This Commissioning Checklist is to be completed in full by the competent person who commissioned the heat pump and associated
equipment as a means of demonstrating compliance with the appropriate Building Regulations and then handed to the customer to keep for
future reference.
Failure to install and commission this equipment to the manufacturer’s instructions may invalidate the warranty but does not affect statutory rights.
GROUND SOURCE HEAT PUMP COMMISSIONING CHECKLIST
Customer name:
Telephone number:
Address:
Heat Pump Make and Model
Heat Pump Serial Number
Commissioned by (PRINT NAME):
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Company name:
Telephone number:
Company address:
Commissioning date:
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CONTROLS - SYSTEM AND HEAT PUMP
(tick the appropriate boxes)
Time and temperature control to heating
Room thermostat and programmer/timer
Programmable Roomstat
Load/weather compensation
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Time and temperature control to hot water
Cylinder thermostat and programmer/timer
Combined with Heat pump main controls
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Fitted
Not required
Hot water zone valves
Fitted
Not required
Thermostatic radiator valves
Fitted
Not required
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Built In
Provided
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Fitted
Not required
Automatic bypass to system
Fitted
Not required
Buffer Vessel Fitted
Yes
No
If YES
Volume:
Litres
ALL SYSTEMS
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Yes
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Yes
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Yes
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Yes
What system cleaner was used?
What inhibitor was used?
Quantity litres
Are all exposed external pipeworks insulated?
Yes
BORE HOLE/GROUND LOOPS
Bore Hole
Ground Loop
Length/Depth
m
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Yes
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Yes
Has the system been vented/de-aired?
Yes
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Yes
Is the system topped up to the correct level?
Yes
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Yes
Are isolating valves in their correct position
Yes
What system cleaner was used?
Qty
litres
What antifreeze was used?
Qty
litres
What temperature will the antifreeze protect to?
°C
What inhibitor was used (if not included in Antifreeze)?
Qty
litres
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°C
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°C
CENTRAL HEATING MODE
Measure and Record
Heating Flow Temperature
°C
Heating Return Temperature
°C
DOMESTIC HOT WATER MODE
Measure and Record:
Is the heat pump connected to a hot water cylinder?
Unvented
Vented
Thermal Store
Not Connected
Hot water has been checked at all outlets
Yes
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Yes
Not required
ADDITIONAL SYSTEM INFORMATON
Additional heat sources connected:
Gas Boiler
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Electric Heater
Solar Thermal
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ALL INSTALLATIONS
The heating, hot water and ventilation systems complies with the appropriate Building Regulations
Yes
All electrical work complies with the appropriate Regulations
The heat pump and associated products have been installed and commissioned in accordance with the manufacturer’s instructions
Yes
The operation of the heat pump and system controls have been demonstrated to the customer
Yes
The manufacturer’s literature, including Benchmark Checklist and Service Record, has been explained and left with the customer
Yes
Commissioning Engineer’s Signature
Customer’s Signature
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