Fire Alarm Service Report

• Site conducted

  Select

• Client/Site

• Engineer ID no.

• Call no.

• Engineer

• Date

  Date

• Job Status.

  Pass

  Fail

  N/A

• Works to be quoted

  Yes

  No

  N/A

• Test & Inspection carried out in accordance with BS5839-1:2013

  Select Quarterly 6 Monthly Annual

  • Quarterly
  • 6 Monthly
  • Annual

1.0 Panel Details

• 1.1 Panel Type

  Select Conventional Addressable

  • Conventional
  • Addressable

• 1.2 Panel Manufacture

  Select Advanced Electronics Kentec Siemens Fike Sita Twin Flex Control Equipment Haes Systems C-Tec Protec Gent Morley Other

  • Advanced Electronics
  • Kentec
  • Siemens
  • Fike
  • Sita
  • Twin Flex
  • Control Equipment
  • Haes Systems
  • C-Tec
  • Protec
  • Gent
  • Morley
  • Other

• 1.3 Loops/Zones Fitted

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24

• 1.4 Additional Panels Fitted

  Yes

  No

  N/A

• 1.5 Repeater Panel Fitted

  Yes

  No

  N/A

• 1.6 Protocol

  Select Apollo XP95 Apollo 65 Series Hochiki Nitan Gent Protec Siemens Electro Detectors Other

  • Apollo XP95
  • Apollo 65 Series
  • Hochiki
  • Nitan
  • Gent
  • Protec
  • Siemens
  • Electro Detectors
  • Other

• 1.7 Battery Size

  Select 12v 2.1Ah 12v 3.2Ah 12v 7Ah 12v 12Ah 12v 20Ah 12v 24Ah 12v 40Ah 6v 10Ah

  • 12v 2.1Ah
  • 12v 3.2Ah
  • 12v 7Ah
  • 12v 12Ah
  • 12v 20Ah
  • 12v 24Ah
  • 12v 40Ah
  • 6v 10Ah

• 1.8 Battery Quantity

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24

• 1.9 Panel Control

  Select Key Switch Code

  • Key Switch
  • Code

• 1.10 Panel Monitored

  Yes

  No

  N/A

• 1.11 Ancillary Equipment Connected

  Select Door Mags Door Closures Plant Shutdown Air Conditionaing Roller Shutters Car Park Barrier Gas Shutdown Other

  • Door Mags
  • Door Closures
  • Plant Shutdown
  • Air Conditionaing
  • Roller Shutters
  • Car Park Barrier
  • Gas Shutdown
  • Other

2.0 Control Equipment

• 2.1 Mains Supply To Panel Labelled

  Yes

  No

  N/A

• 2.2 Double Pole Isolation

  Yes

  No

  N/A

• 2.3 Separate Cable Entry for mains supply

  Yes

  No

  N/A

• 2.4 Maintenance contract Details Displayed on Panel

  Yes

  No

  N/A

• 2.5 Is Panel Correctly sited

  Yes

  No

  N/A

• 2.6 Zone Chart Displayed adjacent to Panel

  Yes

  No

  N/A

3.0 Alarm Panel Function

• 3.1 Display Indicators Tested

  Yes

  No

  N/A

• 3.2 Charge Voltage Correct

  Yes

  No

  N/A

• 3.3 Battery Fault Indicator Working

  Yes

  No

  N/A

• 3.4 Mains Fault Indicator Working

  Yes

  No

  N/A

• 3.5 Alarm Load On Batteries Checked

  Yes

  No

  N/A

• 3.8 Printer Functions Tested

  Yes

  No

  N/A

4.0 Batteries

• 4.1 Are Batteries Over 5 Years Old

  Yes

  No

  N/A

• 4.2 Battery Date

  Date

• 4.3 Date Marked on Batteries

  Yes

  No

  N/A

• 4.4 Are Batteries Correct Size

  Yes

  No

  N/A

• 4.5 Are Leads & Connections Good

  Yes

  No

  N/A

• 4.6 Battery Calculations Checked

  Yes

  No

  N/A

5.0 Detection

• 5.1 Are Detectors Sited Correctly

  Yes

  No

  N/A

• 5.2 Are Detectors in Good Condition

  Yes

  No

  N/A

• 5.3 Are Detectors Beyond Service Life(10yrs)

