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*All installations in England and Wales must be to Local Authority Building Control (LABC) either directly or through a
Competent
Persons Scheme. A Building Regulations Compliance
will then be issued to the customer.
© Heating and Hotwater Industry Council (HHIC)
Commissioning Engineer’s Signature
Customer
’s Signature
ALL INSTALLATIONS
Record the following:
At max. rate: CO ppm AND CO/CO
²
Ratio
At min. rate: (where possible) CO ppm AND CO/CO
²
Ratio
The heating and hot water system complies with
the appropriate Building Regul seYsnoita
The boiler and associated products have been installed and commissioned in accordance with the manufacturer’s seYsnoitcurtsni
The operation of the boiler and system controls have been demonstrated to and understood by the seYremotsuc
The manufacturer’s literature, including Benchmark Checklist and Service Record, has been explained and left with the seYremotsuc
SERVICE 01
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate: CO ppm AND CO
²
%
At min. rate:
(Where Possible) CO ppm AND CO
²
%
Comments:
Signature
SERVICE 02
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate: CO ppm AND CO
²
%
At min. rate:
(Where Possible) CO ppm AND CO
²
%
Comments:
Signature
SERVICE 03
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate: CO ppm AND CO
²
%
At min. rate:
(Where Possible) CO ppm AND CO
²
%
Comments:
Signature
SERVICE 04
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate: CO ppm AND CO
²
%
At min. rate:
(Where Possible) CO ppm AND CO
²
%
Comments:
Signature
SERVICE 05
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate: CO ppm AND CO
²
%
At min. rate:
(Where Possible) CO ppm AND CO
²
%
Comments:
Signature
SERVICE 06
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate: CO ppm AND CO
²
%
At min. rate:
(Where Possible) CO ppm AND CO
²
%
Comments:
Signature
It is recommended that your heating system is serviced regularly and that the appropriate Service Interval Record is completed.
Service Provider
Before completing the appropriate Service Record below, please ensure you have carried out the service as described in the manufacturer’s instructions.