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.
Failuretoinstallandcommissionaccordingtothemanufacturer’sinstructionsandcompletethisBenchmarkCommissioningChecklistwillinvalidatethe
warranty.Thisdoesnotaffectthecustomer’sstatutoryrights.
GAS BOILER SYSTEM COMMISSIONING CHECKLIST
Customername: Telephonenumber:
Address:
Boilermakeandmodel:
Boilerserialnumber:
Commissionedby(PRINTNAME): GasSaferegisternumber:
Companyname: Telephonenumber:
Companyaddress:
Commissioningdate:
To be completed by the customer on receipt of a Building Regulations Compliance Certicate*
BuildingRegulationsNoticationNumber(ifapplicable):
CONTROLS(ticktheappropriateboxes)
Timeandtemperaturecontroltoheating
Roomthermostatandprogrammer/timer Programmableroomthermostat
Load/weathercompensation Optimum start control
Timeandtemperaturecontroltohotwater Cylinderthermostatandprogrammer/timer CombinationBoiler
Heatingzonevalves Fitted Notrequired
Hotwaterzonevalves Fitted Notrequired
Thermostaticradiatorvalves Fitted Notrequired
Automaticbypasstosystem Fitted Notrequired
Boilerinterlock Provided
ALL SYSTEMS
ThesystemhasbeenushedandcleanedinaccordancewithBS7593andboilermanufacturer’sinstructions Yes
Whatsystemcleanerwasused?
Whatinhibitorwasused? Quantitylitres
Hasaprimarywatersystemlterbeeninstalled? Yes No
CENTRAL HEATING MODE measureandrecord:
Gasrate m³/hr OR ft³/hr
Burneroperatingpressure(ifapplicable) mbar ORGasinletpressure mbar
Centralheatingowtemperature °C
Centralheatingreturntemperature °C
COMBINATION BOILERS ONLY
Istheinstallationinahardwaterarea(above200ppm)? Yes No
Ifyes,andifrequiredbythemanufacturer,hasawaterscalereducerbeentted? Ye s No
Whattypeofscalereducerhasbeentted?
DOMESTIC HOT WATER MODEMeasureandRecord:
Gasrate m³/hr OR ft³/hr
Burneroperatingpressure(atmaximumrate) mbar ORGasinletpressureatmaximumrate mbar
Coldwaterinlettemperature °C
Hotwaterhasbeencheckedatalloutlets Ye s Temperature °C
Waterowrate I/min
CONDENSING BOILERS ONLY
Thecondensatedrainhasbeeninstalledinaccordancewiththemanufacturer’sinstructionsand/orBS5546/BS6798 Yes
ALL INSTALLATIONS
Recordthefollowing:
Atmax.rate:COppm AND CO/CO
²
Ratio
Atmin.rate:(wherepossible)COppm AND CO/CO
²
Ratio
TheheatingandhotwatersystemcomplieswiththeappropriateBuildingRegulations Yes
Theboilerandassociatedproductshavebeeninstalledandcommissionedinaccordancewiththemanufacturer’sinstructions Yes
Theoperationoftheboilerandsystemcontrolshavebeendemonstratedtoandunderstoodbythecustomer Yes
Themanufacturer’sliterature,includingBenchmarkChecklistandServiceRecord,hasbeenexplainedandleftwiththecustomer Yes
CommissioningEngineer’sSignature
Customer’sSignature
(Toconrmsatisfactorydemonstrationandreceiptofmanufacturer’sliterature)