Title Page

  • Client:

  • Site Name (Phase/Block):

  • Contract Number:

  • Date:

  • Carried out by:

  • New System (A, B)

Evacuation System Commission, Acceptance & Testing Certificate

A - System Examinations & Recommendations

  • All equipment operates correctly

  • Installation work is, as far as can be reasonably be ascertained, of an acceptable standard

  • Auto dialer operational (where applicable)

  • All devices seen by control panel

  • Evacuation command activated and alarm sounding

  • Visual check of the entire system

  • An adequate operation and maintenance manual for the system has been provided

  • All zones seen by control panel

  • Devices LED test completed

  • Adequate alarm test log book present

I/We being the competent person(s) responsible (as indicated by my/our signature below) for the commissioning of the evacuation system, particulars of which are set out above, CERTIFY the above system as to the best of my/our knowledge is functional.

  • Full Name

  • Signature

  • Position

  • Date

B - System Acceptance & Handover

  • All Equipment Operates Correctly

  • Installation work is, as far as can be reasonably be ascertained, of an acceptable standard

  • The entire system

  • An adequate operation and maintenance manual for the system has been provided

GUIDANCE NOTES FOR CLIENT/END USER

OVER A DAILY PERIOD

  • Check charger ON indicator shows

  • Inspect for any FAULT indicators showing

  • Inspect SOUNDERS

OVER A WEEKLY PERIOD

  • Ensure ALL indicators show

  • Operate a call point to test system

  • Check ALL sounders operate

  • Reset the evacuation alarm panel

  • Check ALL call points

  • Enter results in end user log book

I/We being the client responsible (as indicated by my/our signature below) for the acceptance of the evacuation system, particulars of which are set out above, ACCEPT the system on behalf of:

  • Full Name

  • Signature

  • Position

  • Date

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