41
It is hereby certified that all service work has been carried out by the undersigned in accordance
with the requirements of the HOSPLAN Code of Practice for thermostatic mixing valves.
Name
of Licensed Plumber (Print):…………………………………………………….....................….
Signature:………………………………………….. Licence/Certificate No:…………...................…..
Business Name of Plumbing Contractor:………………………………………………........................
Contractor’s Authority No:………………………………
Date of Service:………….…......………
NOTE
A duplicate copy of this report is to be retained at the site for any inspection by
authorised persons e.g. Department of Health
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 o
f Compliance/Inspection No:……………………………..Dated:………………...…
Service Manual on Site:
YES/NO
Date of Previous Service:………………………………………………………………………...….
Previous Service Carried Out by:………………………………………………………………...….
Current Report Received by (Name)………………………………………………………….……
Position:………………………………………………………………………………………….....…
Signature:…………………………………………………..Date:……………………………....…...
For and on behalf of the health establishment
Содержание tempermate
Страница 2: ...2...
Страница 8: ...8 WARM WATER COMPONENTS...
Страница 9: ...9 DIMENSIONS...
Страница 20: ...20 TMV FAULT FINDING...
Страница 42: ...42...