www.centralheating.co.uk
I
t
i
s
recommended
that
your
heat
i
ng
system
i
s
serv
i
ced
regu
l
ar
l
y
and
that
the
appropr
i
ate
Serv
i
ce
I
nterva
l
Record
i
s
comp
l
eted.
Serv
i
ce
Prov
i
der
Before completing the appropriate Service Record below, please ensure you have carried out the service as described in the manufacturer’s instructions.
SERV
I
CE
RECORD
SERV
I
CE
01
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
AND
CO² %
At min. rate:
(Where Possible
)
CO ppm
AND
CO² %
Comments:
Signature
SERV
I
CE
02
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
AND
CO² %
At min. rate:
(Where Possible
)
CO ppm
AND
CO² %
Comments:
Signature
SERV
I
CE
03
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
AND
CO² %
At min. rate:
(Where Possible
)
CO ppm
AND
CO² %
Comments:
Signature
SERV
I
CE
04
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
AND
CO² %
At min. rate:
(Where Possible
)
CO ppm
AND
CO² %
Comments:
Signature
SERV
I
CE
05
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
AND
CO² %
At min. rate:
(Where Possible
)
CO ppm
AND
CO² %
Comments:
Signature
SERV
I
CE
06
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
AND
CO² %
At min. rate:
(Where Possible
)
CO ppm
AND
CO² %
Comments:
Signature
SERV
I
CE
07
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
AND
CO² %
At min. rate:
(Where Possible
)
CO ppm
AND
CO² %
Comments:
Signature
SERV
I
CE
08
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
AND
CO² %
At min. rate:
(Where Possible
)
CO ppm
AND
CO² %
Comments:
Signature
SERV
I
CE
09
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
AND
CO² %
At min. rate:
(Where Possible
)
CO ppm
AND
CO² %
Comments:
Signature
SERV
I
CE
10
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
AND
CO² %
At min. rate:
(Where Possible
)
CO ppm
AND
CO² %
Comments:
Signature
*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.
©
H
eating and
H
otwater Industry Council (
HH
IC
)
46
