SERVICE RECORD
It is recommended that your heating system is serviced regularly and that the appropriate Service 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 specifi ed spare part when replacing controls.
SERVICE 1
Date
Energy Effi ciency Checklist completed?
Yes
No
Engineer Name
Company Name
Telephone Number
CORGI ID Number
Comments
Signature
SERVICE 3
Date
Energy Effi ciency Checklist completed?
Yes
No
Engineer Name
Company Name
Telephone Number
CORGI ID Number
Comments
Signature
SERVICE 5
Date
Energy Effi ciency Checklist completed?
Yes
No
Engineer Name
Company Name
Telephone Number
CORGI ID Number
Comments
Signature
SERVICE 7
Date
Energy Effi ciency Checklist completed?
Yes
No
Engineer Name
Company Name
Telephone Number
CORGI ID Number
Comments
Signature
SERVICE 9
Date
Energy Effi ciency Checklist completed?
Yes
No
Engineer Name
Company Name
Telephone Number
CORGI ID Number
Comments
Signature
SERVICE 2
Date
Energy Effi ciency Checklist completed?
Yes
No
Engineer Name
Company Name
Telephone Number
CORGI ID Number
Comments
Signature
SERVICE 4
Date
Energy Effi ciency Checklist completed?
Yes
No
Engineer Name
Company Name
Telephone Number
CORGI ID Number
Comments
Signature
SERVICE 6
Date
Energy Effi ciency Checklist completed?
Yes
No
Engineer Name
Company Name
Telephone Number
CORGI ID Number
Comments
Signature
SERVICE 8
Date
Energy Effi ciency Checklist completed?
Yes
No
Engineer Name
Company Name
Telephone Number
CORGI ID Number
Comments
Signature
SERVICE 10
Date
Energy Effi ciency Checklist completed?
Yes
No
Engineer Name
Company Name
Telephone Number
CORGI ID Number
Comments
Signature
