JOB TICKET / SURVEY

• Site conducted
  Address

• Conducted on

  Date

• Prepared by

• Current boiler installed

  Media

• Boiler position

• Flue Type

  Horizontal

  Vertical

• Type of System

  Combination Boiler

  System boiler

  Heat only

• Is system conversion required

  Yes

  No

  N/A

• Is boiler to fitted in orginal position

  Yes

  No

  N/A

• Contact PM

SURVEY NOTES:

• Name:

• Address:

• Phone:

  Yes

  No

  N/A

• Operative Name:

• Operative Signature

  Sign

• Appointment:

  Yes

  No

  N/A

Existing services Location

• Gas meter Location

  internal

  External

• Mains Stop Tap Accessible

  Yes

  No

  N/A

• Location

• Contact PM

• Is Scaffold required

  Yes

  No

  N/A

• Contact PM

Radiators

• RADIATORS REQUIRED

  Yes

  No

  N/A

• (DAMAGED, LEAKING ETC)

  Yes

  No

  N/A

• TRV’S REQUIRED

  Yes

  No

  N/A

• TRV’s COUNT

  Yes

  No

  N/A

• number required

• TRV Size

Boiler requirements

• Boiler required

  Ecotec Pro 28

  Sustain

  System boiler

  Heat Only

• Vaillant Horizontal Flue

  Yes

  No

  N/A

• Vaillant Vertical Flue Kit

  Yes

  No

  N/A

• Vaillant Roof Cover Plate Kit (Ceiling Plate)

  Yes

  No

  N/A

• Vaillant Flue Extension

• Vaillant Flue Support Brackets

  Yes

  No

  N/A

• Vaillant 45 Flue Elbow

  Yes

  No

  N/A

• Vaillant 90 Flue Elbow

  Yes

  No

  N/A

• Vaillant Pitched Roof Flashing

  Yes

  No

  N/A

• Vaillant Plume Management Kit

  Yes

  No

  N/A

• Vaillant Stand Off Kit

  Yes

  No

  N/A

• Condense Pump

  Yes

  No

  N/A

• Adey Magnetic chem Pack

  Yes

  No

  N/A

• 5 Core (2m Cable)

  Yes

  No

  N/A

• Filling Loop

  Yes

  No

  N/A

• Hot Tundish with shield

  Yes

  No

  N/A

• 22mm x 3/4 Male Iron

  Yes

  No

  N/A

• Arma Flex Lagging 35mm (2m)

Programmer

• Make

  Neomitis

  Danfoss

• Type

  wireless

  Hardwired

Summardies

• 21mm PVC Pipe

• 21mm PVC 90 Elbows

• 21mm PVC Couplings

• 32 mm PVC Pipe

• 32mm Solvent Weld 90 Elbow

• 32mm Solvent Weld 45 Elbow

• 32mm Solvent Weld Tee

• 32mm Coupling

• 32 x 21mm solvent overflow reducer

• 32mm Clips

• Universal 32mm Swept Tee with 22mm Reducer

• 40 mm PVC Pipe

• 40mm Solvent Weld 90 Elbow

• 40mm Solvent Weld 45 Elbow

• 40mm Solvent Weld Tee

• 40mm x 21mm reducer

• 40mm Coupling

• 40 mm Clips

• Strap on Boss (32mm Connection)

  Yes

  No

  N/A

• Strap On Boss (40mm Connection)

  Yes

  No

  N/A

• Soakaway

  Yes

  No

  N/A

• GR1 Clamp

  Yes

  No

  N/A

• Terminal Guard

  Yes

  No

  N/A

• 22mm Meter Union

  Yes

  No

  N/A

• 28mm Meter Union

  Yes

  No

  N/A

• 15mm Talon Pipe Cover Trunking

  Yes

  No

  N/A

• 22mm Talon Pipe Cover Trunking

  Yes

  No

  N/A

• 22mm Talon Clips

  Yes

  No

  N/A

• 15mm Talon Clip (Single Hinged)

  Yes

  No

  N/A

• 22mm End feed Pipe (3m)

• 15mm End feed Pipe (3m)

• 15mm End feed Elbows

• 15mm End feed Coupling

• 15mm End feed Tee

• 15mm End feed Street Elbow

• Sand and Cement mix

  Yes

  No

  N/A

• 22mm End feed Elbow

• 22mm End feed Coupling

• 22mm End feed Tee

• 22 x 15 x 22mm End feed Tee

• 22 x 22 x 15mm End feed Tee

• 22 -15mm End feed Reducer

• 15mm Drain Off Valve

• 15mm Compression Cap End

• 22mm Compression Cap End

• Heat Proof Board (Fire resistant Board)

  Yes

  No

  N/A

• Roll n Stroll (Laminate)

  Yes

  No

  N/A

• Roll n Stroll (Carpet)

  Yes

  No

  N/A