Service Record - Baxi 105 HE Installation And Servicing Instructions

Gas fired wall mounted condensing boiler
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Service Record

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.
Always use the manufacturer's specified spare part when replacing controls.
Service 1
Date:
Engineer Name:
Company Name:
Telephone No.
Gas Safe Register No.
Comments:
Signature:
Service 3
Date:
Engineer Name:
Company Name:
Telephone No.
Gas Safe Register No.
Comments:
Signature:
Service 5
Date:
Engineer Name:
Company Name:
Telephone No.
Gas Safe Register No.
Comments:
Signature:
Service 7
Date:
Engineer Name:
Company Name:
Telephone No.
Gas Safe Register No.
Comments:
Signature:
Service 9
Date:
Engineer Name:
Company Name:
Telephone No.
Gas Safe Register No.
Comments:
Signature:
Service 2
Date:
Engineer Name:
Company Name:
Telephone No.
Gas Safe Register No.
Comments:
Signature:
Service 4
Date:
Engineer Name:
Company Name:
Telephone No.
Gas Safe Register No.
Comments:
Signature:
Service 6
Date:
Engineer Name:
Company Name:
Telephone No.
Operative ID No.
Comments:
Signature:
Service 8
Date:
Engineer Name:
Company Name:
Telephone No.
Gas Safe Register No.
Comments:
Signature:
Service 10
Date:
Engineer Name:
Company Name:
Telephone No.
Gas Safe Register No.
Comments:
Signature:
55

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