Service Record - Benchmark Alpha E-Tec Plus 28 Installation And Servicing Instruction

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
manufacturers' specified spare parts.
SERVICE/INTERIM WORK ON BOILER
Engineer name: Company name:
Telephone N o : Gas Safe registration N
Max rate CO ppm CO ²
Min rate CO ppm CO ²
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m 3 /h OR
Were parts fitted? Yes
delete as appropriate
Parts fitted:
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
*A System inhibitor efficacy test is required on every annual service in accordance with the manufacturers'
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:
o
Telephone N : Gas Safe registration N
Max rate CO ppm CO ²
Min rate CO ppm CO ²
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m 3 /h OR
Were parts fitted? Yes
delete as appropriate
Parts fitted:
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
*A System inhibitor efficacy test is required on every annual service in accordance with the manufacturers'
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:
o
Telephone N : Gas Safe registration N
Max rate CO ppm CO ²
Min rate CO ppm CO ²
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
3
Gas rate: m /h OR
Were parts fitted? Yes
delete as appropriate
Parts fitted:
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
*A System inhibitor efficacy test is required on every annual service in accordance with the manufacturers'
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.
* All installations in England and Wales must be notified to Local Authority Building Control (LABC) either directly or through a
Competent Persons Scheme. A Building Regulations Compliance Certificate will then be issued to the customer.
© Heating and Hotwater Industry Council (HHIC)
Date:
delete as appropriate
o :
% CO/CO ²
% CO/CO ²
yes
ft 3 /h
No
yes n/a
Date:
delete as appropriate
o
:
% CO/CO ²
% CO/CO ²
yes
ft 3 /h
No
yes n/a
Date:
delete as appropriate
o
:
% CO/CO ²
% CO/CO ²
yes
3
ft /h
No
yes n/a
SERVICE/INTERIM WORK ON BOILER
Engineer name: Company name:
Telephone N o : Gas Safe registration N
Max rate CO ppm CO ²
Min rate CO ppm CO ²
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m 3 /h OR
Were parts fitted? Yes
delete as appropriate
Parts fitted:
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
*A System inhibitor efficacy test is required on every annual service in accordance with the manufacturers'
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:
o
Telephone N : Gas Safe registration N
Max rate CO ppm CO ²
Min rate CO ppm CO ²
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m 3 /h OR
Were parts fitted? Yes
delete as appropriate
Parts fitted:
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
*A System inhibitor efficacy test is required on every annual service in accordance with the manufacturers'
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:
o
Telephone N : Gas Safe registration N
Max rate CO ppm CO ²
Min rate CO ppm CO ²
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
3
Gas rate: m /h OR
Were parts fitted? Yes
delete as appropriate
Parts fitted:
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
and boiler manufacturers' instructions. *
Comments:
Signature:
*A System inhibitor efficacy test is required on every annual service in accordance with the manufacturers'
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.
Date:
delete as appropriate
o :
% CO/CO ²
% CO/CO ²
yes
ft 3 /h
No
yes n/a
Date:
delete as appropriate
o
:
% CO/CO ²
% CO/CO ²
yes
ft 3 /h
No
yes n/a
Date:
delete as appropriate
o
:
% CO/CO ²
% CO/CO ²
yes
3
ft /h
No
yes n/a
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