installation & CoMMissioning rePort
boiler Details:
Model Number
_____________________
Serial Number
______________________________________________
Date of Installation
______________
Address of installation
__________________________________________
_____________________________________________________________________________________________
User contact information
_______________________________________________________________________
Installer Information
Company ___________________________________________________________________
address ______________________________________________________________________________________
Phone/Fax/e mail ______________________________________________________________________________
Fuel
natural gas Propane
Gas Supply Pressure (high fire)
_______ inches w.c.
Measured Rate of Input (high fire)
____________ Btu/hr
installation instructions have been followed and completed (section 1 of installation and operating instructions).
Check-out procedures have been followed and completed (section 3 of installation and operating instructions).
leak testing completed gas piping venting system Fan and combustion components
system Cleaned and Flushed (type of cleaner used) ________________________________________________
system Filled (type/concentration of any glycol/chemicals used) _______________________________________
air purge completed (go to
Installer Setup - - Pump Purge - - On,
and operate pumps until air has been ejected)
relief Valve correctly installed and piped relief valve “try lever” test performed
Condensate trap filled Condensate drain clear and free flowing Condensate neutralization? Yes/no
Ignition Safety Shutoff test completed. Flame current reading - High fire _______ µA - Low fire _______ µA
standby readings from iBC display screen - (remove all heat calls) - outdoor temperature ________ tank
temperature _______ outlet temperature _________ inlet Pressure __________ Heat output ___________
load status screen readings - load 1 _______________ load 2 _______________ load 3 _______________
From installer setup Menu (scroll down) - altitude ______________ Prim. Pump Purge time _______________
Multiboiler Config. ______ (go to
Installer Setup - - enter
- this setting should be “off”
except
for Master Boiler)
advanced diagnostic Menu readings - boiler in standby - (remove all heat calls)
outdoor temperature _______ inlet Pressure _______ Flow rate __________
Fan speed __________ required Pressure ___________ Fan Pressure ____________
owner advised and instructed in the safe operation and maintenance of the boiler and system.
information regarding the unit and installation received and left with owner
Combustion Readings -
recommended, but optional
(required for fuel conversion):
Co
2 _____________ %
o
2 ______________ %
Co ____________ ppm
Flue temperature _________ Return water temperature (measure simultaneously with flue temp.) _______________
Installers: send this completed sheet - Fax to 604 877 0295 - or - scan and Email to info@ibcboiler.com, and earn
an extra year’s Parts Warranty coverage (User to submit corresponding Installation Record from User Guide).
Commissioning has been completed as listed on this report
- installer signature _____________________________