Customer:
Lot/Address:
Model (circle one): EXCURSION-I, EXCURSION-II,
EXCURSION-III
Date Installed:
Location of Fireplace:
Installer:
Dealer/Distributor Phone #
Serial #:
Comments: Further description of the issues, who is responsible (Installer/ Builder/ Other Trades, etc) and corrective
action needed _____________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Comments Communicated to party responsible ____________________ by ______________________on ___________
(Builder / Gen. Contractor/) (Installer) (Date)
Appliance Install YES IF NO, WHY?
Verify replace is clean and remove/block open damper/modify
damper for vent pipe clearance (Section 4). ___________________________
Locate multi-purpose tool (Section 2). ___________________________
Appliance is leveled and secured (Section 5.F). ___________________________
Venting/Chimney Section 5
Exhaust and inlet ex vent pipe are properly formed and routed through
existing replace damper. ___________________________
Exhaust and inlet ex vent pipe are properly installed to the correct collars,
sealed and secured to top slide plate and to the termination cap. ___________________________
Vertical restrictors are properly set (if applicable). ___________________________
Exterior roof ashing installed and sealed. ___________________________
Termination cap installed, secured and sealed to top slide plate. ___________________________
Electrical Section 6
Unswitched power (110-120 VAC) provided to the appliance. ___________________________
Switch wires properly installed. ___________________________
Gas Section 7
Proper appliance for fuel type. ___________________________
Was a conversion performed? ___________________________
Leak check performed and inlet pressure veried. ___________________________
Veried proper air shutter setting for installation type. ___________________________
Finishing Section 8
Combustible materials not installed in non-combustible areas. ___________________________
Veried all clearances meet installation manual requirements. ___________________________
Mantels and wall projections comply with installation manual requirements. ___________________________
Appliance Setup Section 9
All packaging and protective materials removed (inside & outside of appliance). ___________________________
Refractories, logs, media and embers installed correctly. ___________________________
Glass assembly and glass seal plate installed and secured. ___________________________
Accessories installed properly. ___________________________
Surround and decorative front properly installed. See instructions shipped
with appliance front. ___________________________
Manual bag and all of its contents are removed from inside/under
the appliance and given to party responsible for use and operation. ___________________________
Fireplace warning plate is attached to the existing woodburning replace. ___________________________
Remote control is programmed, functions veried using remote control ___________________________
instructions.
Started appliance and veried no gas leaks exist. ___________________________
2538-982 11/18
= Contains updated information.
Hearth & Home Technologies recommends the following:
• Photographing the installation and copying this checklist for your le.
• That this checklist remain visible at all times on the appliance until the installation is complete.
This standard work checklist is to be used by the installer in conjunction with, not instead of, the instructions contained in this
installation manual.
WARNING! Risk of Fire or Explosion! Failure to install appliance according to these instructions could
lead to a re or explosion.
ATTENTION INSTALLER:
Follow this Standard Work Checklist
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