Service Records - Potterton Assure System Series Installation And Service Manual

High efficiency wall hung condensing gas boiler
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ALL INSTALLATIONS
Record the following:
The heating and hot water system complies with the appropriate Building Regul
The boiler and associated products have been installed and commissioned in accordance with the manufacturer's
The operation of the boiler and system controls have been demonstrated to and understood by the
The manufacturer's literature, including Benchmark Checklist and Service Record, has been explained and left with the
Commissioning Engineer's Signature
Customer's Signature
*All installations in England and Wales must be
Competent Persons Scheme. A Building Regulations Compliance
© Heating and Hotwater Industry Council (HHIC)
14.2

Service records

It is recommended that your heating system is serviced regularly and that the appropriate Service Interval Record is completed.
Service Provider
Before completing the appropriate Service Record below, please ensure you have carried out the service as described in the manufacturer's instructions.
SERVICE 01
Engineer name:
Company name:
Telephone No:
Gas safe register No:
At max. rate:
Record:
At min. rate:
(Where Possible)
Comments:
Signature
SERVICE 03
Engineer name:
Company name:
Telephone No:
Gas safe register No:
At max. rate:
Record:
At min. rate:
(Where Possible)
Comments:
Signature
SERVICE 05
Engineer name:
Company name:
Telephone No:
Gas safe register No:
At max. rate:
Record:
At min. rate:
(Where Possible)
Comments:
Signature
At max. rate:
At min. rate: (where possible)
to Local Authority Building Control (LABC) either directly or through a
Date:
CO
ppm AND
CO ² %
CO
ppm AND
CO ² %
Date:
CO
ppm AND
CO ² %
CO
ppm AND
CO ² %
Date:
CO
ppm AND
CO ² %
CO
ppm AND
CO ² %
CO
ppm AND
CO
ppm AND
t a
o i
n
s
c
u
s
o t
m
r e
will then be issued to the customer.
SERVICE 02
Engineer name:
Company name:
Telephone No:
Gas safe register No:
At max. rate:
Record:
At min. rate:
(Where Possible)
Comments:
Signature
SERVICE 04
Engineer name:
Company name:
Telephone No:
Gas safe register No:
At max. rate:
Record:
At min. rate:
(Where Possible)
Comments:
Signature
SERVICE 06
Engineer name:
Company name:
Telephone No:
Gas safe register No:
At max. rate:
Record:
At min. rate:
(Where Possible)
Comments:
Signature
CO/CO ²
Ratio
CO/CO ²
Ratio
n i
t s
u r
t c
o i
n
s
c
u
s
o t
m
r e
www.centralheating.co.uk
www.centralheating.co.uk
Date:
CO
ppm AND
CO ² %
CO
ppm AND
CO ² %
Date:
CO
ppm AND
CO ² %
CO
ppm AND
CO ² %
Date:
CO
ppm AND
CO ² %
CO
ppm AND
CO ² %
14 Appendix
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65

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