Commissioning Report

• Project Reference

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Telephone Number

1. Heat Pump

• Make

  NIBE

  Thermia

  Other

• Model

• Serial Number

• Picture of ID Plate

  Media

• Heat Pump Type

  Ground Source Heat Pump

  Air Source Heat Pump

• Ground Loops Pressure tested?

  Yes

  No

  N/A

• Ground Loops filled with Glycol and tested

  Yes

  No

  N/A

• Manifold Checked for Leaks/Serviceability?

  Yes

  No

  N/A

• Number of loops

• Length of loops (m)

• Freeze Protection of Glycol

2. Heating System

• Primary Heating System

  Radiators

  Underfloor Heating

  Other

  N/A
4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

• Number of Manifold ports

• Pipe Centres (mm)

• Heat Curve

• Secondary Heating System

  Radiators

  Underfloor Heating

  Other

  N/A
4.10. SWL of plant or any lifting equipment exceeded?

• Heat Curve

3. Domestic Hot Water Storage

• Hot Water Storage

  Yes

  No

  N/A
4.5. Lack of daily inspection protocol?

• Model

• Serial Number

• Cylinder Type

  Vented

  Unvented

  Thermal Store

• Capacity (Litres)

• Legionella Protected

  Yes

  No

  N/A

4. Settings

• Outdoor Temperature

• Room Temperature

• Supply Temperature

• Return Temperature

• Hot Water Temperature

• Brine In Temperature

• Brine Out Temperature

• Heating Stop Temperature

• Hot Water Stop Temperature

• Operating Time Hot Water

• Operating Time Heating

5. Installation Details

• System installed to Building Regulations

  Yes

  No

  N/A

• Correctly sized electrical supply and isolator fitted

  Yes

  No

  N/A

• All sensors connected and functional

  Yes

  No

  N/A

• Isolation Valves and Filter devices fitted

  Yes

  No

  N/A

• Unvented DHW safety devices fitted/serviceable

  Yes

  No

  N/A

• Flexible hoses fitted on Heating Flow and Return

  Yes

  No

  N/A

• All UFH actuators/controls working

  Yes

  No

  N/A

• Heat Pump connected to Internet

  Yes

  No

  N/A

• Cooling Enabled

  Yes

  No

  N/A

• Hot water checked at all outlets

  Yes

  No

  N/A

Job Status

• Job Complete

  Yes

  No

  N/A

• Parts required

  Yes

  No

  N/A

• Quote required

  Yes

  No

  N/A

• Return visit

  Yes

  No

  N/A

• Commissioned

  Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign