Potterton NXR4 Installation, Operation & Maintenance Manual page 40

COMMISSIONING REPORT (Continued)
Flue Type & Diameter Of Connection To Boiler:-
TYPE................................/DIAMETER(mm).................
Where appropriate and for multi boiler installations sketch.
8.13
details of flue system showing length of runs and diameter
Conventional
Approximate Overall Height....................................m
8.14 Is The Fan Interlocked With The Boiler?
Are Flue Dampers Fitted?
8.15
If So Are They Interlocked?
8.17 Any Evidence Of Condensate Formation?
8.18 Any Evidence Of Water Leakage?
8.19 Any Evidence Of Flue Gas Leakage?
8.20 Has Boiler Been Built And Cased Correctly?
Is Gas Service Cock Installed?
8.21*
If So Is It Accessible?
$
8.22 Is Oil Filter Fitted?
$
8.23 Is Fire Valve Fitted?
$
8.24 Oil Supply:
9.0 REPAIRS CARRIED OUT
NOTE: 6.6, 6.7 & 6.8 to be measured in secondary flue 600mm
up from the flue socket or at the sampling point provided.
Normally 6.13 and 6.15 are recorded when tapings provided.
Position of measurement to be in accordance with boiler and/or
burner manufacturers instructions.
NOTE: It is the installer's responsibility to ensure that the boiler is correctly commissioned by a competent engineer and that this report is completed
and kept as a record. A commissioning service available from Potterton at the address listed on the back page of this manual. When a Potterton
engineer commissions, this completed report will be sent to the installer.
Commissioning by Potterton engineers is restricted to equipment of our supply. No responsibility is accepted for the on site assembly or installation
of the equipment unless specifically carried out by Potterton.
manufacturers instructions and all relevant BS Codes of Practice and Regulations (see manufacturer's instructions for full details). Items 4.1 to 4.6
are related to the boiler installation and as such these pre-commissioning checks should be carried out in the presence of the installer.
Baxi Heating (uk) Ltd. Registered Office:
Sir Frank Whittle Road, Derby DE21 4XA
Registered in England No. 3879156
Fan Assisted Flue Dilution
YES
Single Pipe
Two Pipe
Ring Main
NOTES & COMMENTS BY COMMISSIONING
10.0
ENGINEER
NO
FINDINGS
Is The Installation Safe For Use?
If The Answer Is NO Has A Warning Label Been
Raised?
Is Any Remedial Work Required?
Have Warning Labels Been Fitted?
Has RIDDOR Form Been Raised?
CUSTOMER SIGNATURE:-
PRINT NAME:-
DATE:-
ENGINEER DETAILS
NAME
COMPANY
SIGNATURE
It is the installer's responsibility to action any points arising.
The installer must ensure that the boiler is installed in accordance with the
YES
DATE
PCF No. 208/03
NO