83
Installation & Commissioning Certificate
Date of Installation:
1. Installing Engineer Details.
MCS/SEAI Registration No.
Installation Company Name:
Installation Company Address:
Contact Telephone No.:
(LandLine)
(Mobile)
Installer’s Name:
Installer's E-Mail Address
2. Appliance Details.
Appliance Model No.:
Output:
Appliance Serial No.:
Date Code:
MCS Approval No.:
WS18:
BSI KM 608787/2
WS18:
BSI KM 608787/2
3.Householder & Installation Address Details.
Householder’s Name:
Householder’s Address:
Post Code:
Contact Telephone No.:
(LandLine)
(Mobile)
Householder’s E-Mail Address:
4.
System Details.
Approx. Age of Dwelling:
(Years)
Dwelling Floor Area:
(m
2
)
Replacement Heating System?
New Heating System:
Open Vented:
Sealed System:
System Plan Configuration:
Y-Plan:
S-Plan:
Is the system for:
Space Heating Only:
Space Heating & Hot Water:
Total System Volume:
(Litres)
Total Expansion Capacity:
(Litres)
Has the system been flushed:
Yes:
No:
What Cleanser Was Used?
Has Corrosion Inhibitor been
added?
Brand:
Litres Used:
Total Equivalent Flue Length:
(Metres)
Flue Stabiliser Fitted?
Yes:
No:
Auxiliary Heat Sources
Yes:
No:
If Yes, please specify below
4kW - 18kW
Details of Auxiliary Heat Sources:
5.
Commissioning Engineer Details.
Tick here if commissioned by Installer and proceed directly to 6. Commissioning Performance.
MCS/SEAI Registration No.
Commission Company Name:
Commission Company Address:
Contact Telephone No.:
(LandLine)
(Mobile)
Commissioning Eng. Name:
Commisioning Eng. E-Mail:
6.
Commissioning Performance.
Flue Gas Analysis
Commissioning Date:
Flue Gas Analyser Make & Model:
Calibration Date:
Fuel Brand:
ENplus 1:
CO
2
Concentration
%
Boiler Parameters (See Section 4 of the product manual).
CO Concentration
ppm
Fuel Alarm
Mins Water Press (NO/NC)
O
2
Concentration
%
Pump Diff.
°C Mode 1: (On/Off)
Flue Gas Temperature
°C
Max Pump Speed
% Auger Mode
Draught
Pa
Trigger Temp.
°C Disable PL
Efficiency (Nett %)
%
I. Lock Temp.
°C
7. Statement of Conformity.
Notes:
8. Commissioning Completion.
Competent Person’s Signature:
Print Name
Customer’s Signature*
Print Name
*To confirm demonstrations of the appliance and receipt of related appliance instructions.
Notes:
1. An estimate of system performance is detailed in a separate document w ithin the Installer’s Handover Pack.
2. The system requires regular maintenance, details of w hich can be found w ithin the Installer’s Handover Pack and manufacturer’s instructions.
3. A certificate confirming registration on the MCS Installation Database can be found w ithin the Installer’s Handover Pack.
Has the manufacturer’s maintenance instructions
and schedules been explained to the customer?
Does the installation comply with the Manufacturer’s
instructions?
Does the installation conform to the requirements of MCS
Microgeneration Installation Standard MIS 3004?
Has the appliance operating manual been provided to the
customer?
Has the customer manufacturer’s instructions on
the correct operation of the appliance been
explained to the customer?
Has the customer been informed of the appliance’s
fuel requirements including moisture content and
correct storage?
Has the appliance warranty documentation been
provided to the customer?
Does the installation conform to IEE Regulations, relevant
British & European standards, codes of practice, Building
Regulations and Local Authority Byelaws?
Yes
P
Yes
P
Yes
P
&
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