
Commissioning Report
Operator
Contractor
Name
Name
Address
Address
Town/City/Postcode
Town/City/Postcode
System data
Appliance type
Masonry insert
Fireplace insert
Masonry stove
Description
Additional circuit
Heat exchanger
Type
Ceramic flues
Length (m)
Top mounted heat exchanger
Rotary chimney
Hot air top-mounted heat
exchanger
Other
Hydronic technology
Hot water top-mounted heat
exchanger (HWAR)
Top-mounted heat exchanger/type
Connecting line/chimney
Connecting line
Diameter (mm)
Extended length (m)
Bend
Chimney
Manufacturer
Type
Effective height (m)
Diameter (mm)
single-wall
multi-wall
outer wall (stainless steel)
Combustion air supply
Operating mode
room air composite
external combustion air
Combustion air conduit
Diameter (mm)
Extended length (m)
Bend
Ventilation system (controlled room ventilation, exhaust-air extractor fan hood etc.)
During commissioning
no system fitted
system fitted
Safety equipment
not fitted
fitted/type
Controls
Combustion control
not fitted
fitted/type
Other controls
Water control/type
Other
Instruction and handover
The operator of the appliance has been instructed in the operation and maintenance of the appliance.
yes
The operator of the appliance has been advised about dangers when operating the appliance.
yes
The operator of the appliance has been handed the installation and operating instructions.
yes
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