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THIS SECTION MUST BE COMPLETED AND SIGNED BY THE INSTALLATION
ENGINEER
PLEASE LEAVE WITH THE CUSTOMER AND THE APPLIANCE.
Size of Governor setting: (i.e.) Propane Gas 37mbar.
Length and size of gas supply: _______________
Meter pressure Stove only on: ________________
Meter pressure with all other appliances on: __________________
Burner pressure Stove only on: _______________
Burner pressure with all other appliances on: __________________
Gas rate - Propane Gas - Time for 1 cubic foot in seconds: ___________
Top or Rear Flue Installation: _________
Overall length of flue: __________
Is there any spillage: __________Is the draught excessive: __________
Is there any permanent ventilation in the room: ____________________
Is the TTB connected correctly (both ends): ______________
Is the aeration of the pilot correct: __________
Does the flame encircle the Thermocouple: ___________
Installation Engineers Name:
_____________________________________________________
Installers
__________________________________
Address
__________________________________
__________________________________
__________________________________
Post Code: ______________________________________
Telephone: __________________
Fax:_________________Mobile:___________________Other:
Gas Safe Registration No:
_______________________________________________________
Signed: ___________________________________ Date: _________________
Guarantee
