Asset Verification & Basic Condition Report

• Client:

  Bromford

  Warwick Districk Council

  Metropolitan Housing

• Alphatrack Site Number

• Site Address:
  Address

• Site Name:

• Photo of block

  Media

• Access Codes (if any):

• Property Type:

  Select Converted House Purpose Built Block Converted HMO or Hostel Purpose Built HMO or Hostel Converted Sheltered or Supported Block Purpose Built Sheltered or Supported Block Converted Mixed Use with Commercial Purpose Built Mixed Use with Commercial Community Centre Office Student Accomodation Other

  • Converted House
  • Purpose Built Block
  • Converted HMO or Hostel
  • Purpose Built HMO or Hostel
  • Converted Sheltered or Supported Block
  • Purpose Built Sheltered or Supported Block
  • Converted Mixed Use with Commercial
  • Purpose Built Mixed Use with Commercial
  • Community Centre
  • Office
  • Student Accomodation
  • Other

• If Other please specify

• Category of property:

  General Needs

  Supported Housing

  Home Ownership

• Are there any special requirements that we need to be aware of when considering the building occupants ?

  Yes

  No

• Please list considerations:

• Number of floors

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• Number of Blocks

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• Site Contact Details:

• Is there a Fire Log Book available on site ?

  Yes

  No

• Is there a copy of the Fire Risk Assessment available ?

  Yes

  No

• Is there a copy of the Asbestos Register available ?

  Yes

  No

  Yes - only online

• Are copies of the current Design & Commissioning Documentation available ?:

  Yes

  No

• Is a copy of the Operation & Maintenance Manual available ?

  Yes

  No

• Is there a Document Box on site ?

  Yes

  No

• Is all the above information contained within the box or stored seperately ?

  Yes

  Stored in site office / hub

  No

• Where is it located ?

• Evidence

  Media

• Condition Definitions:
  
  Condition A - As new condition - typically installed within the last five years or may have undergone a major refurbishment within this period, maintained/serviced to ensure system replicates conditions at installation, no impacts upon operation of the building.
  
  Condition B - Sound, operationally safe, and exhibiting only minor deterioration - maintenance has have been carried out, minor deterioration to internal/external finishes, likely to have minor impacts upon the operation of the building.
  
  Condition C - Operational but major repair or replacement needed in the short to medium-term (generally 3 years) - requiring replacement of elements in the short to medium-term, several statutory compliance issues apparent, or one particularly significant issue apparent, likely to have major impacts upon the operation of the building, but still allow it to be operable.
  
  Condition D - Inoperable or serious risk of major failure or breakdown - building is inoperable or likely to become inoperable, due to statutory compliance issues or a condition representing a health and safety risk or breach, the conditions are expected to curtail operations within the building (exclude very minor items which can be rectified easily).
  

Fire Alarms

• Fire Alarm System:

  Yes

  No

  Domestic Detectors

• Quantity:

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• Make:

• Type:

  Smoke

  Heat

  Other

• If other please state:

• Earliest expiry date:

• Are detectors interlinked:

• Condition:

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Addressable or Non-Addressable:

  Adressable

  Non-Addressable

• Has a download of the System been completed and held on file ?

  Yes

  No

• Location of Main Fire Panel:

• Manufacturer:

• Model Information:

• Age of Panel ? (approximate if not known)

• Evidence - Please provide photograph.

  Media

• Condition:

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Does the site have a central office / hub ?

  Yes

  No

• Does the central office / hub have fire detection ?

  Yes

  No

  Domestic Detectors

• Quantity

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• Manufacturer:

• Type

  Select Heat Smoke Optical

  • Heat
  • Smoke
  • Optical

• Interlinked

  Yes

  No

• Earliest expiry date

• Do individual dwellings within the property have fire detection devices linked to the main fire system (Linked to Scheme) ?

  Yes

  No

• Number of zones in use?:

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• Is there a Fire Zone Chart present ?:

  Yes

  No

  Domestic Detectors

• Evidence - Please provide photograph of the different elements

  Media

• Are Stand By Batteries installed?:

  Yes

  No

• Quantity:

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• Manufacturer:

• Rating & Capacity:

• Date of Manufacture:

• Evidence - Please provide photograph

  Media

• Are there Repeater panels as part of the system?

