Baxi Assure Combi 36 LPG Installation And Service Manual page 76

SERVICE & INTERIM BOILER WORK RECORD
It is recommended that your boiler and heating system are regularly serviced and maintained, in line with manufacturers' instructions, and that the appropriate service /
interim work record is completed.
Service provider
When completing a service record (as below), please ensure you have carried out the service as described in the manufacturers' instructions. Always use the
SERVICE/INTERIM WORK ON BOILER
Engineer name:
Telephone N :
o
Max rate CO ppm
Min rate CO ppm
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m /h
3
delete as appropriate
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
SERVICE/INTERIM WORK ON BOILER
Engineer name:
Telephone N :
o
Max rate CO ppm
Min rate CO ppm
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m /h
3
delete as appropriate
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
SERVICE/INTERIM WORK ON BOILER
Engineer name: Company name:
Telephone N : Gas Safe registration N
o
Max rate CO ppm CO ²
Min rate CO ppm CO ²
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m /h OR
3
Yes
delete as appropriate
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
© Heating and Hotwater Industry Council (HHIC)
Date:
delete as appropriate
Company name:
Gas Safe registration N :
o
CO ² % CO/CO ²
CO ² % CO/CO ²
yes
OR ft /h
3
Yes No
yes
Date:
delete as appropriate
Company name:
Gas Safe registration N :
o
CO ² % CO/CO ²
CO ² % CO/CO ²
yes
OR ft /h
3
Yes No
yes
Date:
delete as appropriate
:
o
% CO/CO ²
% CO/CO ²
yes
ft /h
3
No
yes
SERVICE/INTERIM WORK ON BOILER
Engineer name:
Telephone N :
o
Max rate CO
Min rate CO
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m /h
3
delete as appropriate
System inhibitor concentration has been checked and
n/a appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
SERVICE/INTERIM WORK ON BOILER
Engineer name:
Telephone N :
o
Max rate CO
Min rate CO
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m /h
3
delete as appropriate
System inhibitor concentration has been checked and
n/a appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
SERVICE/INTERIM WORK ON BOILER
Engineer name:
Telephone N :
o
Max rate CO
Min rate CO
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m /h
3
delete as appropriate
System inhibitor concentration has been checked and
n/a appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
instructions and BS 7593. It is only acceptable to not have undertaken this if the service engineers
attendance visit was in between annual services to attend a non-water facing component.
delete as appropriate
Company name:
Gas Safe registration N :
o
ppm CO ² % CO/CO ²
ppm CO ² % CO/CO ²
OR ft /h
3
Yes No
delete as appropriate
Company name:
Gas Safe registration N :
o
ppm CO ² % CO/CO ²
ppm CO ² % CO/CO ²
OR ft /h
3
Yes No
delete as appropriate
Company name:
Gas Safe registration N :
o
ppm CO ² % CO/CO ²
ppm CO ² % CO/CO ²
OR ft /h
3
Yes No
www.centralheating.co.uk
Date:
yes
yes n/a
Date:
yes
yes n/a
Date:
yes
yes n/a