Safety tish template: Fill out & sign online

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Click ‘Get Form’ to open the safety tish template in the editor.
Begin by entering the property address and date of inspection in the designated fields at the top of the form.
For each piece of equipment, provide details such as type, location, serial number, make, model, and type of fuel. Use a separate form for each unit if necessary.
Indicate the equipment venting type by checking the appropriate box (Atmospheric, Induced Fan, or Other).
Fill in the total Btu/hr input for all vented gas appliances per chimney and specify the type of chimney and liner used.
Complete the safety and operating control tests section by marking 'Pass' or 'Fail' as applicable for each test conducted.
In the comments section, list any repairs made to the system along with necessary permits obtained.
Finally, ensure that all signatures are collected from licensed contractors and individuals performing tests before submitting.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (160 Votes)
2012	4.4 Satisfied (281 Votes)

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