INSTALLATION & COMMISSIONING REPORT
Boiler Details:
Model Number _____________________ Serial Number ______________________________________________
Date of Installation ______________ Address of installation __________________________________________
_____________________________________________________________________________________________
User contact information _______________________________________________________________________
Installer Information Company ___________________________________________________________________
Address ______________________________________________________________________________________
Phone/Fax/E mail ______________________________________________________________________________
Fuel
Natural Gas
Propane
Gas Supply Pressure (high re) _______ Inches w.c. Measured Rate of Input (high re) ____________ Btu/hr
Installation instructions have been followed and completed (Section 1 of Installation and Operating Instructions).
Check-out procedures have been followed and completed (Section 3 of Installation and Operating Instructions).
Leak testing completed
gas piping
venting system
Fan and combustion components
System Cleaned and Flushed (type of cleaner used) ________________________________________________
System Filled (type/concentration of any glycol/chemicals used) _______________________________________
Air purge completed (go to Installer Setup - - Pump Purge - - On, and operate pumps until air has been ejected)
Relief Valve correctly installed and piped
Relief valve “try lever” test performed
Condensatetraplled
Condensatedrainclearandfreeowing
Condensate Neutralization? Yes/No
IgnitionSafetyShutofftestcompleted.Flamecurrentreading-Highre_______µA-Lowre_______µA
Standby readings from IBC display screen - (remove all heat calls) - Outdoor Temperature ________ Tank
Temperature _______ Outlet Temperature _________ Outlet Pressure __________ Heat Output ___________
Load Status Screen readings - Load 1 _______________ Load 2 _______________ Load 3 _______________
From Installer Setup Menu (scroll down) - Altitude ______________ Prim. Pump Purge Time _______________
MultiboilerCong.______(gotoInstaller Setup - - enter - this setting should be “Off” except for Master Boiler)
Advanced Diagnostic Menu readings - boiler in Standby - (remove all heat calls)
Outdoor Temperature _______ Inlet Pressure _______ Outlet Pressure _________ Delta Pressure __________
Flow Rate __________ Fan Speed __________ Required Pressure ___________ Fan Pressure ____________
Owner advised and instructed in the safe operation and maintenance of the boiler and system.
Information regarding the unit and installation received and left with owner
Combustion Readings - recommended, but optional (required for fuel conversion):
CO2 _____________ % O2 ______________ % CO ____________ ppm
Fluetemperature_________Returnwatertemperature(measuresimultaneouslywithuetemp.)_______________
Installers: send this completed sheet - Fax to 604 877 0295 - or - scan and Email to info@ibcboiler.com, and earn
an extra year’s Parts Warranty coverage (User to submit corresponding Installation Record from User Guide).
Commissioning has been completed as listed on this report - Installer Signature _____________________________