WarmFlow A Series, User Instructions, Page: 73 / 89

Page 71
Date of Installation: Date of Commissioning:
1. Installation Engineer Details 5. Commissioning Engineer Details
MCS/SEAI Registration No. MCS/SEAI Registration No.
Installation Company Name Commissioning Company Name
Installation Company Address Commissioning Company Address
Contact Telephone No. Contact Telephone No.
Installer's Name Commissioning Engineer's Name
Installer's E-Mail Commissioning Engineer's E-Mail
2. Appliance Details 6. Commissioning Performance
Appliance Model No. DHW Cylinder Heat Up Test Max. DHW Temp Achieved °C Thermal Disinfection
Appliance Serial No. Maximum Heating Flow Rate Achievable l/min
3. Householder & Installation Address Details 7. Statement of Conformity
Householder's Name
Householder's Address
Installation Company Address
Contact Telephone No.
Houseolder's Email Address
4. System Details
Approximate Age of Dwelling m
2
Notes:
Heating System Overview Replacement New
Heating System Type Open Vented (Gravity) Sealed (Pressurised)
Heat Emitters Radiators Underfloor Competent Person's Signature Print Name
Total Heating System Volume Customer's Signature* Print Name
Has the system been flushed
*To confirm demonstrations of the appliance and receipt of related appliance instructions
Corrosion Inhibitor Added Brand
Notes:
Buffer tank volume (L)
1. An estimate of system performance should be detailed in a separate document within the Installer's Handover Pack.
DHW Cylinder Details Brand litres
2. The system requires regular maintenance as detailed in the Installer's Handover Pack & manufacturer's instructions.
3. A certificate confirming registration on the MCS Installation Database should be found in the Installer's Handover Pack.
Further Details of Heating System (no. of zones, underfloor pipe spacing, piep sizes etc.
Volume Model
Quantity Added
What cleaner was used
Total Expansion Capacity
If no buffer min circulating vol (L)
8. Commissioning Completion
Post Code
Installation & Commissioning Certificate
PLEASE COMPLETE IN BLOCK CAPITALS
Floor Area
Does the installation conform to IEE Regulations, relevant British &
European standards, codes of practice, Duilding Regulations &
Local Authority Bylaws?
Has the customer been explained the correct operation of the
appliance according to the manufacturer's instructions?
Does the installation comply with the Manufacturer's instructions? Has the manufacturer's maintenance instructions & schedules
been explained to the customer?
Does the installation conform to the requirements of MCS
Microgeneration Installation Standard MIS 3005? Has the appliance warranty documentation been provided to
the customer?
Has the appliance operating manual been explained & provided to
the customer?
years
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