Hotspur 5 & 9 Issue 2 December 2017
31
Commissioning Form
Commissioning Statement and Check-list
Stove Purchased
From:_________________________________________________________________
Address:_______________________________________________________________
Telephone Inc area code:_________________________________________________
Installation Date:_____/_____/__________ Stove Name:________________________
1
st
year service is due 1 year from this date
Product Serial Number:________________ Invoice Number:_____________________
Stove installed by:_______________________________________________________
Address:_______________________________________________________________
Telephone Inc area code:_________________________________________________
HETAS Registration Number:______________________________________________
Check-list (please indicate Yes or No by circling or ticking appropriately)
Is the flue system the correct length and diameter for stove:
Yes
No
Flue swept and checked for soundness:
Yes
No
Manufacturers clearances adhered:
Yes
No
Smoke spillage test performed on stove:
Yes
No
Stove controls fully explained to end user:
Yes
No
Correct fuels explained to end customer:
Yes
No
CO Alarm fitted and tested:
Yes
No
Instruction booklet & HETAS certificate handed to end user:
Yes
No
Signature:__________________________ Print Name:_________________________
