Title Page

  • Conducted on

  • Prepared by

  • Address

  • Add location

Make of Solid Fuel Heater

  • Comments

Model

  • Comments

Heater Condition

  • Response

  • Comments

Flue Inner Condition

  • Response

  • Comments

Cowl Chimney Cover

  • Response

  • Comments

Cowl Outer Condition

  • Response

  • Comments

Heat Shield Condition

  • Response

  • Comments

Fire Box Condition

  • Response

  • Comments

Vents

  • Response

  • Comments

Baffle Condition

  • Response

  • Comments

Door Glass Condition

  • Response

  • Comments

Hinges, Handle and Seal Condition

  • Response

  • Comments

Heat/ Tiles Bricks

  • Response

  • Comments

Bricks and Mortar/ Chimney

  • Response

  • Comments

Overall condition

  • Response

  • Comments

Photos

  • Photos

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