Title Page

  • Site conducted

  • Prepared by

  • Conducted on

  • Location

CAUSE

  • BLOCK E - Terrace- Manual Call Point Activation (8th Floor MCP)

EFFECT ON SOUNDERS / INDICATIONS

Sounders / Indications

  • Building E Sounders / Beacons (Ground Floor & Roof)

  • FM Hub Room Sounders / Beacons

  • "FIRE" Indication On all Landlord Fire Alarm Panels

EFFECT ON PLANT

Plant

  • Building E Ground Floor Extract Fans Shut Off

EFFECT ON DOORS

Doors

  • Building E Door E.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 8 Block E Cleaner Store - Closes

EFFECT ON LIFTS

Lifts

  • Lift E1 Primary Floor<br>

  • Lift E2 Primary Floor<br>

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.