Manual
Steamphasechecked
Chemicalvalvechecked
Start/Stopautomaticandre-run
delaychecked
Fuelshortageswitchchecked
Thermostatfunctionchecked
Burnerfunctionchecked
Waterinlettemperature
Wateroutlettemperature
Fuelpressurebar
Measuredsmokespotnumber
43
70
0
72
1
74
9
2
76
9,5 10
10,5
11
11,5
12
3
78 80 82 84 86 88 90
°C
bar
12,5
13
13,5
14
Safetyequipmentsealedwithlacquer
Theappliancefulfillsallrequirementsaccording
tothisinspectionsheet
Nameofinspector
Date
Signature
Result of flue gas analysis
5 6 7 8 9 10 11 12 13 14 15
°C