  Yes

  No

• Quantity:

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• Manufacturer:

• Condition:

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Please provide details of the location / locations of the repeater panels

• Evidence - Please provide photograph of each panel

  Media

• Are Smoke Detectors installed as part of the system ?:

  Yes

  No

• Quantity:

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• Manufacturer:

• Model:

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Date of installation - Approximate if not known

  1-3 years

  3-6 years

  6-9 years

  10+ years

• Evidence

  Media

• Are Heat Detectors installed as part of the system ?:

  Yes

  No

• Quantity:

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• Manufacturer:

• Model:

• Date of installation - Approximate if not known

  1-3 years

  3-6 years

  6-9 years

  10+ years

• Condition:

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

• Are Carbon Monoxide Detectors installed as part of the system ?:

  Yes

  No

• Quantity:

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• Manufacturer:

• Model:

• Date of installation - Approximate if not known

  1-3 years

  3-6 years

  6-9 years

  10+ years

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence:

  Media

• Are Multi-Sensors installed as part of the system?:

  Yes

  No

• Quantity:

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• Manufacturer:

• Model:

• Date of installation - Approximate if not known

  1-3 years

  3-6 years

  6-9 years

  10+ years

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence:

  Media

• Are Manual Call Points installed as part of the system?:

  Yes

  No

• Quantity:

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• Manufacturer:

• Model:

• Date of installation - Approximate if not known

  1-3 years

  3-6 years

  6-9 years

  10+ years

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Are call point covers fitted on all MCP's ?

  Yes

  No

• Evidence

  Media

• Are Remote Indicators installed as part of the system?:

  Yes

  No

• Quantity:

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• Evidence:

  Media

• Are Fire Bells installed as part of the system?:

  Yes

  No

• Quantity:

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• Manufacturer:

• Model:

• Date of installation - Approximate if not known

  1-3 years

  3-6 years

  6-9 years

  10+ years

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

• Are Electronic Sounders installed as part of the system?:

  Yes

  No

• Quantity:

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• Manufacturer:

• Model:

• Date of installation - Approximate if not known

  1-3 years

  3-6 years

  6-9 years

  10+ years

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Are there Visual Alarm Devices (Beacons etc) installed as part of the system?:

  Yes

  No

• Are they built into the sounders ?

  Yes

  No

• Quantity:

  Yes

  No

• Manufacturer

• Model:

• Date of installation - Approximate if not known

  1-3 years

  3-6 years

  6-9 years

  10+ years

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

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• Evidence

  Media

• Are Input/Output Units installed as part of the system:

  Yes

  No

• Quantity:

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• Manufacturer:

• Model:

• Date of installation - Approximate if not known

  1-3 years

  3-6 years

  6-9 years

  10+ years

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

• Are Fire Door Hold-Back devices installed as part of the system?:

  Yes

  No

• Quantity:

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• Manufacturer & Model with quantity:

• Date of installation - Approximate if not known

  1-3 years

  3-6 years

  6-9 years

  10+ years

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

• Is the system connected to an Alarm Receiving Centre (ARC):

  Yes

  No

• Manufacturer:

• Site ID (if available)?:

• Evidence

  Media

AOV System

• Is there an Automatic Opening Vent (AOV) System on site ?

  Yes

  No

• Quantity of Control Panels?:

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• Manufacturer:

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Location of control panels?:

• Evidence - Please provide a photograph of each panel

  Media

• Are Stand-By Batteries installed as part of the system?:

  Yes

  No

• Quantity:

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• Manufacturer:

• Rating & Capacity:

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

• Does the system have an Actuator ?

  Yes

  No

• Quantity:

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  • 20
  • 21
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  • 23
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  • 26
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  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Manufacturer:

• Condition:

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

• Does the system have AOV Call points ?

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
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  • 21
  • 22
  • 23
  • 24
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  • 26
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  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Manufacturer

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

Fire Extinguishers

• Are there Fire Extinguishers on site ?

