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VITAE FS V2
– 22-4-16
3. Stove Commissioning Checklist
Please complete the form below as it will be of great assistance in the unlikely event that there is a problem with the
stove or a warranty claim needs to be made. Please contact the installer or dealer if there is a problem.
Retailer from whom the appliance was purchased
Name: …………………………………………………………………………..
Address: …………………………………………………………………………
……………………………………………………………………………………
Telephone Number: ……………………………………………………………...
Complete upon stove installation
Date of Installation: ……………………………………………………
Model Number: (VIT06 FS or VIT09 FS or VIT11 FS) …………………...
Serial Number: …………………………………………………………
Fitter/Plumber
Name: …………………………………………………………………..
Address: ………………………………………………………………...
Telephone Number: …………………………………………………….
Commissioning Checklist – Installer to complete and sign-off
Stove correctly flued according to building regulations
Flue swept and integrity of flue verified
Smoke test completed on installed stove
Spillage test completed
Use of appliance and operation of controls explained to end-user
Check that specified clearance to combustibles has been adhered to
Instruction manual handed to end-user / Notice plate completed and
fixed into position.
Installer Signature: ……………………………Installer Name (print): ………………………………
