Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Property and HIU Details

  • No. of Bedrooms

  • No, of Bathrooms

  • Visual Inspection

  • Mains Cold Water supply onto apartment

  • SAV Danfoss HIU Type No.

  • SAV Danfoss HIU Serial No.

  • Kamstrup Heat Meter Serial Number

HIU Service

  • HIU Isolating Ball Valves Operating

  • HIU Bypass Isolated

  • HIU Strainer Cleaned Primary side and Secondary

  • HWS HIU thermostat setting

  • All Isolating Valves Labelled

  • Expansion Vessel Charge Pressure (Bar)

  • Visual Check Leaks

Heating System

  • Heat Meter Reading 1 (Loop 1) ENERGY USED (kWh)

  • Heat Meter Reading 2 (Loop 1) PRIMARY FLOW VOLUME (m³)

  • Heat Meter Reading 3 (Loop 1) TOTAL HOURS (Hours)

  • Heat Meter Reading 4 (Loop 1) PRIMARY FLOW TEMP (°C)

  • Heat Meter Reading 5 (Loop 1) PRIMARY RETURN TEMP (°C)

  • Heat Meter Reading 6 (Loop 1) DELTA ACROSS PRIMARY (°C)

  • Heat Meter Reading 7 (Loop 1) CURRENT FLOW RATE PRIMARY (L/H)

  • Heat Meter Reading 8 (Loop 1) CURRENT CONSUMPTION (KW)

  • Heating System Operational Pressure (Bar)

  • Primary Heating F & R Temperature in Hot Water Mode (°C)

  • Heating HIU thermostat setting

  • Primary Heating Flow Rate in Hot Water Mode

  • Primary Heating F & R Temperature in Heating Mode (°C)

  • Primary Heating Flow Rate in Heating Mode

  • Secondary Heating F & R Temperature (°C)

  • Heating Zone 1 ON/OFF 2 Port Motorized Valve Operating

  • Heating Zone 2 ON/OFF 2 Port Motorized Valve Operating

  • Pump Model

  • Pump Speed

  • Programmable thermostat Zone 1 Operational

  • Programmable thermostat Zone 2 Operational

  • Radiator Pre-settable Valves set

  • System filling loop removed, stored & valves capped

  • Unit set, Tested & Left Operational

Hot and Cold Water System

TAP WATER TEMPERATURE - HOT (°C)

  • Kitchen Sink (°C)

  • Bath (TMV set to max hot temperature 44°C) (°C)

  • Basin (°C)

  • Shower (°C)

  • En-Suite Basin (°C)

  • En-Suite Shower (°C)

TAP WATER TEMPERATURE - COLD (°C)

  • Kitchen Sink (°C)

  • Bath (TMV set to max hot temperature 44°C) (°C)

  • Basin (°C)

  • Shower (°C)

  • En-Suite Basin (°C)

  • En-Suite Shower (°C)

  • Cold Water Meter Reading (m³)

  • Cold Water Meter Serial No.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.