INSTALLATION, COMMISSIONING & SERVICING RECORD
TR05A140.B1107
INSTALLER & COMMISSIONING ENGINEER DETAILS
Installer Details
Company Name
Installation Date
Address
CORGI Registration No.
CORGI ID Serial No.
Commissioning Engineer Details (if different from Installer)
Company Name
Installation Date
Address
CORGI Registration No.
CORGI ID Serial No.
APPLIANCE & CONTROL DETAILS
Boiler
Make & Model
Serial No.
SEDBUK Efficiency
%
Location
New System
or Replacement boiler
Controls
To comply with Building Regulations, each section must have a tick in one or more boxes
Requirement
Measures Provided
1. Time and Temperature Control to Heating
Room Thermostat and
Programmer / Timer
Programmable Room
Thermostat
2. Time and Temperature Control to Hot Water
Cylinder Thermostat and
Programmer / Timer
Combi Boiler
3. Heating Zone Valves
Fitted
Not Required
4. Thermostatic Radiator Valves
Fitted
5. Automatic Bypass to System
Fitted
Not Required
6. Boiler Interlock
Provided
Summary of Contents for GS25A
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