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Worcester Commercial Boiler Series – 6720814332 (2019/04)
50
GAS BOILER SYSTEM COMMISSIONING CHECKLIST
This Commissioning checklist is to be completed in full by the competent person who commissioned the boiler 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 according to the
manufacturer’s instructions and complete this Benchmark Commissioning Checklist will invalidate the warranty. This does not affect the customer’s statutory rights.
Customer name:
Telephone number:
Address:
Boiler make and model
Boiler serial number:
Commissioned by (PRINT NAME):
Gas Safe register number:
Company name:
Telephone number:
Company address:
Commissioning date:
To be completed by the customer on receipt of a Building Regulations Compliance Certificate*
Building Regulations Notification Number (if applicable):
CONTROLS (tick the appropriate boxes)
Time and temperature control to heating
Room thermostat and programmer/timer
Programmable room thermostat
Load/Weather compensation
Optimum start control
Time and temperature control to hot water
Cylinder thermostat and programmer/timer
Combination boiler
Heating zone valves
Fitted
Not required
Hot water zone valves
Fitted
Not required
Thermostatic radiator valves
Fitted
Not required
Automatic bypass to system
Fitted
Not required
Boiler interlock
Provided
ALL SYSTEMS
The system has been flushed and cleaned in accordance with BS7593 and boiler manufacturer’s instructions
Yes
What system cleaner was used?
What inhibitor was used?
Quantity litres
Has a primary water system filter been installed?
Yes
No
CENTRAL HEATING MODE measure and record:
Gas rate
m
3
/hr
OR
ft
3
/hr
Burner operating pressure (if applicable)
mbar
OR
Gas inlet pressure
mbar
Central heating flow temperature
°C
Central heating return temperature
°C
COMBINATION BOILERS ONLY
Is the installation in a hard water area (above 200ppm)?
Yes
No
If yes, and if required by the manufacturer, has a water scale reducer been fitted?
Yes
No
What type of scale reducer has been fitted?
DOMESTIC HOT WATER MODE measure and record:
Gas rate
m
3
/hr
OR
ft
3
/hr
Burner operating pressure (if applicable)
mbar
OR
Gas inlet pressure at maximum rate
mbar
Cold water inlet temperature
°C
Hot water has been checked at all outlets
Yes
Temperature
°C
Water flow rate
l/min
CONDENSING BOILERS ONLY
The condensate drain has been installed in accordance with the manufacturer’s instructions and/or BS5546/BS6798
Yes
ALL INSTALLATIONS
Record the following:
At max. rate:
CO
ppm
AND
CO/CO
2
Ratio
At max. rate: (where possible)
CO
ppm
AND
CO/CO
2
Ratio
The heating and hot water system complies with the appropriate Building Regulations
Yes
The boiler and associated products have been installed and commissioned in accordance with the manufacturer’s instructions
Yes
The operation of the boiler and system controls have been demonstrated to and understood by 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
(To confirm satisfactory demonstration and receipt of manufacturer’s literature)
* All installations in England and Wales must be notified to Local Authority Building Control (LABC)
either directly or through a Competent Persons Scheme. A Building Regulations Compliance Certificate will then be issued
to the customer.