Henley Arklow - Stove Commissioning Checklist; Essential Information; Commissioning Checks

Stove Commissioning Checklist
Please complete the form below as it will be of great assistance in the unlikely event that there is a problem with the stove or a war-
ranty claim needs to be made. Please contact the installer or dealer if there is a problem.
Dealer appliance was purchased from
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Commissioning Checks (to be completed and signed)
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Name:
Address:
Phone:
Date installed:
Model Description:
Serial number:
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Company name:
Address:
Phone:
Stove correctly ued according to building regulations
Flue swept and integrity of ue veried
Smoke test completed on installed stove
Spillage test completed
Use of appliance and operation of controls explained to end-user
Check that specied clearance to combustibles has been adhered to
Instruction manual handed to end-user
HETAS Approved (Please tick relevant box):
Yes No
If Yes, please include certicate of compliance.
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
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Signature:
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Print name:
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