DRAFT
© Galvin Engineering Pty Ltd
Galvin Engineering Thermostatic Mixing Valve or Tempering
Valve Commissioning/Maintenance Report
The following information is to be provided by the site manager/owner/occupier.
Valve size and installation recommended by : ___________________________________________________
Valves supplied by: ________________________________________________________________________
Date of Installation: _________________________ Drawing No. ____________________________________
Service Manual on Site:
Yes
□
No
□
Commissioning Tests for new installation or valve replacement. Yes
□
This set of testing procedures and report received and witnessed by (Print Name): ______________________
Temperature setting at completion of commissioning _______________ C
Position: ________________________________Signature: ______________________ Date:_______________________
Maintenance Tests. Yes
□
Date of Previous Service: ______________________________________________
Previous Service carried out by: _________________________________________
Reason for Maintenance Tests: _______________________________________________________________
This Test and report Witnessed by: _______________________________________
The valve has been operating/performing satisfactorily for the previous 12 months:
Yes
□
No
□
Comment on monthly Temperature Tests carried out by the owner: _____________________________________
___________________________________________________________________________________________
Temperature setting at time of completion: _________C
Current Report received and witnessed by:
Name: ______________________________________
Position: ____________________________________
Signature: ____________________________________Date: ______________________________
