
12Is the burner ignition system operating correctly with a stable flame?
13Is the flame detection or safety thermostat functioning?
14Is the combustion chamber clean and free of soot buildup?
15Are there any visible leaks at pipework, joints or connections?
16Are all gas supply valves clearly labelled and in good condition?
17Is the boiler identification plate present and legible?
18Is the boiler service record up‑to‑date and available for reference?
19Is appropriate PPE (gloves, safety glasses, safety boots, and RPE if required) being worn?
20Is the work area cordoned off and warning signs displayed where necessary?
21Is an emergency gas shut‑off readily accessible?
22Is a suitable fire extinguisher nearby and appropriate for gas fires?
23Is a first‑aid kit readily available on site?
24Has a post‑service inspection confirmed the boiler is made safe and gas supply re‑connected correctly?
25Have all service findings been recorded and signed off in the boiler service log?
26Is the pressure relief valve test certificate up to date and displayed?
27Is the boiler’s condensate pipe correctly installed and free from blockage?
28Is the flue gas analyser reading within acceptable limits for CO and other gases?
29Is the thermostat and temperature control set correctly for operation?
30Is the boiler’s carbon monoxide alarm installed and functional where required?

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 — a free account is all you need to download.

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?

You can build and preview a checklist without an account. To download the PDF you'll need a free account — it takes less than a minute, costs nothing, and also lets you 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.