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39P-I01-160617
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:
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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