SERVICE RECORD
It is recommended that your heating system is serviced regularly and that the appropriate Service Record is completed.
Before completing the appropriate Service Record below, please ensure you have carried out the service as described in the manufacturer’s
Service Provider
instructions.
Always use the manufacturer’s specified spare part when replacing controls.
SERVICE 1 Date
Energy Efficiency Checklist completed?
Yes No
Engineer Name
Company Name
Telephone Number
Comments
Signature
SERVICE 3 Date
Energy Efficiency Checklist completed?
Yes No
Engineer Name
Company Name
Telephone Number
Comments
Signature
SERVICE 5 Date
Energy Efficiency Checklist completed?
Yes No
Engineer Name
Company Name
Telephone Number
Comments
Signature
SERVICE 7
Date
Energy Efficiency Checklist completed?
Yes No
Engineer Name
Company Name
Telephone Number
Comments
Signature
SERVICE 9 Date
Energy Efficiency Checklist completed?
Yes No
Engineer Name
Company Name
Telephone Number
Comments
Signature
SERVICE 2 Date
Energy Efficiency Checklist completed?
Yes No
Engineer Name
Company Name
Telephone Number
Comments
Signature
SERVICE 4 Date
Yes No
Engineer Name
Company Name
Telephone Number
Comments
Signature
SERVICE 6 Date
Energy Efficiency Checklist completed?
Yes No
Engineer Name
Company Name
Telephone Number
Comments
Signature
SERVICE 8
Date
Energy Efficiency Checklist completed?
Yes No
Engineer Name
Company Name
Telephone Number
Comments
Signature
SERVICE 10 Date
Energy Efficiency Checklist completed?
Yes No
Engineer Name
Company Name
Telephone Number
Comments
Signature
Gas Safe Register licence No. Gas Safe Register licence No.
Gas Safe Register licence No. Gas Safe Register licence No.
Gas Safe Register licence No. Gas Safe Register licence No.
Gas Safe Register licence No. Gas Safe Register licence No.
Gas Safe Register licence No. Gas Safe Register licence No.
Energy Efficiency Checklist completed?
GAS BOILER SYSTEM COMMISSIONING CHECKLIST
CONTROLS Tick the appropriate boxes
Time and Temperature Control to Heating Room Thermostat and Programmable Load/Weather Optimum Start
remiT/remmargorP Room Thermostat Compensation Control
remiT/remmargorPdnatatsomrehTrednilyCretaWtoHotlortnoCerutarepmeTdnaemiT Combination
Boiler
dettiFsevlaVenoZgnitaeH Not Required
dettiFsevlaVenoZretaWtoH Not Required
dettiFsevlaVrotaidaRcitatsomrehT
Not Required
dettiFmetsySotssapyBcitamotuA Not Required
dedivorPkcolretnIrelioB
ALL SYSTEMS
The system has been flushed and cleaned in accordance with BS7593 and boiler manufacturer’s instructions
seY
What system cleaner was used?
What inhibitor was used? Quantity litres
CENTRAL HEATING MODE Measure and Record:
Gas Rate
m
3
/hr OR
ft
3
/hr
)elbacilppafi(erusserPgnitarepOrenruB
mbar OR Gas Inlet Pressure mbar
Central Heating Flow Temperature °C
Central Heating Return Temperature °C
COMBINATION BOILERS ONLY
Is the installation in a hard water area (above 200ppm)?
Yes No
If yes, has a water scale reducer been fitted? Yes No
What type of scale reducer has been fitted?
DOMESTIC HOT WATER MODE Measure and Record:
etaRsaG
m
3
ROrh/
ft
3
/hr
)etarmumixamta(erusserPtelnIsaGROrabm)etarmumixamta(erusserPgnitarepOrenruB
mbar
erutarepmeTtelnIretaWdloC °C
Hot water has been checked at all outlets Yes Temperature °C
etaRwolFretaW l/min
CONDENSING BOILERS ONLY
seY
8976SB/6455SBro/dnasnoitcurtsnis’rerutcafunamehthtiwecnadroccanidellatsnineebsahniardetasnednocehT
% OR CO ppm OR CO/CO
2
Ratio
seYsnoitalugeRgnidliuBetairporppaehthtiwseilpmocmetsysretawtohdnagnitaehehT
seYsnoitcurtsnis’rerutcafunamehthtiwecnadroccanidenoissimmocdnadellatsnineebevahstcudorpdetaicossadnareliobehT
seYremotsucehtybdootsrednudnaotdetartsnomedneebevahslortnocmetsysdnareliobehtfonoitarepoehT
The manufactur
er’s literature, including Benchmark Checklist and Service Record, has been explained and left with the customer Yes
*
All installations in England and Wales must be notified to Local Authority Building Control (LABC) either directly or through a Competent Persons Scheme.
A Building Regulations Compliance Certificate will then be issued to the customer.
©Heating and Hotwater Industry Council (HHIC) www.centralheating.co.uk
Commissioning Engineer’s Signature
Customer’s Signature
(To confirm satisfactory demonstration and receipt of manufacturer’s literature)
This Commissioning Checklist is to be completed in full by the competent person who commissioned the boiler as a means of demonstrating
compliance with the appropriate Building Regulations and then handed to the customer to keep for future reference.
Failure to install and commission this equipment to the manufacturer’s instructions may invalidate the warranty but does not affect statutory rights.
Customer Name
Telephone Number
Address
Boiler Make and Model
Boiler Serial Number
Commissioned by (print name)
Company Name Telephone Number
Gas Safe Register licence No.
Company Address
Commissioning Date
To be completed by the customer on receipt of a Building Regulations Compliance Certificate
*
:
Building Regulations Notification Number (if applicable)
If required by the manufacturer, record the following
INSTALLATIONS
CO
2
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