Title Page

  • Document Number

  • Certificate of modification for the fire alarm system at:

  • Customer Name

  • Site Address:

  • I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the modification of the fire alarm system, particulars of which are set out below, CERTIFY that the said modification work for which I/we have been responsible has to the best of my/our knowledge and belief been carried out in accordance with the recommendations of 46.4 of BS 5839-1:2017, except for the variations, if any, stated in this certificate:

  • Name, Signature & Date:

  • Position:

  • For and on behalf of:

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

  • Extent of system covered by this certificate:

  • Variations from the recommendations of 46.4 of BS 5839-1:2017

  • Following the modifications, the system has been tested in accordance with the recommendations of 46.4.2 of BS 5839-1:2017.

  • Following the modifications, “as fitted” drawings and other system records have been updated as appropriate.

  • I/we the undersigned confirm that the modifications have introduced no additional variations from the recommendations of BS 5839-1:2017, other than those recorded above:

  • Signed:

  • Capacity: (e.g. maintenance organisation, system designer,)

  • Cura Property Services Ltd
    Suite 5/6 Fountain House, Fountain Lane, Oldbury. B69 3BH
    TEL: 0121 7401436 E-Mail: cura@curapropertyservices.com.

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