
3
Retailer appliance was purchased from:
Name:
Address:
Telephone number:
Essential information - MUST be completed:
Date Installed:
Model Description:
Serial Number:
Installation Engineer:
Company Name:
Address:
Telephone number:
Commissioning Checks - to be completed and signed:
Thermostat fitted YES NO
Is flue system correct for the appliance YES NO
Flue swept and soundness test complete YES NO
Smoke test completed on installed appliance YES NO
Spillage test completed YES NO
Use of appliance and operation of controls explained YES NO
Clearance to combustible materials checked YES NO
Instruction book handed to customer YES NO
Hot Water System Commissioned YES NO
CO Alarm Fitted YES NO
Signature: ............................................................................ Print Name: ..........................................................................
To assist us in any guarantee claim please complete the following information:-
Appliance Commissioning Checklist
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