APPLIANCE COMMISSIONING CHECKLIST
To assist us in any guarantee claim please complete the following information.
In the unlikely event of a problem, contact your installer or dealer for assistance:
Dealer appliance was purchased from
Name:......................................................................................................................................................................................
Address:...................................................................................................................................................................................
................................................................................................................................................................................................
Telephone number:.................................................................................................................................................................
Essential Information - MUST be completed
Date installed:..........................................................................................................................................................................
Model description:...................................................................................................................................................................
Serial number:.........................................................................................................................................................................
Installation Engineer
Company name:......................................................................................................................................................................
Address:...................................................................................................................................................................................
................................................................................................................................................................................................
Telephone number:.................................................................................................................................................................
Commissioning Checks (to be completed and signed)
Is flue system correct for the appliance | YES | NO |
Flue swept and soundness test complete | YES | NO |
Smoke test completed on installed appliance | YES | NO |
Spillage test completed | YES | NO |
Use of appliance and operation of controls explained | YES | NO |
Instruction book handed to customer | YES | NO |
Clearance to combustible materials checked | YES | NO |
Signature: | Print name: | ................................................................ |
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