Title Page
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Document Number
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Client
- Waltham Forest Housing, 2d Fulborne Road, Cedar Wood House, Walthamstow, London E17 4GG
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Conducted on
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Full Site Address
INFORMATION REQUIRED FOR THIS SURVEY
Inspection Signature & Detail of Supervisor
THE EXTENT OF LIABILITY OF THE SIGNATORY IS LIMITED TO THE SYSTEM DESCRIBED BELOW
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I being the competence person responsible (as indicated by my signature below).
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Tick as Applicable
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Name
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Position
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Signature
PARTICULARS OF THE ORGANIZATION INSPECTING THE SYSTEM
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Aston Heating T/A Aston Group - Moss Lane, Romford, Essex. RM1 2PT
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This form is based on the model in Appendix 2 AQUA AIA.V1
WORKS ACTION
INSPECTION - Any immediate action to be noted in addition to the below comment box and raised to Astons repairs team
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Reason attendance
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System checked following activation
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New MCP covers required
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New key lock required to panel
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New replacement detector required
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New cabling to system required
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New fire panel required
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new magnetic door opener required
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System required new batteries
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If new batteries please confirm completed
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System fault on system requiring further works
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Works completed
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If a activation recorded is this complete