Entering installation details
What information you need to provide
Type of medical gases installed
Select all the medical gases installed or worked on, such as suction and carbon dioxide. You can select more than one option. If you select Other, include details of the gas type, such as gas mixtures.
Number of wall outlets installed
If not applicable, enter '0'.
Quantity of NIST fittings installed
If not applicable, enter '0'.
Installation dates
Enter the start and completion dates for the work. You cannot select a future date, and the work must be completed before you submit this certificate.
Type of work completed
Choose the type of work completed. You can only select one work type per certificate. If more than one work type was carried out at the job, submit a separate Certificate of Compliance for each work type.
For example, submit one certificate for a new installation and a separate certificate for a repair or extension to an existing installation.
Location of where the work was carried out
Enter the specific location of the work carried out within the facility, for example:
- ICU, Bed 7 (North Wing)
- Day Surgery Unit, Procedure Room 2
- Maternity Ward, Birth Suite 1.
Description of the work carried out
Describe the work carried out in the description box. Provide a clear summary of the work completed, including what was installed, modified, repaired or tested.
Make sure the description can be understood on its own, without the need for supporting documents.
Request an accessible format of this publication.