Title Page

  • Customers Name:

  • Customer Address:

  • Location:
  • Prepared by:

  • Conducted on:

Untitled Page

PHOTO EVIDENCE NEEDED

  • PHOTO OF SAMSUNG CONTROLLER WORKING

  • PHOTO OF SAMSUNG CONTROLLER SERIAL NUMBER

  • PHOTO OF FUSE SPURS ( LABELLED )

  • PHOTO OF ROTARY ISOLATED SWITCH OUTSIDE

  • PHOTO OF HEAT PUMP

  • PHOTO OF ROOM THERMOSTAT FITTED

  • PHOTO OF ROOM STAT SERIAL NUMBER

  • PHOTO OF ANY ADDITIONAL WORK

PAPERWORK

  • PHOTO OF ELECTRICAL SECTION ON COMISSIONNING SHEET

  • PHOTO OF ELECTRICAL SECTION IN HEAT PUMP BOOKLET

POST WORK - CUSTOMER TO READ AND ANSWER THEN SIGN

  • Has the electrician left everywhere clean and tidy and the areas have been left back to pre install state? Customer is happy to sign in agreement.

  • The customer is happy where the cylinder programmer is and agreed that it has been placed accessibly?

  • CUSTOMER HAS BEEN SHOWN AND EXPLAINED HOW TO SET TIMES AND CONTROL TEMP USING THERMOSTAT?

  • CUSTOMER KNOWS HOW TO TIME AND CONTROL THEIR HOT WATER?

  • CUSTOMER KNOWS HOW TO TURN THE SYSTEM OFF?

  • CUSTOMER KNOWS HOW TO USE THE HEAT PUMP?

  • ANY COMMENTS OR FEEDBACK THE CUSTOMER WISHES TO MAKE TO TYPE HERE:

  • SIGNED BY CUSTOMER:

  • Print Name

  • Date:

  • Signed by engineer:

  • print name

  • Date:

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.