Title Page
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Client:
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Site Name (Phase/Block):
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Contract Number:
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Date:
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Carried out by:
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New System (A, B)
Evacuation System Commission, Acceptance & Testing Certificate
A - System Examinations & Recommendations
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All equipment operates correctly
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Installation work is, as far as can be reasonably be ascertained, of an acceptable standard
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Auto dialer operational (where applicable)
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All devices seen by control panel
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Evacuation command activated and alarm sounding
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Visual check of the entire system
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An adequate operation and maintenance manual for the system has been provided
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All zones seen by control panel
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Devices LED test completed
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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.
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Full Name
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Signature
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Position
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Date
B - System Acceptance & Handover
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All Equipment Operates Correctly
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Installation work is, as far as can be reasonably be ascertained, of an acceptable standard
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The entire system
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An adequate operation and maintenance manual for the system has been provided
GUIDANCE NOTES FOR CLIENT/END USER
OVER A DAILY PERIOD
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Check charger ON indicator shows
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Inspect for any FAULT indicators showing
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Inspect SOUNDERS
OVER A WEEKLY PERIOD
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Ensure ALL indicators show
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Operate a call point to test system
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Check ALL sounders operate
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Reset the evacuation alarm panel
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Check ALL call points
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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:
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Full Name
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Signature
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Position
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Date