www.centralheating.co.uk
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Before completing the appropriate Service Record below, please ensure you have carried out the service as described in the manufacturer’s instructions.
SE
R
VICE
R
EC
OR
D
SE
R
VICE 01
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
A
N
D
CO² %
At min. rate:
(Where Possible)
CO ppm
A
N
D
CO² %
Comments:
Signature
SE
R
VICE 02
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
A
N
D
CO² %
At min. rate:
(Where Possible)
CO ppm
A
N
D
CO² %
Comments:
Signature
SE
R
VICE 03
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
A
N
D
CO² %
At min. rate:
(Where Possible)
CO ppm
A
N
D
CO² %
Comments:
Signature
SE
R
VICE 04
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
A
N
D
CO² %
At min. rate:
(Where Possible)
CO ppm
A
N
D
CO² %
Comments:
Signature
SE
R
VICE 05
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
A
N
D
CO² %
At min. rate:
(Where Possible)
CO ppm
A
N
D
CO² %
Comments:
Signature
SE
R
VICE 06
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
A
N
D
CO² %
At min. rate:
(Where Possible)
CO ppm
A
N
D
CO² %
Comments:
Signature
SE
R
VICE 07
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
A
N
D
CO² %
At min. rate:
(Where Possible)
CO ppm
A
N
D
CO² %
Comments:
Signature
SE
R
VICE 08
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
A
N
D
CO² %
At min. rate:
(Where Possible)
CO ppm
A
N
D
CO² %
Comments:
Signature
SE
R
VICE 09
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
A
N
D
CO² %
At min. rate:
(Where Possible)
CO ppm
A
N
D
CO² %
Comments:
Signature
SE
R
VICE 10
Date:
Engineer name:
Company name:
Telephone No:
Gas safe register No:
Record:
At max. rate:
CO ppm
A
N
D
CO² %
At min. rate:
(Where Possible)
CO ppm
A
N
D
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.
© Heating and Hotwater Industry Council (HHIC)
63