Refrigeration

F-Gas Leak Check Record template

Record refrigerant, system charge, leak-test method and result for each system checked. GB operators and certified engineers should confirm the applicable thresholds and keep the required records; Northern Ireland rules differ.

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What's on this sheet

JobForms

F-Gas Leak Check Record

Blank sheet
Job ref: __________

Job details

Job No.

Short answer

Client

Short answer

Engineer F-Gas cert no.

Short answer

Site details

Site

Short answer

Address

Short answer

System operator

Short answer

Systems checked· repeat per System

System ID

Short answer

Location

Short answer

Refrigerant

Choose one

□ R404A□ R452A□ R448A□ R134a□ R410A□ R32□ R507□ R290□ R744

Charge (kg)

Short answer

CO2e (tonnes)

Short answer

Check frequency

Choose one

□ 12 monthly□ 6 monthly□ 3 monthly□ Not required

Method used

Choose one

□ Electronic detector□ Bubble solution□ Fixed leak detection□ UV dye□ Pressure test

Result

Choose one

□ No leak found□ Leak found - repaired□ Leak found - reported

Refrigerant added (kg)

Short answer

Refrigerant recovered (kg)

Short answer

Notes

Notes

Photos

Photos · capture stamps

Photos

Follow up

Re-check due

Date

Actions required

Notes

Time tracking

Date

Date

Start

Time

Finish

Time

Duration

Visit duration

Sign off

Engineer name

Short answer

Engineer signature

Signature

Engineer signature

Customer name

Short answer

Customer signature

Signature

Customer signature

Classic printable sheet · Powered by JobForms

Who uses it

Refrigeration teams and UK businesses keeping a clear visit or check record. Statutory leak check log with system charge details, method used and results per system.

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Common questions

Is this refrigeration sheet a certificate?

Use it alongside manufacturer procedures and any required refrigerant or safety records. Check current GB or Northern Ireland rules where relevant.

Can I print it or fill it on my phone?

Download the blank Classic PDF without signing up, or fill a copy in guest mode on your phone. Photos and signatures are available when filling digitally.

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