BTS Dampers/ Dampers Control Unit Maintenance Certificate
Variations from the recommendations of Clause 45 of BS5839-1:2013 for periodic or annual inspection and test (as applicable).
Maintenance Visits quarter number:
Functional Equipment Testing:
Has the control equipment/ damper/s been tested
Are all controls and visual indicators at panel OK?
Are all ancillary functions of the panel OK?
Please state below Details of Work completed/Comments & Additional work undertaken
Any other issues conditions also with the installation additions or rectifications required
Engineers' Time Sheet a Summary:
Enter Date of testing
Engineers Name on behalf of BTS:
BTS Engineer's Signature:
Customer Acknowledgement (INPUT NAME): I confirm the satisfactory completion of the above maintenance visit.
Office use ONLY:
Invoiced (where applicable):
BTS Company Details:
Building Technology Services
119a Derby Street
Tel:01283 566 977
Document Reference Number QD53c, Rev 3, June 2014
BTS Dampers/ Damper Control Units Maintenance Certificate
Dampers/ Damper Control units Maintenance Certificate
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or
or other applicable laws. You should also seek your own professional advice to determine if the use of such
permissible in your workplace or jurisdiction.