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Inbetriebnahmeprotokoll Gasbrand
Camina & Schmid Feuerdesign und Technik GmbH & Co. KG
Gewerbepark 18 · 49143 Bissendorf · Phone +49 5402 70 10-10 · Fax +49 5402 70 10-70
www.camina-schmid.de · info@camina-schmid.de
Auftraggeber*in:
Auftragnummer:
Name:
Stre / Nr.:
PLZ, Ort:
Objekt
Gerätetyp:
Gastyp:
Seriennummer:
Visuelle Inspektion
Inspektion Gerät / Typenschild
Inspektion Gas / Elektroanschluss
Inspektion Abgas / Zuluftanschluss / Mündung
Kontrolle Gasventil
Kontrolle Gasdichtheit (Gasschnüler)
Kontrolle interne Kupplungen Gasverrohrung
Kontrolle Beschädigung Brenner (Holzscheit)
Kontrolle Dichtheit, Reinigung Scheiben
Datum:
Kund*in-Bemerkung:
Schornsteinkonfiguration:
Welche Schornsteinkonfiguration ist vor Ort gegeben?
Konfiguration-Nr.: m
Vertikale Länge: m
Horizontale Länge: m
Eingebaute Strömungsbegrenzerplatte: mm
Messdaten
Die Abgasmessung darf erst nach Stabilisierung des Gerätes erfolgen.
Die Dauer der Stabilisierungszeit hängt von der Schornsteinkonfigura-
tion ab und beträgt ca. 30 Minuten.
Soll-Wert Gas-Vordruck: mbar
Ist-Wert Gas-Vordruck: mbar
Kontrolle Brennerdruck max.: mbar
Kontrolle CO
2
max.: %
Kontrolle CO: ppm
Kontrolle Zündvorgang: IO / NIO
Ionisation messen: µA
Bemerkungen:
Dem Betreiber wurden die technischen Unterlagen übergeben.
Er wurde mit den Sicherheitshinweisen, der Bedienung und Wartung der oben genannten Anlage vertraut gemacht.
Bestätigung der ausgeführten Arbeiten
Ort, Datum
Unterschrift Kund*in
Ort, Datum
Unterschrift Techniker*in
28


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