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Sample Document

Annual Gas Fireplace
Inspection Report

Sample Building
BCS-XXXX
March 23, 2026
Licensed Tech
1

Unit Identification

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2

Safety & Compliance Checklist

Inspection ItemStatusTechnical Notes
Fuel System Integrity PassGas line pressure tested at valve; no leaks detected.
Ventilation System PassTermination clear; flue draft verified; no blockages.
Combustion Air PassAdequate air supply for safe burner operation.
Glass Door Gasket PassSeal intact; no cracks or thermal stress noted.
Safety Shut-off PassThermocouple/Pilot millivolt output within spec.
Ignition System PassPilot light stable; burner ignites without delay.
3

Combustion Analysis

Ambient CO Level
0 ppm
Safe
Exhaust CO Level
__ ppm
Target: < 100 ppm
Flame Pattern
Crisp Blue
Normal Operation
4

Maintenance Performed

Burner and orifice cleaned of dust/debris.
Pilot assembly vacuumed and inspected.
Glass cleaned with manufacturer-approved conditioner.
Logs repositioned to factory specifications to prevent carbon buildup.
5

Technician's Findings & Recommendations

Overall Status
COMPLIANT

All systems operating within safe parameters. Annual service complete. Recommend continued annual maintenance schedule.

March 23, 2026

[SAMPLE DOCUMENT]

This is a sample report format. Actual reports include unit-specific data, photographic documentation via EyeSpyR visual reasoning, and full Technical Safety BC compliance records.

Gas Fireplace Annual Services Vancouver • Class B Gas Fitter #CGA0100182243 • Gas Contractor License #LGA0041068

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