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This Commissioning Checklist is to be completed in full by the competent person who commissioned the stove as a means of
ence.
Failure to install and commission according to the manufacturer
invalidate the warranty. This does
C
s u
o t
m
r e
a n
m
: e
Address:
Model:
Serial number
Installing Company Name:
Installing Engineer's Name:
Chimney System: New Insulated Factory Made Chimney System Installed? Yes
himney: Twin Wall Flexible Liner (for Clas
State Chimney Designation:
Confirm Hearth Installation Is Correct
Confirm proper placement of internal parts
Confirm the stove properly draught when fired
Check to insure a CO alarm is installed in the same room as the
Confirm you have commissioned and tested the appliance and assoc
associated work has been installed in accordance with and compl
proved Documents J,G & L as applicable.
Signed:__________________________________Print Name:________________________________Date:____________________
This form should be retained by the customer for future reference.
34
Commissioning Checklist
not affect the customer's statutory rights.
Bedroom
Commissioning
Check soundness of d
ontrols
Confirm all flue pipe co
As the competent person responsible for the work described above, I confirm that the appliance and
s and then handed to the customer to keep for future refer-
Please Print
T
l e
p e
h
o
e n
Lounge
Other: Specify_________________________
No
s for this model
ne maintenance requirements
oved Document J Appendix E
COMMISSIONING CHECKLIST
e Commissioning Checklist will
n
u
m
b
r e
6720818040 B 04/2017
tal