  Yes

  No

• Wet Chemical:

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Capacity / Weight:

• Manufacturer:

• Pressurised / Non-Pressurised

  Pressurised

  Non-Pressurised

• Evidence

  Media

• Foam Spray:

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
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  • 5
  • 6
  • 7
  • 8
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  • 24
  • 25
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  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Capacity / Weight:

• Manufacturer:

• Pressurised / Non-Pressurised

  Pressurised

  Non-Pressurised

• Evidence

  Media

• CO2:

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
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  • 12
  • 13
  • 14
  • 15
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  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Capacity / Weight:

• Manufacturer:

• Pressurised / Non-Pressurised

  Pressurised

  Non-Pressurised

• Evidence

  Media

• Water:

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
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  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Capacity / Weight:

• Manufacturer:

• Pressurised / Non-Pressurised

  Pressurised

  Non-Pressurised

• Evidence

  Media

• Dry Powder:

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
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  • 13
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  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Capacity / Weight:

• Manufacturer:

• Pressurised / Non-Pressurised:

  Pressurised

  Non-Pressurised

• Evidence

  Media

Fire Fighting Equipment

• Is there Fire Fighting Equipment (FFE) on site ?<br>(Fire Blankets / Fire Buckets)

  Yes

  No

• Are Fire Blankets installed as part of the system?:

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
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  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Condition:

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

• Are there Fire Buckets installed as part of the system:

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
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  • 12
  • 13
  • 14
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  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

Dry Risers

• Are there Dry / Wet Risers installed on site ?

  Yes

  No

• Evidence

  Media

• Air release valves:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
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  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
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  • 40

• Outlet valves:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
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  • 20
  • 21
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  • 29
  • 30
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  • 36
  • 37
  • 38
  • 39
  • 40

• Inlet breaching (2way):

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
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  • 20
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  • 22
  • 23
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  • 25
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  • 28
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  • 30
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  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Drain valves:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
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  • 28
  • 29
  • 30
  • 31
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  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Low level drain:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
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  • 18
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  • 20
  • 21
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  • 25
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  • 28
  • 29
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  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Are Fire Hose Reels installed on site ?:

  Yes

  No

• Evidence

  Media

Fire Supression

• Is there a Sprinkler System on site ?

  Yes

  No

• Is there a Gaseous Supression system on site ?

  Yes

  No

Site Questions

• Are there any additional site requirements that we need to consider whilst visiting site ?

  Yes

  No

• Please provide full and accurate details of these considerations:

• Please provide any additional information or recommendations that have not been captured elsewhere within the above sections?:

Emergency Lighting

• Is there an Emergency Lighting system on site ?

  Yes

  No

• Fitting Type - Maintained:

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Make (if multiple makes please list all)

• Type:

  Select Bulkhead Circular Bulkhead Hanging Running Man Exit Box Other

  • Bulkhead
  • Circular Bulkhead
  • Hanging Running Man
  • Exit Box
  • Other

• List of other fitting types:

• Are the Emergency fittings LED ?:

  Yes

  No

  Mixed

• Condition:

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

• Fitting Type - Non-Maintained:

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Make (if multiple makes please list all)

• Type:

  Select Bulkhead Circular Bulkhead Hanging Running Man Exit Box Other

  • Bulkhead
  • Circular Bulkhead
  • Hanging Running Man
  • Exit Box
  • Other

• List of other fitting types:

• Are the Emergency fittings LED ?

  Yes

  No

  Mixed

• Condition

  Condition A

  Condition B

  Condition C

  Condition D

• Please provide a summary of the condition witnessed as a justification for the selection:

• Evidence

  Media

• Are Test Switches installed as part of the system ?:

  Yes

  No

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Please list the locations of the individual test switches:

• Evidence

  Media

• How is emergency lighting tested ?

• Please list any Recommendations or Observations relevant to the Emergency Lighting system ?

