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© Enware Pty Ltd
COMMISSIONING REPORT
Test results (complete table on following page)
Valve considered satisfactory for use
YES/NO
If NO, state reason and action taken
It is hereby certified that all the commissioning work has been
carried out by the undersigned in accordance with local plumbing
requirements for Thermostatic Mixing Valves
Date initial service due:
(Maximum
12 months use)
Valve commissioned by:
Signature Licensed Plumber
Lic/Cert No
Business name of Plumbing
Contractor
Contractors Authority No
Date
NOTE: A duplicate copy of this report is to be retained at the site
for any inspection by authorised persons.
The following information is to be provided by site manager/owner:
Valve size and installation recommended by (name)
Valve supplied by (name)
Valve installed by (name)
Date of installation:
Drawing No:
Certificate of Compliance/Inspection No:
Dated:
Service manual on site: YES/NO
Report received by (name)
Position
Signature
Date:
For and on behalf of the client/site manager/owner