Title Page
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Site Address
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Conducted on
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Engineer
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Location
Installation Details
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Boiler position
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Flue type
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Number of radiators installed
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Bypass radiator position
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Gas meter position
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Equipotential bonding present at meter
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Condensate termination position
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Type of Heating controls installed
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PRV Termination position
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Magnetic filter position
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What type of scale reducer was used on cold water pipework
Commisioning
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What system cleaner was used
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What Inhibitor was used
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Gas rate Central heating (M3/hr)
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Operating pressure Central heating (Mbar)
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Heating flow temp ('C)
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Heating return temp ('C)
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Gas rate Hot water (M3/hr)
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Operating pressure Hot water (Mbar)
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Cold water inlet temperature ('C)
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Hot water Temperature at all outlets ('C)
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Hot water flow rate (L/min)
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Analyser readings - High (Ratio)
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Analyser readings - Low (Ratio)
Photographic evidence
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Mid Installation Pictures (Minimum of 5)
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Boiler completed
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Pipework under boiler
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Filter and scale reducer
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Flue (Internal)
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Flue (External)
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Analyser in port
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Gas guage on boiler
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Thermostat
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Fuse spur
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Condensate termination
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Boiler data plate
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Benchmark Complete
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Gas Safety record Complete
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Bypass Radiator 1
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Radiator 2
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Radiator 3
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Radiator 4
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Radiator 5
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Radiator 6
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Radiator 6
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Radiator 7
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Radiator 8
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Radiator 9
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Radiator 10
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Radiator 11
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Radiator 12
Customer satisfaction
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All components and controls explained to customer
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All waste materials removed from site
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Is Customer satisfied with the installation
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Customer Signiture
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Engineer Signiture
