Title Page
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Conducted on
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Prepared by
- Steve Clark
- Lewis Williams
- Ralph Medcalf
- Mark Conway
- Other
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Customer Name
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Location
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Were Toll roads used to get to site?
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Please give details
Commissioning Report
Propelair system components installed
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Lid colour
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Flush mechanism
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Type of control module
- 90-0026 - Mk 2.0 (JST plugs)
- 90-0047 - Mk 2.1 (Molex)
- 90-0027 - Mk 3.0 (JST with Blockage Detection)
- 90-0049 - Mk 3.2 (Molex NO Blockage Detection)
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Type of battery box
- 90-0011 Mk 1 (Lunch Box)
- 90-0028 Mk 2 - XLR - 2 wires (No power sensor)
- 90-0045 Mk 3 - XLR (With power sensor - orange cable)
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Type of charger
- 90-0044 Mk 1 Smart Charger - Terminal
- 90-0010 Mk 2 Smart Charger - XLR (No Power Sensor)
- 90-0033 Mk 3 Smart Charger - XLR with Power Sensor
- 13-0008 Ansmann Charger
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For each washroom being surveyed - please come back to this point to add a washroom. A checklist will appear below this title.
Washroom.
Washroom Details
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Building Name (if relevant)
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Floor level within building
- Ground
- 1st
- 2nd
- 3rd
- 4th
- Basement
- Other
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Type of washroom
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Number of toilets within washroom.
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Take a photo of the washroom.
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Service voids used to access Propelair components
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Void Accessibility
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Combination code:
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Please give details
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Removable IPS panels.
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Panel Type
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Please specify
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Height of panels
Checklist
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1. Do the lid and seat move freely and independently of one another?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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2. Are all seals and buffers for seat & lid present and correct including hinge pin covers/clips?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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3. Do a test flush. Is a full flush delivered? (Delivering air & water and clearing contents of toilet).
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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4. Is the water trap restored to the correct level?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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5. Does the latch engage correctly and keep the lid closed during the flush?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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6. Is the mastic complete (around the pan against the paneling, and around the pan against the floor) neatly finished?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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7. Is the pan securely fixed to the floor?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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8. Have the user info stickers have been applied?
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Has the customer put up their own information signs?
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9. Is each battery charger wired in to fuse spur with a 3Amp fuse and is switched on?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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10. Is the battery box readily accessible and secure?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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11. Has the cistern lid been replaced and secured with screw provided?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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12. All wired connections are correct, neat and secured with cable ties within cistern enclosure?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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13. Power sensor connected
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14. Are all 4 screws fitted to secure the air pump motor?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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15. Is the cistern fixed to wall level with the anti-vibration washers provided and set at the correct height? (600mm minimum)
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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16. Is the breather tube correct, not pinched and facing away from the secondary overflow point?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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17. Is the cistern water level correct and replenished within 30 seconds?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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18. Flow restrictor is still present inside water inlet valve?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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19. Water supply
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Please give details
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20. Water hose is installed with a downwards gradient and NOT sagging?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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21. ALL hoses correctly installed? (No kinks; nothing trapped or split and assembled incorrectly)
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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22. Bottom panel is cut correctly? It does NOT impede either water or air connections to the manifold?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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23. Have all water connections been inspected for leaks and none were found?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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24. Has the secondary overflow pipe been installed correctly with a one way valve?
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Please list the cubicles where issues were found. If remedial action was taken, please state what was done. If further work needs doing, please state what needs to be done.
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25. Has the 50mm waste been inspected & confirmed to be facing downstream and not protruding into the 100mm waste pipe?
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Is it possible to inspect the 50mm waste without removing a pan?
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26. Has the venting been inspected and confirmed to have been installed correctly?
- Venting confirmed to be installed correctly
- Venting installed but needs correcting
- No Venting Installed
- Other
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What materials are required to correct it?
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Approximately how many hours will it take to correct the venting?
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How many people are required to do the job in this amount of time?
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Please give details:
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27. Have Air Admittance Valves been installed?
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28. Is there rodding access?
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29. Has the void area been cleared of rubbish
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30. Drain Camera inspection performed?
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Please enter any additional notes on the installation.
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Take any additional photos if required.
Signature of surveyor, and of the client to confirm that this survey has been witnessed and understood.
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Commissioned By:
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Commissioned By:
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Time and date.
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Name of person signing on behalf of the client:
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Client signature.
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Email address.
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Time of departure.