This is a free record template from TradieRoles, provided by FTC Group Pty Ltd. It captures commissioning and baseline figures, it does not certify the system.
Commissioning and 100% device testing must be done by a competent / accredited person to the current install standard.
The figures you record here become the baseline data future AS 1851 (AU) or maintenance (NZ) servicing compares against, so accuracy matters.
FTC Group accepts no liability for the completed record.
Baseline data at handover · AS 1670 / AS 2118 / AS 2419 install → AS 1851 service
Baseline data at handover · NZS 4512 / NZS 4541 / NZS 4510 · F-series maintenance
AU · AS 1851
Baseline data. Record the as-commissioned figures below. Under AS 1851-2012 these are the reference every future routine service is measured against. For detection, AS 1670.1 requires 100% of devices tested at commissioning, not a sample.
Baseline data. Record the as-commissioned figures below as the reference for ongoing maintenance. For detection to NZS 4512, verify every device and interface at commissioning, not a sample.
1Device / zone verification
ID
Device / component type
Location
Zone / loop
As-commissioned value
Result
2Performance baseline (water systems)
3Interface & functional tests
4Result & declaration
I certify the system has been commissioned in accordance with the referenced installation standard and that the baseline data recorded above is a true record for the purpose of ongoing routine service under AS 1851. Designer's and installer's statements are provided in the handover pack.
I certify the system has been commissioned in accordance with the referenced NZS installation standard and that the baseline data recorded above is a true record for ongoing maintenance. Producer statements / records are provided in the handover pack.