BENCHMARK No.
FOR ALL BOILERS CONFIRM THE FOLLOWING
BOILER SERIAL No.NOTIFICATION No.
CONTROLS To comply with the Building Regulation, each section must have a tick in one or other of the boxes
THE SYSTEM HAS BEEN FLUSHED IN ACCORDANCE WITH THE BOILER MANUFACTURER’S INSTRUCTIONS?
THE SYSTEM CLEANER USED
THE INHIBITOR USED
FOR THE CENTRAL HEATING MODE, MEASURE & RECORD
GAS RATE m3/hr ft3/hr
BURNER OPERATING PRESSURE ( IF APPLICABLE) N/A mbar
CENTRAL HEATING FLOW TEMPERATURE °C
CENTRAL HEATING RETURN TEMPERATURE °C
FOR COMBINATION BOILERS ONLY
HAS A WATER SCALE REDUCER BEEN FITTED? YES NO
WHAT TYPE OF SCALE REDUCER HAS BEEN FITTED
FOR THE DOMESTIC HOT WATER MODE, MEASURE & RECORD
GAS RATE m3/hr ft3/hr
MAXIMUM BURNER OPERATING PRESSURE (IF APPLICABLE) N/A mbar
COLD WATER INLET TEMPERATURE °C
HOT WATER OUTLET TEMPERATURE °C
WATER FLOW RATE Its/min
FOR CONDENSING BOILERS ONLY CONFIRM THE FOLLOWING
THE CONDENSATE DRAIN HAS BEEN INSTALLED IN ACCORDANCE WITH
THE MANUFACTURER’S INSTRUCTIONS? YES
FOR ALL INSTALLATIONS CONFIRM THE FOLLOWING
THE HEATING AND HOT WATER SYSTEM COMPLIES
WITH CURRENT BUILDING REGULATIONS
THE APPLIANCE AND ASSOCIATED EQUIPMENT HAS BEEN INSTALLED AND COMMISSIONED
IN ACCORDANCE WITH THE MANUFACTURER’S INSTRUCTIONS
IF REQUIRED BY THE MANUFACTURER, HAVE YOU RECORDED A CO/CO2 RATIO READING? N/A YES CO/CO2RATIO
THE OPERATION OF THE APPLIANCE AND SYSTEM
CONTROLS HAVE BEEN DEMONSTRATED TO THE CUSTOMER
THE MANUFACTURER’S LITERATURE HAS BEEN LEFT WITH THE CUSTOMER
COMMISSIONING ENG’S NAME PRINT CORGI ID N°.
SIGN DATE
TIME & TEMPERATURE CONTROL TO HEATING ROOM T/STAT & PROGRAMMER/TIMER PROGRAMMABLE ROOMSTAT
TIME & TEMPERATURE CONTROL TO HOT WATER CYLINDER T/STAT & PROGRAMMER/TIMER COMBI BOILER
HEATING ZONE VALVES FITTED NOT REQUIRED
HOT WATER ZONE VALVES FITTED NOT REQUIRED
THERMOSTATIC RADIATOR VALVES FITTED
AUTOMATIC BYPASS TO SYSTEM FITTED NOT REQUIRED