Appliance repair record: free blank PDF
Print this voluntary appliance repair record. Record the actual equipment, procedure, findings and handover for the visit.
Download the blank printable PDF for free.
Free blank Appliance repair record form
Print the blank record and keep the completed copy with the job. The preview shows the actual blank download.
Blank Appliance repair record form
Record scope and contents
England, Wales, Scotland, Northern Ireland. The named person recording the work; any regulated activities retain their own competence requirements.
- Visit: Record number, Work date, Equipment or installation identity, Manufacturer instructions and procedure used, Reported fault and diagnosis, Parts fitted and repairs, Post-repair visual, electrical and functional tests, methods and results, Return-to-use decision and restrictions, Defects, action taken and condition left, Operating instructions and follow-up given
- Work location: Work jurisdiction
- Registered business: Company name, Company address, Company postcode, Phone
- Customer or duty-holder: Customer or duty-holder name, Customer address, Customer postcode
- Site: Installation or site address, Site postcode
- Named person: Named person, Signature, Date signed
Tradehand record definition · checked 2 October 2026
What the Appliance repair record covers
Record the reported fault, diagnosis, parts, post-repair tests and return-to-use decision for a non-gas appliance. Refrigerant-circuit work is outside this record.
Who needs one
- The named person recording work actually performed.
- The customer retaining the findings, procedures and handover documents.
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