Title Page
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Site
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Conducted on
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Prepared by
Extract fan details
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Location
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Unit Reference
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Unit Make and model if know
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unit water capacity - Litres
Service Details
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cover removed and internal inspection carried out
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Filters Cleaned (if applicable)
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Unit Securely Mounted
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blow off pipe installed
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Wiring and Electrical terminations checked
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class 1 or class 2 unit
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measured Zs at boiler
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suitable isolator fitted
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unit Operational
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Unit operates in all modes
Faults
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Faults Found
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Details of faults
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Pictures of faults
Engineer Sign Off
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Comments
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Signature