Title Page

  • Site conducted

  • Prepared by

  • Conducted on

  • Location

CAUSE

  • BLOCK B - Ground Floor BOH Areas - Manual Call Point Activation

EFFECT ON SOUNDERS / INDICATIONS

Sounders / Indications

  • Building B Sounders / Beacons (Ground Floor)<br>

  • Building A Sounders / Beacons (Roof)

  • Building B Sounders / Beacons (Roof)

  • Building C Sounders / Beacons (Roof)

  • Car Park Sounders / Beacons<br>

  • FM Hub Room Sounders / Beacons

  • "FIRE" Indication On all Landlord Fire Alarm Panels

EFFECT ON PLANT

Plant

  • Building C District Heating Plant Room BMS Panel

  • Gas Solenoid Valve Shuts Off

  • Building B Ground Floor Extract Fans Shut Off

EFFECT ON DOORS

Doors

  • Building B Door B.ME.01 Access Control Locks Released

  • Building A Door A.PD.01 Access Control Locks Released

  • Building B Door B.PD.01 Access Control Locks Released

  • Building C Door C.PD.01 Access Control Locks Released

  • Building E Door E.PD.01 Access Control Locks Released

  • Building F Door F.PD.01 Access Control Locks Released

EFFECT ON MSFD

Damper Control Panel (D Locker Room)

  • Ref 13 Block B Cleaner Store - Closes

  • Ref 5 Block A Cleaner Store - Closes

  • Ref 1 Block C Retail Refuse Store - Closes

  • Ref 2 Block C Residential Refuse - Closes

  • Ref 4 Block C Cleaner Store - Closes<br>

  • Ref 14 Block D Lockers Room - Closes

  • Ref 16 Block D Wet Riser Tank Room - Closes

  • Ref 8 Block E Cleaner Store - Closes

  • Ref 12 Block F Cleaner Store - Closes

EFFECT ON LIFTS

Lifts

  • Lift B1 Secondary Floor

  • Lift B2 Secondary Floor

OBSERVATIONS

  • Observations

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.