53
© Heating and Hotwater Industry Council (HHIC)
www.centralheating.co.uk
SERVICE & INTERIM BOILER WORK RECORD
It is recommended that your boiler and heating system are regularly serviced and maintained, in line with manufacturers’ instructions, and that the appropriate service /
interim work record is completed.
Service provider
When completing a service record (as below), please ensure you have carried out the service as described in the manufacturers’ instructions. Always use the
SERVICE/INTERIM WORK ON BOILER
delete as appropriate
Date:
Engineer name:
Company name:
Telephone N
o
:
Gas Safe registration N
o
:
Max rate CO ppm CO² % CO/CO²
Min rate CO ppm CO² % CO/CO²
undertaken in accordance with manufacturers’
instructions, and readings are correct?”
yes
Gas rate:
m
3
/h
OR
ft
3
/h
delete as appropriate
Yes
No
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers’ instructions. *
yes
n/a
Comments:
Signature:
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
SERVICE/INTERIM WORK ON BOILER
delete as appropriate
Date:
Engineer name:
Company name:
Telephone N
o
:
Gas Safe registration N
o
:
Max rate CO ppm CO² % CO/CO²
Min rate CO ppm CO² % CO/CO²
undertaken in accordance with manufacturers’
instructions, and readings are correct?”
yes
Gas rate:
m
3
/h
OR
ft
3
/h
delete as appropriate
Yes
No
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers’ instructions. *
yes
n/a
Comments:
Signature:
SERVICE/INTERIM WORK ON BOILER
delete as appropriate
Date:
Engineer name:
Company name:
Telephone N
o
:
Gas Safe registration N
o
:
Max rate CO ppm CO² % CO/CO²
Min rate CO ppm CO² % CO/CO²
undertaken in accordance with manufacturers’
instructions, and readings are correct?”
yes
Gas rate:
m
3
/h
OR
ft
3
/h
delete as appropriate
Yes
No
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers’ instructions. *
yes
n/a
Comments:
Signature:
SERVICE/INTERIM WORK ON BOILER
delete as appropriate
Date:
Engineer name:
Company name:
Telephone N
o
:
Gas Safe registration N
o
:
Max rate CO ppm CO² % CO/CO²
Min rate CO ppm CO² % CO/CO²
undertaken in accordance with manufacturers’
instructions, and readings are correct?”
yes
Gas rate:
m
3
/h
OR
ft
3
/h
delete as appropriate
Yes
No
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers’ instructions. *
yes
n/a
Comments:
Signature:
SERVICE/INTERIM WORK ON BOILER
delete as appropriate
Date:
Engineer name:
Company name:
Telephone N
o
:
Gas Safe registration N
o
:
Max rate CO ppm CO² % CO/CO²
Min rate CO ppm CO² % CO/CO²
undertaken in accordance with manufacturers’
instructions, and readings are correct?”
yes
Gas rate:
m
3
/h
OR
ft
3
/h
delete as appropriate
Yes
No
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers’ instructions. *
yes
n/a
Comments:
Signature:
SERVICE/INTERIM WORK ON BOILER
delete as appropriate
Date:
Engineer name:
Company name:
Telephone N
o
:
Gas Safe registration N
o
:
Max rate CO ppm CO² % CO/CO²
Min rate CO ppm CO² % CO/CO²
undertaken in accordance with manufacturers’
instructions, and readings are correct?”
yes
Gas rate:
m
3
/h
OR
ft
3
/h
delete as appropriate
Yes
No
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers’ instructions. *
yes
n/a
Comments:
Signature:
