| CUSTOMER DETAILS |
NAME |
|
ADDRESS |
|
TEL No. |
|
| INSTALLER DETAILS |
NAME | DATE |
ADDRESS |
|
TEL NO.
REGISTRATION DETAILS (Where applicable for unvented systems etc)
REG No. | ID SERIAL No. etc. |
COMMISSIONING ENGINEER DETAILS
NAME | DATE |
ADDRESS |
|
TEL NO.
REGISTRATION DETAILS (Where applicable for unvented systems etc)
REG No.ID SERIAL No. etc.
| APPLIANCE DETAILS |
MANUFACTURER | MODEL |
CAPACITY | LITRES SERIAL NO. |
GENERAL INSTALLATION
HAS A CHECK BEEN DONE FOR JOINT TIGHTNESS AND LEAKS? | YES |
HAS A CHECK BEEN DONE FOR ELECTRICAL SAFETY? | YES |
NO NO
