Title Page
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Customer Name:
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Telephone Number:
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Site Address:
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Cylinder Make and Model:
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Cylinder Serial Number:
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Engineer Name:
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Registered Operative ID Number
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Company Name:
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Company Address:
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Service Date:
ALL SYSTEMS PRIMARY SETTINGS (indirect heating only)
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Is the primary circuit a sealed or open-vented system?
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What is the maximum primary flow temperature? (°C)
ALL SYSTEMS
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What is the incoming static cold water pressure at the inlet to the system? (BAR)
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Has a strainer been cleaned of installation debris (if fitted)?
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Is the installation in a hard water area (above 200ppm)?
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If yes, has a water scale reducer been fitted?
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What is the hot water thermostat set temperature? (°C)
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What is the maximum hot water flow rate at set thermostat temperature (measured at high flow outlet)? (L/min)
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Time and temperature controls have been fitted in compliance with Part L of the Building Regulations?
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Is the cylinder solar (or other renewable) compatible?
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What is the hot water temperature at the nearest outlet? (°C)
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All appropriate pipes have been insulated up to 1 metre or the point where they become concealed
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Type of control system (if applicable) Y Plan?
UNVENTED SYSTEMS ONLY
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Where is the pressure reducing valve situated (if fitted)?
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What is the pressure reducing valve setting? (BAR)
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Has a combined temperature and pressure relief valve and expansion valve been fitted and discharge tested?
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The tundish and discharge pipework have been connected and terminated to Part G of the Building Regulations
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Are all energy sources fitted with a cut out device?
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Has the expansion vessel or internal air space been checked?
THERMAL STORES ONLY
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What store temperature is achievable? (°C)
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What is the maximum hot water temperature? (°C)
ALL INSTALLATIONS
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The hot water system complies with the appropriate Building Regulations
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The system has been installed and commissioned in accordance with the manufacturer’s instructions
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The system controls have been demonstrated to and understood by the customer
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The manufacturer’s literature, including Checklist and Service Record, has been explained and left with the customer
Signatures
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Engineer Comments
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Parts Used
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Engineer Signature:
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Customer Signature:
