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Installation and Service Certificate
Check off steps as completed:
❏ 1. Boiler and heat distribution units filled with water?
❏ 2. Automatic air vent, if used, opened one full turn?
❏ 3. Air purged from system? Piping checked for leaks
(including tankless heater, if used)?
❏ 4. Air purged from oil piping? Piping checked
for leaks?
❏ 5. Flue cap in place and tightened? Burner
door closed, sealed and nut tight? Burner
plugged in and service switch on?
Obtain gas-tight seal to
prevent possible flue gas
leakage and carbon monoxide emissions,
leading to severe personal injury or death.
❏ 6. Proper draft and burner flame? Final adjustment
made with combustion test equipment?
❏ 7. Test limit control: While burner is operating,
move indicator on limit control below actual
boiler water temperature. Burner should go
off while circulator continues to operate.
Raise setting on limit control above water
temperature and burner should re-ignite.
❏ 8. Test additional field-installed controls: If
boiler has a low water cutoff, additional
high limit or other controls, test for
operation as outlined by manufacturer.
Burner should be operating and should go
off when controls are tested. When controls
are restored, burner should re-ignite.
❏ 9. Limit control set to system temperature
requirements (max. 220°F)?
❏ 10. For multiple zones, flow adjusted to
distribute heat in all zones?
❏ 11. Thermostat heat anticipator setting
(if available) set properly? Refer to “Connect
wiring,” page 18.
❏ 12. Boiler cycled with thermostat? Raise to
highest setting and verify boiler goes
through normal start-up cycle. Lower to
lowest setting and verify boiler goes off.
❏ 13. Observed several operating cycles for
proper operation?
❏ 14. Set room thermostat(s) to desired
room temperature?
❏ 15. Completed Installation and Service
Certificate below?
❏ 16. Reviewed Maintenance and Service
Manual with owner or maintenance
person and instructed person to keep for
future reference?
❏ 17. Returned all instructions provided with
boiler to its envelope and placed with boiler
for future reference?
Date Installed: ______________________________________________
Boiler Model Number: __________________ Series: _________
CP Number(s):______________________________________________
Measured Btu or GPH Input: _____________________________
❏ Installation instructions have been followed.
❏ Check-out procedure has been performed.
❏ Above information is certified to be correct.
❏ Information received and left with owner/
maintenance person.
22
Check-Out Procedure
Installer:__________________________________________________________________________________________________________________________
(Company) (Address) (Phone)
_________________________________________________________________
(Installer’s Signature)