Thermostatic mixing valves commissioning report checklist

Template Information

Commissioning report for thermostatic mixing valves

Category: general

Template Questions

  • Make of Mixing Valve
  • Model
  • Valve Size
  • Valve Location/Building
  • Valve Identification Number
  • Photo of Valve
  • Total number of outlets served by this valve
  • Valve Information and Testing Results
  • Details of other outlets
  • Temperature as in HOSPLAN (referred to as the Code of Practice) page 54; section 7:For Adults - 40.5
  • Installing Company Details:ON THE GO PLUMBING SERVICES PTY LTDPO Box 88Panania NSW 2213Phone: 0404 60
  • Name of accredited tester
  • Accreditation Number
  • Temperature checked and Fail/Safe witnessed by
  • Employed by
  • Position held
  • Testers Signature