Information

  • Project Reference

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Telephone Number

1. Heat Pump

  • Make

  • Model

  • Serial Number Outdoor (Please take Picture)

  • Serial Number Indoor (Please take Picture)

  • Picture of ID Plate

  • Heat Pump Type

  • Ground Loops Pressure tested?

  • Ground Loops filled with Glycol and tested

  • Manifold Checked for Leaks/Serviceability?

  • Number of loops

  • Length of loops (m)

  • Freeze Protection of Glycol

2. Heating System

  • Primary Heating System

  • 4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?
  • Number of Manifold ports

  • Pipe Centres (mm)

  • Heat Curve

  • Secondary Heating System

  • 4.10. SWL of plant or any lifting equipment exceeded?
  • Heat Curve

3. Domestic Hot Water Storage

  • Hot Water Storage

  • 4.5. Lack of daily inspection protocol?
  • Model

  • Serial Number

  • Benchmark

  • Cylinder Type

  • Capacity (Litres)

  • Legionella Protected

4. Settings

  • Outdoor Temperature

  • Room Temperature

  • Supply Temperature

  • Return Temperature

  • Hot Water Temperature

  • Brine In Temperature

  • Brine Out Temperature

  • Heating Stop Temperature

  • Hot Water Stop Temperature

  • Operating Time Hot Water

  • Operating Time Heating

5. Installation Details

  • System installed to Building Regulations

  • Correctly sized electrical supply and isolator fitted

  • All sensors connected and functional

  • Isolation Valves and Filter devices fitted

  • Unvented DHW safety devices fitted/serviceable

  • Flexible hoses fitted on Heating Flow and Return

  • All UFH actuators/controls working

  • Heat Pump connected to Internet

  • Cooling Enabled

  • Hot water checked at all outlets

Job Status

  • Job Complete

  • Parts required

  • Quote required

  • Return visit

  • Commissioned

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • Customer or On site representative

  • Auditor's Signature

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