Henley Arklow, Installation And Operating Instructions Manual, Page: 4 / 16

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 war-
ranty claim needs to be made. Please contact the installer or dealer if there is a problem.
Dealer appliance was purchased from
Essential Information - MUST be completed
Installation engineer
Commissioning Checks (to be completed and signed)
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Name:
Address:
Phone:
Date installed:
Model Description:
Serial number:
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Company name:
Address:
Phone:
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
HETAS Approved (Please tick relevant box):
Yes No If Yes, please include certificate of compliance.
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
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Signature:
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Print name:
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