COMMISSIONING / SER
VICE / REP
AIR
Customer Name
Boiler Model & Size
Commissioning Date
Site Address
Flue T
ype
Ideal
Ind Flue Specialist
Boiler Location
Is V
entilation to BS5440 (0-70kW)
YES
NO
Is V
entilation to BS 6640 (70kW>)
YES
NO
Option Kits fitted
Postcode
High Level
Mechanical
Natural
Open
Interlock Kit
W
eather Comp
Contact Name:
Low Level
Mechanical
Natural
RS
Frame/Header Kit
Plume Kit
Tel:
Direct to Outside
Air?
YES
NO
Other:
Limit stat operation set to Factory Settings
Boiler 1
Boiler 2
Boiler 3
Boiler 4
Boiler 5
Boiler 6
Yes / No
Serial No
Serial No
Serial No.
Serial No.
Serial No.
Serial No.
Low
High
Low
High
Low
High
Low
High
Low
High
Low
High
Gas inlet pressure (static)
mbar
Gas manifold pressure dynamic-single boiler firing
mbar
Gas manifold pressure dynamic-all boiler firing
mbar
Burner pressure (if required)
mbar
Gas rate
kW/hr
Detection Electrode
µ
A
Flue gas temperature (gross)
ºC
Ambient temperature
ºC
O
2
%
CO
2
%
CO
ppm
CO / CO
2
ratio
W
ater flow temperature (stabilised)
ºC
W
ater return temperature (stabilised)
ºC
Temp. dif
ference
ºC
Control stat operation checked and set to:
ºC
Lockout and safety functions checked
Y/N
Flue draught max. and min. firing conditions
If applicable
Flue back pressure (in operation)
Pa
Flue back pressure (in stand-by mode)
Pa
Flue checked for spillage
Y/N
Flue damper if required
Y/N
Condensate drain connected / syphon fitted / cleaned
Y/N
ENGINEER’S NOTES /
ADVICE / REMEDIAL
ACTIONS (ALSO LIST
ANY
OTHER GAS
APPLIANCES INST
ALLED IN THE PLANT ROOM)
PLEASE ENSURE T
O REGISTER
YOUR W
ARRANTY
& BOILER INST
ALLA
TION
Gas Safe ID number
W
arning Notice Issued (No.)
Engineers Name (please print)
Engineer Signature:
Customer Signature:
