www.enware.com.au
Call 1300 369 273
31
Name of
Establishment
Street Address
Suburb
State
Post Code
Phone No.
Contact Name
Date
Work Order No.
Make of
Mixing Valve
Model No
Size
Make and Model of Hot Water Unit
Valve ID No.
Total No. of Mixing
Valves on Site /
Building
Cartridge
Serial No.
Valve Location /
Building
Area serviced
by valve
Outlet type (mark with X)
Bath
Basin
Shower
Valve installed to requirements of:
1. The local water supply
authority
2. The valve manufacturer /
supplier requirements
3. The Australian Standards
for Plumbing and Drainage
YES
NO
YES
NO
YES
NO
If NO, give details and action taken:
PRINT ALL DETAILS or MARK WITH AN X IN BOXES IN BOXES TO INDICATE CHOICE
PLEASE NOTE:
1. In all cases the
Licensee is to submit
this report within 7
working days after
commissioning and /
or servicing the valve.
2. Use a separate form for
each valve.
3. The original report is to
be given to the owner /
occupier and retained
on site for a minimum
of 7 years.
4.
All details are to be
filled in. Incomplete
reports will not be
accepted.
COMMISSIONING AND / OR MAINTENANCE REPORT