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200747_1TB
27
Commissioning Form
THIS SECTION MUST BE COMPLETED AND SIGNED BY THE INSTALLATION
ENGINEER
PLEASE LEAVE WITH THE CUSTOMER AND THE APPLIANCE.
Size of Governor setting: (i.e.) Natural Gas 20mbar.
Length and size of gas supply: _______________
Meter pressure Fire only on: ________________
All Other appliances on: __________________
Burner pressure Fire only on: _______________
All Other appliances on: __________________
Gas rate - Natural Gas - Time for 1 cubic foot in seconds: ___________
Overall length of flue: __________
Is there any spillage: __________Is the draught excessive: __________
Is there any permanent ventilation in the room: ____________________
Has the room double glazing: ______________
Is the aeration of the pilot correct: __________
Does the flame encircle the FFD: ___________
Installation Engineers Name: _____________________________________________________
Address
__________________________________
__________________________________
__________________________________
__________________________________
Post Code: ______________________________________
Telephone: __________________ Fax:__________________Mobile:______________________
Gas Safe Registration No: _______________________________________________________
Signed: ___________________________________ Date: _________________