Service And Interim Boiler Work Record - Worcester Greenstar 1000 GR1000W 24 C NG Installation And Maintenance Instructions Manual

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:
Telephone N :
o
Max rate CO ppm
Min rate CO ppm
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m³/h
Were parts fitted?
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:
Telephone N :
o
Max rate CO ppm
Min rate CO ppm
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m³/h
Were parts fitted?
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:
Telephone N :
o
Max rate CO ppm
Min rate CO ppm
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate: m³/h
Were parts fitted?
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
Company name:
Gas Safe registration N :
o
CO % CO/CO
2 2
CO % CO/CO
2 2
OR ft³/h
Yes No
yes
Date:
delete as appropriate
Company name:
Gas Safe registration N :
o
CO % CO/CO
2 2
CO % CO/CO
2 2
OR ft³/h
Yes No
yes
Date:
delete as appropriate
Company name:
Gas Safe registration N :
o
CO % CO/CO
2 2
CO % CO/CO
2 2
OR ft³/h
Yes No
yes
SERVICE/INTERIM WORK ON BOILER
Engineer name:
Telephone N
Max rate CO
Min rate CO
Where possible, has a flue integrity check been
yes undertaken in accordance with manufacturers'
instructions, and readings are correct?"
Gas rate:
Were parts fitted?
Parts fitted:
System inhibitor concentration has been checked and
n/a 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:
Telephone N
Max rate CO
Min rate CO
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
yes
instructions, and readings are correct?"
Gas rate:
Were parts fitted?
Parts fitted:
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
n/a
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:
Telephone N
Max rate CO
Min rate CO
Where possible, has a flue integrity check been
undertaken in accordance with manufacturers'
yes
instructions, and readings are correct?"
Gas rate:
Were parts fitted?
Parts fitted:
System inhibitor concentration has been checked and
appropriate action taken, in accordance with BS 7593
n/a
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.
delete as appropriate
Company name:
: Gas Safe registration N
o
ppm CO
2
ppm CO
2
m³/h OR
Yes
delete as appropriate
delete as appropriate
Company name:
: Gas Safe registration N
o
ppm CO
2
ppm CO
2
m³/h OR
Yes
delete as appropriate
delete as appropriate
Company name:
: Gas Safe registration N
o
ppm CO
2
ppm CO
2
m³/h OR
Yes
delete as appropriate
Date:
:
o
% CO/CO
2
% CO/CO
2
yes
ft³/h
No
yes n/a
Date:
:
o
% CO/CO
2
% CO/CO
2
yes
ft³/h
No
yes n/a
Date:
:
o
% CO/CO
2
% CO/CO
2
yes
ft³/h
No
yes n/a
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