This Commissioning Checklist is to be completed in full by the competent person who commissioned the heat pump and associated
equipment as a means of demonstrating compliance with the appropriate Building Regulations and then handed to the customer to keep for
future reference.
Failure to install and commission this equipment to the manufacturer’s instructions may invalidate the warranty but does not affect statutory rights.
GROUND SOURCE HEAT PUMP COMMISSIONING CHECKLIST
Customer name: Telephone number:
Address:
Heat Pump Make and Model
Heat Pump Serial Number
Commissioned by (PRINT NAME): &HUWL¿HG2SHUDWLYH5HJ1R>@
Company name: Telephone number:
Company address:
Commissioning date:
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CONTROLS - SYSTEM AND HEAT PUMP (tick the appropriate boxes)
Time and temperature control to heating
Room thermostat and programmer/timer Programmable Roomstat
Load/weather compensation 2SWLPXPVWDUWFRQWURO
Time and temperature control to hot water Cylinder thermostat and programmer/timer Combined with Heat pump main controls
+HDWLQJ]RQHYDOYHVLQFOXGLQJXQGHUÀRRUORRSV Fitted Not required
Hot water zone valves Fitted Not required
Thermostatic radiator valves Fitted Not required
+HDW3XPS6DIHW\,QWHUORFN>@ Built In Provided
2XWGRRU6HQVRU Fitted Not required
Automatic bypass to system Fitted Not required
Buffer Vessel Fitted Yes No If YES Volume: Litres
ALL SYSTEMS
7KHKHDWLQJV\VWHPKDVEHHQ¿OOHGDQGSUHVVXUHWHVWHG Yes
([SDQVLRQYHVVHOIRUKHDWLQJLVVL]HG¿WWHGFKDUJHGLQDFFRUGDQFHZLWKPDQXIDFWXUHU¶VLQVWUXFWLRQV Yes
7KHKHDWSXPSLV¿WWHGRQDVROLGVWDEOHVXUIDFHFDSDEOHRIWDNLQJLWVZHLJKW Yes
7KHV\VWHPKDVEHHQÀXVKHGDQGFOHDQHGLQDFFRUGDQFHZLWK%6DQGKHDWSXPSPDQXIDFWXUHU¶VLQVWUXFWLRQV Yes
What system cleaner was used?
What inhibitor was used? Quantity litres
Are all exposed external pipeworks insulated? Yes
BORE HOLE/GROUND LOOPS
Bore Hole Ground Loop Length/Depth m
7KHJURXQGORRSVERUHKROHSLSHVKDYHEHHQ¿OOHGDQGSUHVVXUHWHVWHGLQDFFRUGDQFHZLWKUHOHYDQW%ULWLVK6WDQGDUGV Yes
,IPRUHWKDQRQHFROOHFWRUKDVEHHQXVHGKDVWKHV\VWHPEHHQK\GUDXOLFDOO\EDODQFHG)ORZEDODQFLQJUHJXODWLQJYDOYHV¿WWHGDGMXVWHG" Yes
Has the system been vented/de-aired? Yes
$UHV\VWHP¿OWHUV¿WWHGFOHDQ" Yes
Is the system topped up to the correct level? Yes
:DVWKHV\VWHPFOHDQHGÀXVKHGSULRUWRXVH" Yes
Are isolating valves in their correct position Yes
What system cleaner was used? Qty litres
What antifreeze was used? Qty litres
What temperature will the antifreeze protect to? °C
What inhibitor was used (if not included in Antifreeze)? Qty litres
5HFRUGLQFRPLQJFROOHFWRUÀXLGWHPSHUDWXUH °C
5HFRUGRXWJRLQJFROOHFWRUÀXLGWHPSHUDWXUH °C
CENTRAL HEATING MODE Measure and Record
Heating Flow Temperature °C Heating Return Temperature °C
DOMESTIC HOT WATER MODE Measure and Record:
Is the heat pump connected to a hot water cylinder? Unvented Vented Thermal Store Not Connected
Hot water has been checked at all outlets Yes +DYH7KHUPRVWDWLF%OHQGLQJ9DOYHVEHHQ¿WWHG" Yes Not required
ADDITIONAL SYSTEM INFORMATON
Additional heat sources connected: Gas Boiler 2LO%RLOHU Electric Heater Solar Thermal 2WKHU
ALL INSTALLATIONS
The heating, hot water and ventilation systems complies with the appropriate Building Regulations Yes
All electrical work complies with the appropriate Regulations
The heat pump and associated products have been installed and commissioned in accordance with the manufacturer’s instructions Yes
The operation of the heat pump and system controls have been demonstrated to the customer Yes
The manufacturer’s literature, including Benchmark Checklist and Service Record, has been explained and left with the customer Yes
Commissioning Engineer’s Signature
Customer’s Signature
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