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Installation address
Surname, forename
Street, number
Post-code, city
E-mail, phone
Device data
Device type
Serial number
Cladding undamaged?
Electrical peripherals
Connection socket grounded
Model
Room thermostat
Model
FIRENET
Inspection of system and safety components
Smooth operation of flues gas flap checked (combi stove)
Smooth operation of backfire safety flap checked (combi stove)
Differential pressure sensor (building)
Installation
Proper installation according to installation and user manuals
Comments
ATTENTION:
Compliance with national regulations and laws as well as locally applicable rules and regula-
tions is within the responsibility of the specialist contractor commissioned with installation.
Flue gas line/chimney
Chimney type
BRICKS
Chimney diameter
Chimney – approved by inspection authority?
Chimney system
INDOOR
Above sea level
Device functions
Relay testing (component testing)
Initial user instruction
Pellet quality explained (env. standard/DIN plus/ENplus-A1)
Device function/control explained
Cleaning & maintenance interval, maintenance checklist explained
Maintenance contract
Guarantee conditions described
Warranty conditions explained
RIKA Innovative Ofentechnik, 4563 Micheldorf, Müllerviertel 20, Austria, hereby confirms that the provided personal data is exclusively used for in-house purposes, processing
and recording. The client confirms the reception of correct and clear instructions. Our general terms and conditions shall apply.
I consent to the collection, saving and use of my personal data (name, address, e-mail) by RIKA Innovative Ofentechnik GmbH for marketing and information purposes.
This consent can be withdrawn at any time and without any charge and formless under marketing@rika.at.
User signature
Place, date
ORIGINAL - REMAINS WITH CLIENT
www.rika.eu
YES
NO
YES
NO
YES
NO
STAINLESS STEEL
FIRECLAY
Chimney height
YES
NO
OUTDOOR
YES
NO
COMMISSIONING REPORT
for RIKA pellet and combi stoves. Dated 07/2020
RIKA retailer
Retailer stamp
Software version
Display version
Year of production
GSM modem
Function checked
Phone provider
Fire alarm in place?
Fire-proof floor covering in place?
Other
Room height
Room ventilation
Exhaust hood (outdoor connection)
WC extraction
Central vacuum cleaning system
Number of deflector plates
Smoke pipes in connection system
Plaster openings
Chimney draft (full load)
Independently of room air
Door/bricks/cladding checked and adjusted(function/gaps)
Soot brush
Door opener
Care and maintenance log
Pictures made of ACTUAL condition
User manual explained and handed over
Stove taken into operation with the client
Stove switched off and handed over
Signature & stamp of commissioning technician
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
Length of smoke pipes
WITH
WITHOUT
SEALING LIP
YES
NO
Outside temperature
YES
NO
Thermal gloves
available and handed over to the user
Dated: 08/07/2020
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