Commissioning Form

• Document No.

• Site Commissioning Form

• CID

• Conducted on

  Date

• Prepared by

• CID

Site Details

• Site Address
  Address

• Site Phone

• Site Fax

• Email

Site Contact

• Name

• Mobile

• Phone 2

• Email

• Is the Billing Address Different?

  Yes

  No

  N/A
• Billing Address
  Address

• Are Client Details the same as Site Details?

  Yes

  No

  N/A

Client Details

• Client Name

• Address
  Address

• Site Phone

• Site Fax

• Email

Contact

• Name

• Mobile

• Phone 2

• Email

Panel Information

• Panel Type

  Reliance

  Tecom

  Other

• Model

  NX4

  NX8

  NX12

  R128

• Model

  Challenger V8

  Challenger 10

  Challenger 10SE

  Challenger 10LE

• Description

Standard Equipment Locations

• Panel

• Serial number

• Panel Photo

  Media

• Power

• Serial number

• Phone/Network Connection

• Master Codepad

• Serial number

• Codepad Photo

  Media

• External Siren/Strobe

• Internal Piezo

• Is there additional equipment

  Yes

  No

  N/A
Equipment Description

• Item

• Location

• Serial number

• Equipment Photo

  Media

• Will an Input List be attached?

  Yes

  No

  N/A

Inputs

Input Details

• Input Number

• Area

• Location/Description

• Detector Type

  Select 90 PIR 360 PIR Smoke Rate of Rise Tamper Temperature Reed Switch Other

  • 90 PIR
  • 360 PIR
  • Smoke
  • Rate of Rise
  • Tamper
  • Temperature
  • Reed Switch
  • Other

• Zone Type

  Select Entry/Exit Handover Instant Smoke/Fire Tamper Other

  • Entry/Exit
  • Handover
  • Instant
  • Smoke/Fire
  • Tamper
  • Other

• Expander Number

• Expander Input Number

• Input Photo

  Media

• Is the System Monitored?

  Yes

  No

  N/A

Communication Information

• Line Number

• Monitoring Type

  Select PSTN UDP/TCP/IP GSM/GPRS/3G/4G

  • PSTN
  • UDP/TCP/IP
  • GSM/GPRS/3G/4G

PSTN Details

• Monitoring Options

  Select Self Monitor eg. Mobile Monitoring Control Room

  • Self Monitor eg. Mobile
  • Monitoring Control Room
Persons to mobile monitor

• Name

• Phone

• Control Room

• CID

• Receiver Number

• Dial Test

  Daily

  Weekly

  Other

• Time

• Day

• Time

• Details

Network Information

• Additional Equipment

  Yes

  No

  N/A

• Already Listed

  On-Board

  Not Listed

• Description

• Serial number

• Location

• IP Address

• Gateway

• Primary DNS

• Subnet Mask

• Additional information

• Monitoring Options

  Select Self Monitor eg. Mobile Monitoring Control Room

  • Self Monitor eg. Mobile
  • Monitoring Control Room

• App Name

Persons with App access

• Name

• User Number

• Phone

• Email

• Control Room

• CID

• Receiver Number

• Dial Test

  Daily

  Weekly

  Other

• Time

• Day

• Time

• Details

• Polled

  Yes

  No

  N/A

• Details/Frequency

GSM/GPRS/3G/4G Information

• Additional Equipment

  Yes

  No

  N/A

• Already Listed

  On-Board

  Not Listed

• Description

• Serial number

• Location

• Mobile Phone Number

• Monitoring Options

  Select Self Monitor eg. Mobile Monitoring Control Room

  • Self Monitor eg. Mobile
  • Monitoring Control Room
Persons to mobile monitor

• Name

• Phone

• Control Room

• CID

• Receiver Number

• Dial Test

  Daily

  Weekly

  Other

• Time

• Day

• Time

• Details

• Polled

  Yes

  No

  N/A

• Details/Frequency

• Is this system monitored by a Control Room?

  Yes

  No

  N/A

Emergency Contacts

Contact Details

• Name

• Primary Phone

• Secondary Phone

• User No

• Password

• Additional Details

Patrol Company Details

Patrol Details

• Name

• Preferred

• Have Keys

• Phone 1

• Phone 2

• Phone 3

• Password

• Additional Details

• Is this system monitored by a Control Room?

