Appliance Commissioning Checklist
Purchase Record
Name of retailer:
Address:
Telephone no:
Date of purchase:
Product Record
Valiant model name:
Product serial number:
Date installed:
Address of install:
Installation Record
Company name:
Address:
Telephone number:
Name of installer:
Date installed:
Commissioning Checklist – to be completed & signed by the installer:
Is the flue suitable for the appliance?
YES
NO
Has the flue been swept?
YES
NO
Smoke test completed on the installed appliance?
YES
NO
Spillage test completed?
YES
NO
Appliance use and features demonstrated?
YES
NO
Clearance to combustible materials checked?
YES
NO
Instruction manual given to customer?
YES
NO
Name: _____________________________ Signature: _____________________________ Date:_______
