Annual Safety Inspection — fill in, then print or save as PDF

Walk the system, mark each check, then tap Print / Save as PDF and email it to the customer. Nothing is saved or sent from this page.

Before, after, the nameplate, anything the office should have on file.
The customer signs at the bottom of the report before you send.
The office sees it the moment you tap send. Print a copy for the customer if they want one.
Gas Solutions Plus

Annual Safety Inspection

Your yearly check of the whole propane system
—
—
Inspected: —
Technician: —
✓
Passed — everything checked out We went through your whole system and everything is in good shape.

What we checked

What we found

Everything checked out.

Your system

Tank—
Fuel level at this visit—
Leak check—
Pressure test—
Regulator pressure—
Cathodic protection—
CP tested on—
Next CP test due—
Appliances checked—
System leftIn service
Next inspection due—
Payment—

Good to know

⚠ If you ever smell gas, leave the area right away and call 911. Don’t switch anything on or off on your way out. Once you’re clear, call us and we’ll come out.

Keep the area around your tank clear — plants, fences and new construction creep in over time and your tank needs its space. Fills are arranged through your propane supplier; you’re free to buy from whichever company you like.

Sign-off

Technician — —
Customer signature

Hand the phone or tablet to the customer to sign, then send it to the office.

Gas Solutions Plus
Questions about anything here? Call 561-907-4301 or email Projects@gassolutionsplus.com.
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Licensed LP Gas Contractor #LI100065 · Master Qualifier #MQ100136 · Certified Category V · Fully Insured · Serving all of Florida
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