BENCHMARK
C O L L E C T I V E M A R K
BOILER SERIAL No.
CONTROLS
To comply with the Building Regulations, each section must have a tick in one or other of the boxes
TIME & TEMPERATURE CONTROL TO HEATING
TIME & TEMPERATURE CONTROL TO HOT WATER
HEATING ZONE VALVES
HOT WATER ZONE VALVES
THERMOSTATIC RADIATOR VALVES
AUTOMATIC BYPASS TO SYSTEM
FOR ALL BOILERS CONFIRM THE FOLLOWING
THE SYSTEM HAS BEEN FLUSHED IN ACCORDANCE WITH THE BOILER MANUFACTURER'S INSTRUCTIONS?
THE SYSTEM CLEANER USED
THE INHIBITOR USED
FOR THE CENTRAL HEATING MODE, MEASURE & RECORD
GAS RATE
BURNER OPERATING PRESSURE (IF APPLICABLE)
CENTRAL HEATING FLOW TEMPERATURE
CENTRAL HEATING RETURN TEMPERATURE
FOR COMBINATION BOILERS ONLY
HAS A WATER SCALE REDUCER BEEN FITTED?
WHAT TYPE OF SCALE REDUCER HAS BEEN FITTED?
FOR THE DOMESTIC HOT WATER MODE, MEASURE & RECORD
GAS RATE
MAXIMUM BURNER OPERATING PRESSURE (IF APPLICABLE)
COLD WATER INLET TEMPERATURE
HOT WATER OUTLET TEMPERATURE
WATER FLOW RATE
FOR CONDENSING BOILERS ONLY CONFIRM THE FOLLOWING
THE CONDENSATE DRAIN HAS BEEN INSTALLED IN ACCORDANCE WITH
THE MANUFACTURER'S INSTRUCTIONS?
FOR ALL INSTALLATIONS CONFIRM THE FOLLOWING
THE HEATING AND HOT WATER SYSTEM COMPLIES
WITH CURRENT BUILDING REGULATIONS
THE APPLIANCE AND ASSOCIATED EQUIPMENT HAS BEEN INSTALLED AND COMMISSIONED
IN ACCORDANCE WITH THE MANUFACTURER'S INSTRUCTIONS
IF REQUIRED BY THE MANUFACTURER, HAVE YOU RECORDED A CO/CO
THE OPERATION OF THE APPLIANCE AND SYSTEM
CONTROLS HAVE BEEN DEMONSTRATED TO THE CUSTOMER
THE MANUFACTURER'S LITERATURE HAS BEEN LEFT WITH THE CUSTOMER
COMMISSIONING ENG'S NAME
GAS BOILER COMMISSIONING CHECKLIST
ROOM T/STAT & PROGRAMMER/TIMER
CYLINDER T/STAT & PROGRAMMER/TIMER
PRINT
SIGN
BENCHMARK No.
Please add the first 4 digits of the Boiler serial No to complete the BENCHMARK No.
NOTIFICATION No.
FITTED
FITTED
FITTED
FITTED
RATIO READING?
N/A
2
CORGI ID No.
DATE
2 6 7
PROGRAMMABLE ROOMSTAT
COMBI BOILER
NOT REQUIRED
NOT REQUIRED
NOT REQUIRED
ft
m
3
/hr
mbar
N/A
°C
°C
YES
NO
ft
3
m
/hr
mbar
N/A
°C
°C
lts/min
YES
YES
CO/CO
RATIO
2
3
/hr
3
/hr