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100KC-I04-010317
COMMISSIONING CHECKLIST
To assist with any potential guarantee claim please complete the following information:-
To be completed by the installer.
Dealer the appliance was purchased from:
Name:
Address:
Telephone No:
ESSENTIAL information:
Date Installed
Model Description:
Serial No:
Installation Engineer:
Company Name:
Address:
Telephone No:
Commissioning Checks – to be completed and signed:
Is the flue system correct for this appliance?
Yes
No
Flue swept and checked for soundness?
Yes
No
Smoke test completed on installed appliance?
Yes
No
Spillage test complete?
Yes
No
Has the use of the appliance, operation and controls been
explained?
Yes
No
Clearance to combustible materials checked?
Yes
No
Instruction book handed to the customer?
Yes
No
CO Alarm fitted?
Yes
No
Signature:……………………………………………….. Print Name:…………………………………………………
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