BTS Fire Alarm Maintenance Certificate
I/We being the competent person(s) responsible (as indicated by my/our signatures below) for the servicing of the fire alarm system, particulars of which are set out below, I/We CERTIFY that the said work for which I/We have been responsible complies to the best of my/our knowledge and belief with the recommendations of Clause 45 of BS5839-1:2013 quarterly inspection of vented batteries/periodic inspection and test/inspection and test over a 12 month period (delete as applicable), except for the variations, if any, stated in this certificate.
>. Relevant details of the work carried out and faults identified have been entered into the system log book.
The extent of liability of the signatory is limited to the system described below. Extent of the system covered by this certificate
Variations from the recommendations of Clause 45 of BS5839-1:2013 for periodic or annual inspection and test (as applicable).
State the number of false alarms During the past 12 months:
The above number of false alarms per 100 automatic fire detectors per annum (for category M systems enter "not applicable") are as follows:
Maintenance Visits quarter number:
FUNCTIONAL EQUIPMENT TESTING BELOW
State Battery Voltage (prior to Load Test):
State Battery Voltage (After Load Test completed):
Control Panels please state Quantity and Type of Panel:
Has the control equipment been tested
Smoke Detectors please state Quantity and Types:
Have all smoke detectors been tested?
List the detectors tested:
Heat Detectors please state Quantity and Types:
Have a minimum of 2% heat detectors been tested?
List the detectors tested:
Manual Call Points please state Quantity and Types:
Have all Manual Call Points been tested?
List the device numbers tested:
Beam Detectors please state Quantity, Type of Panel and if Tested Yes/No?
Flame Detectors please state Quantity, Type of Panel and if Tested Yes/No?
Sounders please state Quantity and Type:
Have the alarm sounders been tested?
Relays, Interfaces please state Quantity, Type of Panel and if Tested Yes/No?
HSSD please state Quantity, Type of Panel and if Tested Yes/No?
Fixed Extinguishing (Elec) please state Quantity, Type of Panel and if Tested Yes/No?
Fixed Extinguishing (Mech) please state Quantity, Type of Panel and if Tested Yes/No?
Monitoring Station link, state the type of transmitter:
Has the signal to the monitoring station been tested?
Condition Report Test
Examine the Log book, all okay? Comments raised?
Have you completed the log book?
Calculate FA rate: number of FA...........X.............Number of devices divided by 100 Giving FA rate as:
Any action required because of FA rate? Please comment below.
Is Zone Plan Displayed
Are there any remote power supplies on site?
Confirm battery capacity within remote power supply (volts & amps)
Is the power supply adequate?
Confirm what psu and batteries are required:
Are there any new exits without the provision of an adjacent manual call point? If so please list below
Are there any new partitions within 500mm horizontally of any AFDC? If so please list below.
Is there any storage encroaching within 300mm of ceiling such as to compromise compliance? If so lease list below
Confirm that a clear space of 500mm is maintained below each AFD otherwise please state below which detectors need moving
Have any changes to the use or occupancy of an area made the existing types of AFD unsuitable or prone to unwanted alarms? If so please describe below all changes affecting the fire alarm detection.
Do any building alterations or extensions require additional detection / equipment? if so lease state below along with a sketch or media
Check sufficient printer consumables available? List any requirements below.
Please state below Details of Work completed/Comments & Additional work undertaken
Any other issues conditions also with the installation additions or rectifications required also photos attach on media below
Have parts been used?
List materials used including quantities, part description, serial numbers:
Are parts required?
List parts required including part numbers, voltages etc.
Number of on-site hours:
Number of travel hours:
Engineers Name on behalf of BTS:
Customer Job Title:
Invoiced (where applicable):
Building Technology Services 119a Derby Street Burton-on-Trent DE14 2LE Tel:01283 566 977 Email: [email protected]
Document Reference Number QD53c, Rev 3, June 2014