  Yes

  No

  N/A

• 5.4 Are Detectors Correct Type For Enviroment

  Yes

  No

  N/A

• 5.5 Do Detectors Have 500mm Clearance

  Yes

  No

  N/A

• 5.6 Are Detectors 1000mm From A/C/Vent Units

  Yes

  No

  N/A

• 5.7 Are MCP's Sited Correctly

  Yes

  No

  N/A

• 5.8 Are MCP's On All Exits & Change Of Level

  Yes

  No

  N/A

• 5.9 Are All MCP'S Fitted With Hinged Covers

  Yes

  No

  N/A

6.0 Sounders

• 6.1 Are Sounders All the Same Type

  Yes

  No

  N/A

• 6.2 Are There 2 or More Sounder Circuits

  Yes

  No

  N/A

• 6.3 Are Sound Levels Correct

  Yes

  No

  N/A

• 6.4 Are Beacons sited Correctly

  Yes

  No

  N/A

7.0 Ancillary Equipment

• 7.1 Door Retainers/Closures Operational

  Yes

  No

  N/A

• 7.2 Plant Shutdown

  Yes

  No

  N/A

• 7.3 Gas Shutdown

  Yes

  No

  N/A

• 7.4 Lift Shutdown

  Yes

  No

  N/A

• 7.5 AOV/Smoke Vents

  Yes

  No

  N/A

• 7.6 Other Equipment(Please State)

  Yes

  No

  N/A

8.0 Visual Inspection

• 8.1 Any Change In Layout

  Yes

  No

  N/A

• 8.2 Any Additional Partitions Built

  Yes

  No

  N/A

• 8.3 Change of Use to Building

  Yes

  No

  N/A

• 8.4 Has the Building been extended

  Yes

  No

  N/A

• 8.5 Are All Cables Correct Type

  Yes

  No

  N/A

• 8.6 Are Cable Fixings Non-Combustable

  Yes

  No

  N/A

• 8.7 Is Clearance Above Storage Greater Than 300mm

  Yes

  No

  N/A

9.0 ARC

• 9.1 ARC Notified

  Yes

  No

  N/A

• 9.2 ARC Tested

  Yes

  No

  N/A

• 9.3 ARC Re - Instated

  Yes

  No

  N/A

10.0 Certification

• 10.1 Log Book Checked & Up Dated

  Yes

  No

  N/A

• 10.2 Paper work Filled in & Signed

  Yes

  No

  N/A

11.0 Variation/Comments/Actions

• 11.1 Variations /Comments / Action Required

• No. Hours

• Arrival time

  Date

• Departure time

  Date

• I/We being the competent person(s) responsible for the servicing of the system(s) described above certify that the work complies with recommendations of Clause 45 of BS5839-1 except for the variations identified above.
  
  TERMS & CONDITIONS
  Our full terms and conditions are detailed on our company website or available upon request.
  Maintenance work carried out in accordance with current equipment schedule.
  By signing this form I agree that the engineer has been on site for the time detailed, the works carried out are completed as described above and that I am authorised to sign this form on behalf of the organisation.
  This work will be charged for at a pre agreed fixed cost or at our scheduled rates.
  Registered Office: 90 New Town Row, Birmingham, B6 4HZ

• 11.2 Engineers Signiture

  Sign

• 11.3 Clients Signature

  Sign

Additional Sytems Serviced

• Emergency Lighting

  Yes

  No

  N/A

• Fire Extinguishers

  Yes

  No

  N/A

• Sprinkler System

  Yes

  No

  N/A

• Suppression System

  Yes

  No

  N/A

• Fire Doors

  Yes

  No

  N/A

• Nurse Call/Refuge System

  Yes

  No

  N/A

• 24 Hour Monitoring

  Yes

  No

  N/A