36
Commissioning and handover certificate
Customer data
Name:
First Name:
Tel:
Street: Postal
Code:
City:
Construction Projects:
Type of device:
Serial number:
Year of manufacture:
Completeness
No.
Parts
Design
Result
1 Supply
air
duct
- Design as planned
- There is an option to clean
yes / no
yes / no
2
Supply air duct passages
- Layout as planned
- Design as planned
- There is an option to clean
yes / no
yes / no
yes / no
3 overflow
air
passages
- Layout as planned
- Design as planned
yes / no
yes / no
4
Exhaust air passages
- Layout as planned
- Design as planned
- There is an option to clean
yes / no
yes / no
yes / no
5
Exhaust air line
- There is an option to clean
yes / no
6
Exhaust air ventilator
- There is an option to clean
yes / no
7
Control unit and control device
- functional
yes / no
8 Filter,
optional
- Exchange or there is an option to
clean
yes / no
9
Heat exchanger for mechanical
ventilation heat
- There is an option to clean
yes / no
10 Documentation
-
available
yes / no
Function
1
Operational at nominal ventilation, as
planned
Result OK.
Measure required
yes / no
yes / no
2
Switching stages is possible, as planned
Result OK.
Measure required
yes / no
yes / no
3 Electrical
power
consumption
Result OK.
Measure required
yes / no
yes / no
Auditor’s Report
Date: ................................... Signature/Stamp:.............................................................................................................
Start-up Personnel / Installer