Emergency Exit Signage

• Is Emergency Exit Signage installed on site ?:

  Yes

  No

• Review and Verify that the Signage complies with the Signs Directive and are located at all emergency exits and along escape routes, Please note any deviation or Non-Compliance below:

• Review and verify that suitable Signage has been installed throughout the premises, has been produced by a single manufacturer and is of the same specification ?:

  Yes

  No

• Please list any Non-Compliant Signage, Observations or Recommendations below:

• Evidence

  Media

Fire Safety Signage

• Is Fire Safety Signage installed throughout the premises ?:

  Yes

  No

• Please identify the category of Fire Safety Signage installed on site ?:

  Select Manual Call Point Signage Fire Action Notice Fire Extinguisher Signage Fire Door Signage Fire Hose Signage Dry/Wet Riser Signage

  • Manual Call Point Signage
  • Fire Action Notice
  • Fire Extinguisher Signage
  • Fire Door Signage
  • Fire Hose Signage
  • Dry/Wet Riser Signage

• Review and verify that suitable Signage has been installed throughout the premises, has been produced by a single manufacturer and is of the same specification ?:

  Yes

  No

• Please list any Non-Compliant Signage, Observations or Recommendations below:

• Please confirm if additional Signage is required ?

• If signage is required please state requirements

Warden Call

• Is there a Warden Call system installed on the premises:

  Yes

  No

  Yes - Not under scope of works

• Number of dwellings:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
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  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
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  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Number of floors:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
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  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
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  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Evidence

  Media

• Manufacturer:

• Model:

• Is the system of an 'Open' or 'Closed' Protocol type?:

  Open Protocol

  Closed Protocol

• Are Speech Modules installed as part of the system ?:

  Yes

  No

• Evidence

  Media

• How many individual Dwellings contain Speech Modules ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
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  • 31
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  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• How many individual Wardens Quarters contain Speech Modules ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• How many Passenger Lifts are installed within the premises ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• How many Communal Areas are there within the premises ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
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  • 28
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  • 31
  • 32
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  • 36
  • 37
  • 38
  • 39
  • 40

• How many Pull-Cords are installed as part of the system ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Is there Automatic Fire Detection installed as part of the system ?:

  Yes

  No

  Domestic Detectors

• Evidence

  Media

• Please list Manufacturer and Model details:

  Select Heat Smoke Optical

  • Heat
  • Smoke
  • Optical

• Please verify the amount of Heat Detectors that are installed within the system:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Please verify the amount of Smoke Detectors that are installed within the system:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
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  • 6
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  • 8
  • 9
  • 10
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  • 13
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• Please verify the amount of Test Switches that are installed within the system:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
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  • 5
  • 6
  • 7
  • 8
  • 9
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  • 13
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  • 15
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  • 23
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  • 29
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  • 31
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  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Are Warden Infra-Red Controllers installed as part of the system ?:

  Yes

  No

• Evidence

  Media

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
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• Is there a Key Safe present within the premises ?:

  Yes

  No

• Evidence:

  Media

• Quantity:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
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  • 36
  • 37
  • 38
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• Are there Digitally Enhanced Cordless Telephone (DECT) Systems within the premises ?:

  Yes

  No

• Evidence

  Media

• Manufacturer:

• Type:

• Quantity

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
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• Are Door Entry Systems linked to the Warden Call System:

  Yes

  No

• Evidence

  Media

• Complete Door Entry section.

• Have Deaf Alarm adaptations been included as part of the system ?:

  Yes

  No

• Evidence

  Media

• Please confirm the number of Vibrating Pillows included within the system:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
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  • 40

• Please confirm the number of Flashing Beacons or additional Visual Alarm Devices (VAD) included within the system:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
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  • 40

• Please confirm the number of Radio Pendants installed within the system:

  Yes

  No

• Evidence

  Media

• Quantity

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
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Door Entry System

• Is there a Door Entry system installed on the premises ?:

  Yes

  No

  Yes - Not under scope of works

• Please confirm the number of dwellings that are attached to the system ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
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  • 5
  • 6
  • 7
  • 8
  • 9
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  • 13
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• Please confirm the number of dwellings that are NOT attached to the system ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
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  • 40

• Please confirm the number of floors within the premises ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
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• Is there a system installed to the Main Entrances at the premises ?:

