70
Installation & Commissioning Certificate
Da te of Ins ta l l a ti on:
1. Installing Engineer Details.
MCS/SEAI Regi s tra ti on No.
Ins ta l l a ti on Compa ny Na me :
Ins ta l l a ti on Compa ny Addre s s :
Conta ct Te l ephone No.:
(LandLine)
(Mobile)
Ins ta l l e r’s Na me :
Ins ta l l e r's E-Ma i l Addre s s
2. Appliance Details.
Appl i a nce Model No.:
Output:
Appl i a nce Seri a l No.:
Da te Code:
MCS Approva l No.:
WS18:
BSI KM 608787/2
WS18:
BSI KM 608787/2
3.Householder & Installation Address Details.
Hous ehol der’s Na me :
Hous ehol der’s Addre s s :
Pos t Code :
Conta ct Te l ephone No.:
(LandLine)
(Mobile)
Hous ehol der’s E-Ma i l Addres s :
4.
System Details.
Approx. Age of Dwel l i ng:
(Ye a rs )
Dwe l l i ng Fl oor Are a :
(m
2
)
Re pl a ceme nt Hea ti ng Sys tem?
Ne w Hea ti ng Sys tem:
Ope n Vented:
Sea l ed Sys tem:
Sys te m Pl a n Confi gura ti on:
Y-Pl a n:
S-Pl a n:
Is the s ys tem for:
Spa ce He a ti ng Onl y:
Spa ce Hea ti ng & Hot Wa ter:
Tota l Sys te m Vol ume :
(Litres)
Tota l Expa ns i on Ca pa ci ty:
(Litres)
Ha s the s ys te m bee n fl us he d:
Ye s :
No:
Wha t Cl ea ns er Wa s Us ed?
Ha s Corros i on Inhi bi tor bee n
a dde d?
Bra nd:
Li tres Us e d:
Tota l Equi va l e nt Fl ue Length:
(Me tre s )
Fl ue Sta bi l i s er Fi tted?
Ye s :
No:
Auxi l i a ry He a t Source s
Ye s :
No:
If Yes , pl e a s e s peci fy be l ow
4kW - 18kW
De ta i l s of Auxi l i a ry Hea t Sources :
5.
Commissioning Engineer Details.
Tick here if com m is s ioned by Ins taller and proceed directly to 6. Com m is s ioning Perform ance.
MCS/SEAI Regis tration No.
Com m is s ion Com pany Nam e:
Com m is s ion Com pany Addres s :
Contact Telephone No.:
(LandLine)
(Mobile)
Com m is s ioning Eng. Nam e:
Com m is ioning Eng. E-Mail:
6.
Commissioning Performance.
Flue Gas Analysis
Com m is s ioning Date:
Flue Gas Analys er Make & Model:
Calibration Date:
Fuel Brand:
ENplus 1:
CO
2
Concentration
%
Boiler Parameters (See Section 4 of the product manual).
CO Concentration
ppm
Fuel Alarm
Mins Water Pres s (NO/NC)
O
2
Concentration
%
Pum p Diff.
°C Mode 1: (On/Off)
Flue Gas Tem perature
°C
Max Pum p Speed
% Auger Mode
Draught
Pa
Trigger Tem p.
°C Dis able PL
Efficiency (Nett %)
%
I. Lock Tem p.
°C
7. Statement of Conformity.
Notes :
8. Commissioning Completion.
Com petent Pers on’s Signature:
Print Nam e
Cus tom er’s Signature*
Print Nam e
*To conf irm demonstrations of the appliance and receipt of related appliance instructions.
Notes:
1. An estimate of system perf ormance is detailed in a separate document w ithin the Installer’s Handover Pack.
2. The system requires regular maintenance, details of w hich can be f ound w ithin the Installer’s Handover Pack and manuf acturer’s instructions.
3. A certif icate conf irming registration on the MCS Installation Database can be f ound w ithin the Installer’s Handover Pack.
Has the m anufacturer’s m aintenance ins tructions
and s chedules been explained to the cus tom er?
Does the ins tallation com ply with the Manufacturer’s
ins tructions ?
Does the ins tallation conform to the requirem ents of MCS
Microgeneration Ins tallation Standard MIS 3004?
Has the appliance operating m anual been provided to the
cus tom er?
Has the cus tom er m anufacturer’s ins tructions on
the correct operation of the appliance been
explained to the cus tom er?
Has the cus tom er been inform ed of the appliance’s
fuel requirem ents including m ois ture content and
correct s torage?
Has the appliance warranty docum entation been
provided to the cus tom er?
Does the ins tallation conform to IEE Regulations , relevant
Britis h & European s tandards , codes of practice, Building
Regulations and Local Authority Byelaws ?
Yes
Yes
Yes