  Yes

  No

  N/A

Response Options

• Intruder Alarms

  Select Phone key holder, No answer. - Send patrol(charges apply) Phone premises, No answer, Phone key holder, No answer. - Send patrol(charges apply) Phone key holder, No answer. - No further action Phone key holder, No answer. - Send Police Keyholder & Patrol - (charges apply) Patrol Only Special Instructions

  • Phone key holder, No answer. - Send patrol(charges apply)
  • Phone premises, No answer, Phone key holder, No answer. - Send patrol(charges apply)
  • Phone key holder, No answer. - No further action
  • Phone key holder, No answer. - Send Police
  • Keyholder & Patrol - (charges apply)
  • Patrol Only
  • Special Instructions

• Single Zone Activation

  Select NO Action on single zone activation unless with other zones or repeated activations Special Instructions

  • NO Action on single zone activation unless with other zones or repeated activations
  • Special Instructions

• Multiple Activation

  Select Phone key holder, No answer. - Send patrol(charges apply) Phone premises, No answer, Phone key holder, No answer. - Send patrol(charges apply) Phone key holder, No answer. - No further action Phone key holder, No answer. - Send Police Keyholder & Patrol - (charges apply) Patrol Only Special Instructions

  • Phone key holder, No answer. - Send patrol(charges apply)
  • Phone premises, No answer, Phone key holder, No answer. - Send patrol(charges apply)
  • Phone key holder, No answer. - No further action
  • Phone key holder, No answer. - Send Police
  • Keyholder & Patrol - (charges apply)
  • Patrol Only
  • Special Instructions

• Trouble/Bypass/Partial Events

  Select Phone Keyholder no Answer - Send Patrol Phone Keyholder - no further action Special Instructions

  • Phone Keyholder no Answer - Send Patrol
  • Phone Keyholder - no further action
  • Special Instructions

• Open/Close out of Hours

  Select Phone premises - no answer, Keyholder Phone premises - no answer, Send patrol Keyholder ONLY, DO NOT PHONE PREMISES Special Instructions Send SMS to Keyholder wait 30 mins for response, Call Keyholder

  • Phone premises - no answer, Keyholder
  • Phone premises - no answer, Send patrol
  • Keyholder ONLY, DO NOT PHONE PREMISES
  • Special Instructions
  • Send SMS to Keyholder wait 30 mins for response, Call Keyholder

• Holdup/Duress/Panic

  Select Call premises Send police Send Patrol, advise Keyholder Special Instructions

  • Call premises
  • Send police
  • Send Patrol, advise Keyholder
  • Special Instructions

• Smoke/Fire Alarms

  Select Phone premises - no answer, Keyholder-no answer, Emergency Services (charges apply if false alarm) Phone premises - no answer, Keyholder-no answer, Patrol Special Instructions

  • Phone premises - no answer, Keyholder-no answer, Emergency Services (charges apply if false alarm)
  • Phone premises - no answer, Keyholder-no answer, Patrol
  • Special Instructions

• Medical Alarms

  Select Phone premises - no answer, Keyholder-no answer, Emergency Services (charges apply if false alarm) Phone premises - no answer, Keyholder-no answer, Patrol Special Instructions

  • Phone premises - no answer, Keyholder-no answer, Emergency Services (charges apply if false alarm)
  • Phone premises - no answer, Keyholder-no answer, Patrol
  • Special Instructions

• Mains Power

  Select No action required if immediately restored Call premises-No answer, Keyholder (0600-2200hrs) Special Instructions Email installer

  • No action required if immediately restored
  • Call premises-No answer, Keyholder (0600-2200hrs)
  • Special Instructions
  • Email installer

• Backup Battery

  Select No action required if immediately restored Call premises-No answer, Keyholder (0600-2200hrs) Special Instructions Email installer

  • No action required if immediately restored
  • Call premises-No answer, Keyholder (0600-2200hrs)
  • Special Instructions
  • Email installer

• Missed periodic dialler text

  Select Email Installer Call Keyholder Special Instructions

  • Email Installer
  • Call Keyholder
  • Special Instructions

Additional Photos

• Additional photos

  Yes

  No

  N/A
Photo

• Photo

  Media

• Description

Technician Signature

• I declare all information provided by me regarding equipment installation and programming is true and correct.

• Name

• Technician Signature

  Sign

• Signed on

  Date

Customer Signature

• Agreement of Completion

• Name

• Position

• Customer Signature

  Sign

• Signed on

  Date