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Inbetriebnahmeprotokoll
Anlagenbetreiber Fachbetrieb
Name Name
Adresse Adresse
PLZ/Ort PLZ/Ort
Anlagendaten
Gerätetyp Heizeinsatz Kamineinsatz Grundofen
Bezeichnung
Nachschaltung Nachheizkasten Typ
keramische Züge Länge (m)
Aufsatzspeicher Drehzug
Warmluft-Aufsatzregister sonstiges
Wassertechnik HWAR Aufsatzregister/Typ
Verbindungsleitung/Schornstein
Verbindungsleitung Durchmesser (mm)
gestreckte Länge (m)
Umlenkung
Schornstein Hersteller Typ
wirksame Höhe (m)
Durchmesser (mm)
einschalig mehrschalig Außenwand (Edelstahl)
Verbrennungsluftversorgung
Betriebsweise raumluftverbund externe Verbrennungsluft
Verbrennungsluftleitung Durchmesser (mm)
gestreckte Länge (m)
Umlenkung
Lüftungsanlage (kontrollierte Wohnraumlüftung, Abluft-Dunstabzugshaube, etc.)
bei der Inbetriebnahme keine Anlage vorhanden Anlage vorhanden
Sicherheitseinrichtung nicht vorhanden vorhanden/Typ
Regelungstechnik
Abbrandregelung nicht vorhanden vorhanden/Typ
weitere Regelungen Wasserregelung/Typ
sonstiges
Einweisung und Übergabe
Der Anlagenbetreiber wurde in Betrieb und Wartung der Anlage eingewiesen. ja
Der Anlagenbetreiber wurde auf Gefahren beim Betrieb der Anlage hingewiesen. ja
Dem Anlagenbetreiber wurden die Montage- und Betriebsanleitungen übergeben. ja
35


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