Safety glazing record: free blank PDF
Download a printable safety glazing record for England, Wales. The PDF contains the record sections shown below and writing space for the actual findings.
Download the blank printable PDF for free.
Free blank Safety glazing record form
Print the blank record and keep the completed copy with the job. The preview shows the actual blank download.
Blank Safety Glazing Record form
Record scope and contents
England, Wales. The named installer, using the glazing specification and evidence supplied for the units installed.
- Installation: Record number, Completion date, Whole unit replaced
- Panes
- 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
Primary source for this record · checked 2 October 2026
What the Safety glazing record covers
Record the replacement units, critical locations, safety-glass specification and markings, supplier evidence and installer sign-off. This is the installation evidence for the actual glazing; it is separate from a FENSA or other scheme-issued building compliance certificate.
Who needs one
- The named installer, using the glazing specification and evidence supplied for the units installed.
- Record scope: England, Wales.
- Keep the completed record with the source documents, findings and job reference.
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