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Installation & Service Record
Please ensure that installer completes the installation record below
INSTALLATION RECORD
Appliance Supplied by: …………………………....
Installation Date: ……………Serial No.: ….……...
Installed By: …………..…...GAS SAFE No.: …..……
Signed by Installer: ………………………..…
RECORD OF 1
st
SERVICE
Serviced by: ………..…….. GAS SAFE
No.:……………....
Service Date: ……………… Signed: .………….….…...
Comments: ……………………………………..…….……
…………………………………………………………………
…………………………………………………………………
RECORD OF 2
nd
SERVICE
Serviced by: ………..…….. GAS SAFE
No.:……………....
Service Date: ……………… Signed: .………….….…...
Comments: ……………………………………..…….……
…………………………………………………………………
…………………………………………………………………
RECORD OF 3
rd
SERVICE
Serviced by: ………..…….. GAS SAFE
No.:……………....
Service Date: ……………… Signed: .………….….…...
Comments: ……………………………………..…….……
…………………………………………………………………
…………………………………………………………………
RECORD OF 4
th
SERVICE
Serviced by: ………..…….. GAS SAFE
No.:……………....
Service Date: ……………… Signed: .………….….…...
Comments: ……………………………………..…….……
…………………………………………………………………
…………………………………………………………………
RECORD OF 5
th
SERVICE
Serviced by: ………..…….. GAS SAFE
No.:……………....
Service Date: ……………… Signed: .………….….…...
Comments: ……………………………………..…….……
…………………………………………………………………
…………………………………………………………………
RECORD OF 6
th
SERVICE
Serviced by: ………..…….. GAS SAFE
No.:……………....
Service Date: ……………… Signed: .………….….…...
Comments: ……………………………………..…….……
…………………………………………………………………
…………………………………………………………………
RECORD OF 7
th
SERVICE
Serviced by: ………..…….. GAS SAFE
No.:……………....
Service Date: ……………… Signed: .………….….…...
Comments: ……………………………………..…….……
…………………………………………………………………
…………………………………………………………………
RECORD OF 8
th
SERVICE
Serviced by: ………..…….. GAS SAFE
No.:……………....
Service Date: ……………… Signed: .………….….…...
Comments: ……………………………………..…….……
…………………………………………………………………
…………………………………………………………………