Equipment Commissioning Checklist

• Equipment Description

• Location of Use
  Address

• Completed by

• Authorized by

• Date

  Date

Documentation & Requirements

• Have all required legislated obligations been completed prior to installation?

  Yes

  No

  N/A

• Has all required licensing and testing been completed prior to or on installation?

  Yes

  No

  N/A

• Has all required specialist signage been installed?

  Yes

  No

  N/A

• Is baseline health surveillance required?

  Yes

  No

  N/A

• Has it been completed where required?

  Yes

  No

  N/A

• Is there an English language version of instruction/operating manual available?

  Yes

  No

  N/A

• Have all modifications been completed and approved by relevant authorities?

  Yes

  No

  N/A

• Does the equipment NOT create emissions or any other by-product which may impact the environment?

  Yes

  No

  N/A

• Has Safe Work Procedure (SWP) been completed for the equipment?

  Yes

  No

  N/A

• Are training, work practice and supervision changes required?

  Yes

  No

  N/A

• Identify the requirements:

• Have all staff who require training in the use of the equipment completed it prior to commissioning?

  Yes

  No

  N/A

• Are Staff training records completed and properly stored in the database?

  Yes

  No

  N/A

• Has the contractor company and individual workers completed the contractor induction?

  Yes

  No

  N/A

• Is a HAZOP required for this equipment? (Do it for high risk/complex equipment)

  Yes

  No

  N/A

• Has the Pressure Vessel Compliance Checklist been completed?

  Yes

  No

  N/A

• Are Specific Emergency Plan and relevant procedures/equipment in place?

  Yes

  No

  N/A

• If required, are health surveillance and testing programs in place?

  Yes

  No

  N/A

• Are machine guarding and emergency stops in place and working as designed?

  Yes

  No

  N/A

• Have all electrical wiring and supply issues been resolved?

  Yes

  No

  N/A

• Have all gas storage and supply issues been resolved?

  Yes

  No

  N/A

• Have all radiation sources storage, handling, and disposal issues been identified and resolved?

  Yes

  No

  N/A

• Has a maintenance plan and contract for scheduled maintenance and breakdown been arranged?

  Yes

  No

  N/A

Burner/Boiler Commissioning

• Is safe site access available and risk assessment completed?

  Yes

  No

  N/A

• Has a visual inspection been carried out to assess physical damage of components and cases?

  Yes

  No

  N/A

• Are all items packed in transit removed from combustion chamber?

  Yes

  No

  N/A

• Has boiler been assembled as per manufacturers instructions, including casing and baffles where appropriate?

  Yes

  No

  N/A

• Has boiler been pressure tested and certificated?

  Yes

  No

  N/A

• Are boiler filled with water and isolation valves open?

  Yes

  No

  N/A

• Is the burner to boiler fixings correct as per manufacturers instructions?

  Yes

  No

  N/A

• Are water pumps working to provide sufficient circulation/heating load?

  Yes

  No

  N/A

• Is the burner flame tube insulation sealing correct at appliance body as per manufacturers instructions?

  Yes

  No

  N/A

• Is there adequate clearance around Boiler and Burner for servicing?

  Yes

  No

  N/A

• Is the boiler door aligned and sealed correctly?

  Yes

  No

  N/A

• Is flue installation safe, fitted correctly and sealed to the appliance?

  Yes

  No

  N/A

• Does the permanent ventilation comply with current installation standards and regulations?

  Yes

  No

  N/A

• Are appliance electrical wiring checked for safety?

  Yes

  No

  N/A

• Is the wiring of the burner to appliance correct and according to manufacturers instructions?

  Yes

  No

  N/A

• Are external controls and interlocks connected and fully operational (BMS, fan flue, flow-switches, dampers, diverter valves, etc.)?

  Yes

  No

  N/A

• Are boiler thermostats fitted correctly to manufacturers instruction (on/off, high/low, high limit)?

  Yes

  No

  N/A

• Are modulating burners probes fitted and wired to manufacturers instructions?

  Yes

  No

  N/A

• Are all safety systems fitted and fully operational (e.g. pressure relief/safety valves etc.)?

  Yes

  No

  N/A

• Does the gas pipework safely fit and support with correct means of isolation?

  Yes

  No

  N/A

• Is the gas pipework tested for tightness and purged (certificates and fuel available)?

  Yes

  No

  N/A

• Is the gas booster or non-appliance specific gas valve safety interlocks connected?

  Yes

  No

  N/A

• Is the adequate access to the gas meter?

  Yes

  No

  N/A

• Are oil supply pipe(s) correctly fitted, purged and supported (check inline filter has been fitted)?

  Yes

  No

  N/A

• Is the oil pump set for the single or two-pipe system as applicable (fuel available)?

  Yes

  No

  N/A

• Is the rotation of 3 phase motors relative to burner/booster checked?

  Yes

  No

  N/A

Completion

• Additional Comments

• All hazards and H&S issues have been identified and control measures have been initiated and/or implemented.

• Inspector Name & Signature

  Sign

• Supplier/Installer Name & Signature

  Sign

• Manager/Supervisor Name & Signature

  Sign