  Yes

  No

• Evidence

  Media

• Please confirm the Number of main entrances

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
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• Please confirm the construction method of the Door associated with the system ?:

  Timber

  Steel

  Aluminium

  Other

• If Other please specify

• Is there a system installed to the Rear Entrances at the premises ?:

  Yes

  No

• Evidence

  Media

• Please confirm the Number of Rear Entrances ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
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  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
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  • 13
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• Please confirm the construction method of the Door associated with the system ?:

  Timber

  Steel

  Aluminium

  Other

• If Other please specify

• Are there Sub-Landing Doors attached to the system ?:

  Yes

  No

  Domestic Detectors

• Evidence

  Media

• Please confirm the number of Sub-Landing doors attached to the system ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
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  • 5
  • 6
  • 7
  • 8
  • 9
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  • 13
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  • 29
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  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Please confirm the construction method of the Door associated with the system ?:

  Timber

  Steel

  Aluminium

  Other

• If Other please specify

• Please confirm the System Manufacturer:

• Evidence

  Media

• System type:

• Evidence

  Media

• Is the system Digital or Functional ?:

  Digital

  Functional

• Evidence

  Media

• Is the the system Audio or Audio/Visual ?:

  Audio

  Audio/Visual

• Evidence

  Media

• Please confirm the number of Handsets installed within the system ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
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  • 8
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  • 34
  • 35
  • 36
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  • 38
  • 39
  • 40

• Is there a 'Trades' Button on the system ?:

  Yes

  No

  Domestic Detectors

• Evidence

  Media

• Is there a Main Controller installed on the system ?:

  Yes

  No

  Domestic Detectors

• Evidence

  Media

• Are there Landing Junction Boxes installed on the system ?:

  Yes

  No

  Domestic Detectors

• Evidence

  Media

• Are there Access Controlled Doors installed on the system ?:

  Yes

  No

  Domestic Detectors

• Type

• Evidence

  Media

• Please confirm the type of Locks used:

• Evidence

  Media

• Please confirm the number of Access Controllers installed on the system ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
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  • 8
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  • 36
  • 37
  • 38
  • 39
  • 40

• Notes:

• Please make comment or observations on the General condition of system:

• Evidence

  Media

CCTV

• Is there Closed Circuit TV (CCTV) system installed on the premises ?:

  Yes

  No

  Yes - Not under scope of works

• Please confirm the number of External Static cameras installed within the system ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
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  • 5
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  • 7
  • 8
  • 9
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• Please confirm the Manufacturer and Model details of the cameras ?:

• Evidence

  Media

• Please confirm the number of Internal Fully Functional cameras:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
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  • 40

• Evidence

  Media

• Please confirm the Manufacturer and Model type of the cameras:

• Please confirm the number of External Fully Functional cameras:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
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  • 40

• Evidence

  Media

• Please confirm the Manufacturer and Model type of the cameras:

• Please confirm the number of Camera Columns installed within the system:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
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  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
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  • 13
  • 14
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  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Evidence

  Media

• Please confirm the Telemetry Transmitter Manufacturer and Model :

• Evidence

  Media

• Please confirm the Digital Video Recorder (DVR) Manufacturer and Model :

• Please confirm the number of inputs

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
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  • 13
  • 14
  • 15
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  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30
  • 31
  • 32
  • 33
  • 34
  • 35
  • 36
  • 37
  • 38
  • 39
  • 40

• Evidence

  Media

• Please confirm the number of Power Supplies associated with the system:

• Evidence

  Media

• Please confirm if there is Remote Monitoring included within the system:

  Yes

  No

  Domestic Detectors

• Please confirm the Monitoring Company associated with the system:

• Evidence

  Media

• Please confirm the number of Monitor Screens installed within the system ?:

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
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  • 21
  • 22
  • 23
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  • 25
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  • 29
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  • 36
  • 37
  • 38
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  • 40

• Please confirm the Manufacturer and Model information of the monitor screens?:

• Please confirm the dimensions of the Monitor Screens:

• Evidence

  Media

• Please provide details of any Observations or Recommendations relevant to the system components:

• Please provide details of any Observations or Recommendations relevant to the general system: