Eversham - Field Logging Sheet

• Fire Suppression System Doc No: QWI11.10

• Maintenance Service Record in accordance with AS5062-2022

Customer Details:

• Customer:

  Select

• End User:

• End User Centre Email:

• Location
  Address

• Date:

  Date

• Machine ID No:

• Machine Serial Number:

• Machine OEM:

• Machine Model:

• Machine Type:

• Fire Suppression Brand:

  Select QTEC CHUBB FSI WORMALD SANDVICK OTHER

  • QTEC
  • CHUBB
  • FSI
  • WORMALD
  • SANDVICK
  • OTHER

• System Configuration:

  LOP

  ROP

  OTHER

• System type:

  STANDARD

  COMPACT

• Installation date:

  Date

• Installation Location:

• Risk Assessment Completed?

  Yes

  No

  N/A

• ENGINE BAY

• QTY of Nozzles

• TURBO CHARGER

• QTY of Nozzles

• EXHAUST SYSTEM

• QTY of Nozzles

• FUEL SYSTEM

• QTY of Nozzles

• HYDRAULIC SYSTEM

• QTY of Nozzles

• COOLING SYSTEM

• QTY of Nozzles

• BATTERY COMPARTMENT

• QTY of Nozzles

• ELECTRICAL SYSTEM

• QTY of Nozzles

• BELLY-PAN AREA

• QTY of Nozzles

• BRAKING SYSTEM

• QTY of Nozzles

• MACHINE BODY & TRACKS

• QTY of Nozzles

• NOISE ATTENUATION

• QTY of Nozzles

• SLEW AREA

• QTY of Nozzles

• TYRES

• QTY of Nozzles

• OTHER (Please specify)

• QTY of Nozzles

SYSTEM

• This field sheet is applicable for logging information for (a.) Existing Units to be serviced, as well as (b.) New System Installations ** If the FS System has more than 3 Cylinders, please log the information (Size, Fill and Manuf. Date) of the remaining cylinders in the Remarks field
  † AS5062-2022 stipulates Level 1 and Level 2 services to be 6 and 12 monthly respectively. However end users may decide to shorten the service frequency (e.g. 3 and 6 monthly) if they determine that the environment conditions require it.

Cylinders

• No. of Cylinders:

• Cylinder#1 S/N:

• Cylinder#1 Manuf. Date: (Or Latest Test Date)

  Date

• Cylinder#1 Size: (Litres)

  Select 25 35 45 65 88 106 Other

  • 25
  • 35
  • 45
  • 65
  • 88
  • 106
  • Other

• Cylinder#1 Qty. Fill: (Litres)

  Select 18.4 25 32.9 48.5 64 77.5 Other

  • 18.4
  • 25
  • 32.9
  • 48.5
  • 64
  • 77.5
  • Other

• Cylinder#1 Cylinder Next Test Date:

  Date

• Cylinder#2 S/N:

• Cylinder#2 Manuf. Date: (Or Latest Test Date)

  Date

• Cylinder#2 Size: (Litres)

  Select 25 35 45 65 88 106 Other

  • 25
  • 35
  • 45
  • 65
  • 88
  • 106
  • Other

• Cylinder#2 Qty. Fill: (Litres)

  Select 18.4 25 32.9 48.5 64 77.5 Other

  • 18.4
  • 25
  • 32.9
  • 48.5
  • 64
  • 77.5
  • Other

• Cylinder#2 Cylinder Next Test Date:

  Date

Engine Shutdown

• Test Performed?

  Yes

  No

  N/A

• Engine Shutdown Delay Time: (Seconds)

Type Of Alarm: (If Fitted, If Not N/A)

• Pneumatic Panel (AS5062)

• Electronic Panel

• Export Panel (non AS5062)

• Other

• N/A

Type And Qty. Of Nozzles: (Qtec)

• 9.5 (H.Flow)

• 9W (Wide Angle) Qty:

• 4.8 (M.Flow) Qty:

Nozzle Coverage

• Spray Pattern Acceptable?

  Yes

  No

  N/A

• Has this Been Rectified

  Yes

  No

  N/A

Remote Actuators

• No. of Remote Actuators:

• Actuator#1 Location:

• Actuator# 1 Pressure: (kPa) (LOP)

• Actuator#1 CO2 Cartridge Weight:(in grams) (ROP)

• Actuator#2 Location:

• Actuator#2 Pressure: (kPa) (LOP)

• Actuator#2 CO2 Cartridge Weight:(in grams) (ROP)

• Actuator#3 Location:

• Actuator#3 Pressure: (kPa) (LOP)

• Actuator#2 CO2 Cartridge Weight:(in grams) (ROP)

• LPRM Pressure kPa: (Qtec’s ROP Only)

Automatic Detection Type:

• Nylon Tube

• Fire Wire

• Other

• Auto. Detection Location:

Extinguisher(s)

• No. of Extinguisher(s) On the unit:

• Extinguisher Type(s):

  Select ABE AFFF DCP CO2 WATER CARBON DIOXIDE

  • ABE
  • AFFF
  • DCP
  • CO2
  • WATER
  • CARBON DIOXIDE

• Extinguisher Size(s):

• Extinguisher Weight(s)

Sign Off

• I Hear by certify that the above system has been in accordance with AS5062-2022 and the information on this service record is true and correct

From PIRTEK

• Pirtek Centre Name:

  Emerald

  Dysart

• Technician Name:

  Select Ashley Lawson Chris Paton Peter Eversham Tim Eversham Nick Stallard Coedy Kleinig

  • Ashley Lawson
  • Chris Paton
  • Peter Eversham
  • Tim Eversham
  • Nick Stallard
  • Coedy Kleinig

• Cert Number: QTEC L1083

• Email: Ashley@pirtekeme.com.au

• Position: Service Technician

• Cert No: L1084

• Email: Chris@pirtekeme.com.au

• Position: Service Technician

• Cert No: E-086

• Email: Peversham@pirtek.com.au

• Position: Service Technician

• Cert No: E-0146

• Email: Teversham@pirtek.com.au

• Position: Service Technician

• Cert No: L0963

• Email: Nick@pirtekeme.com.au

• Position: Service Technician

• Cert No: L0958

• Email: Coedy@pirtekeme.com.au

• Position: Service Technician

• Signature:

  Sign

From Customer/End User

• Name

• Signature:

  Sign