BOILER INSTALLATION REPORT
Installation carried out by:
Company: ...............................................................................................................................................
Street: ..................................................... Town: .............................................................................
Telephone: .............................................. Country: .........................................................................
Ascertained data:
Chimney: Flue-gas duct:
Dimensions: ............................................. Diameter: ..................................................
Height: ...................................................... Length: ......................................................
Chimney draught: .....................................* Number of elbow pieces: ..........................
Date of last inspection: ............................. Waste gas temperature: .............................*
Boiler connected with mixing valves and fittings (brief description of connection):
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
.........................................................................................................................................
Fuel:
Type: ..................................................... Boiler functions and all regulations and safety
Size: ...................................................... elements were inspected during the operation
Moisture content: .................................* start-up.
Person responsible for the inspection: ............................................ Date: ...........................
Stamp: ............................................... Customer’s signature: .....................................
(Responsible person’s signature)
* measured values
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