Building Technology Services- Installation Certificate Checklist

BTS Installation Certificate- Fire Alarm System

Customer name:

Job Number:

Site Name:

Site Address

Visit Start Date:

Visit Completion Date:

I/We being the competent person(s) responsible (as indicated by my/our signature(s) ) for the installation of the Fire Alarm System, particulars of which are set out below, CERTIFY that the said installation work for which I/We have been responsible complies to the best of my/our knowledge and belief with the specification described below and with the recommendations of Section 4 of BS5839-1 2013, except for the variations, if any, stated in this certificate.

The extent of liability of the signatory is limited to the system described below.

Extent of system covered by this certificate:

Specification against which the fire system was installed:

Any known variations from the specification and/or Section 4 and Clause 39 of BS5839-1:2013 (see BS5839-1:2013 Clause 7)

Wiring has been tested in accordance with the recommendations of Clause 38 of BS5839-1:2010

Test results have been recorded and provided by:

Unless supplied by others, the "as fitted" drawings have been supplied to the person responsible for the commissioning of the system. ( see 36.2m) of BS5839-1:2013.

Installers name (block capitals):

Installers Signature:

Date:

Building Technology Services, 119a Derby Street, Burton-on-Trent, DE14 2LE