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Heat & Glo • REVO-V12, REVO-S21, REVO-H31 Installation Manual • 2273-980 Rev. J • 5/15
Installation Standard work Checklist
Customer:
Lot/Address:
Model (circle one): REVO-V12
REVO-H31
REVO-S21
Date Installed:
Location of Fireplace:
Installer:
Dealer/Distributor Phone #
Serial #:
Comments:
Further description of the issues, who is responsible (Installer/ Builder/ Other Trades, etc) and corrective
action needed _____________________________________________________________________________________
_________________________________________________________________________________________________
Comments Communicated to party responsible ____________________ by ______________________on ___________
(Builder / Gen. Contractor/) (Installer) (Date)
Appliance Install
YES
IF NO, WHY?
Veri
ed that the area behind appliance is insulated and sealed as required. (Pg. 12)
___________________________
Required non-combustible board installed.(In-Wall Installation only) (Section 11)
___________________________
Veri
ed clearances to combustibles. (Section 3)
___________________________
Required In-Wall Kit installed if back of appliance outer wrap penetrates
the sheetrock/
nish wall material (In-Wall Installation only) ___________________________
Verified appliance is installed a minimum of 4 inches above finished floor. (Pg. 13,14,51) ___________________________
Veri
ed
replace is leveled and secured. (Pg. 33,54)
___________________________
Venting/Chimney Section 7 (Pg 36-41)
Venting con
guration complies with allowable vent requirements.
___________________________
Venting installed, locked and secured in place with proper clearances.
___________________________
Interior/Exterior
restops installed and sealed (In-Wall Installation only).
___________________________
Attic insulation shield installed. (Pg 28)
___________________________
Terminations/Roof
ashing installed and sealed.
___________________________
Termination cap extension installed and sealed (In-Wall Installation only)(Section 11)
___________________________
Electrical Section 8 (Pg 42-43)
120VAC unswitched power provided to the appliance.
___________________________
Veri
ed ON/OFF switch wires properly installed.
___________________________
Gas Section 9 (Pg 44-45)
Appliance con
guration matches fuel type.
___________________________
Was a conversion performed?
___________________________
Leak check performed and inlet/outlet pressure veri
ed.
___________________________
Set air shutter for optimal
ame appearance.
___________________________
Finishing Section 10 (Pg 46-50)
Combustible materials not
installed in non-combustible areas.
___________________________
Veri
ed all clearances meet installation manual requirements.
___________________________
Mantels and wall projections comply with installation manual requirements.
___________________________
Appliance Setup Section 12 (Pg 59)
All packaging and protective materials are removed from inside/under /on
the appliance.
___________________________
Glass assembly installed and secured, glass retainers removed,gasket sealed.
___________________________
Accessories installed properly.
___________________________
Mesh, doors, or decorative front properly installed.
___________________________
Manual bag and all of its contents are removed from inside/under
the appliance and given to party responsible for use and operation.
___________________________
Operated appliance. Veri
ed no
gas leaks exist and proper appliance operation.
___________________________
2273-982E 9/14
= Contains updated information.
Hearth & Home Technologies recommends the following:
• Photographing the installation and copying this checklist for your
le.
• This checklist remain visible at all times on the appliance until the installation is complete.
This standard work checklist is to be used by the installer in conjunction with, not instead of, the instructions contained in this
installation manual.
WARNING! Risk of Fire or Explosion!
Failure to install appliance according to these instructions can
lead to a
re or explosion.
ATTENTION INSTALLER:
Follow this Standard Work Checklist