Title Page

  • Document No.

  • Audit Title

  • Client

  • Client

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  • I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the commissioning of the fire alarm system, particulars of which are set out below, CERTIFY that the said work I/we have been responsible complies to the best of my/our knowledge and belief with the recommendations of Clause 39 of BS5839-1, except for the variations, if any, stated on this certificate

  • Engineers Name

  • Engineers Position

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  • For and behalf of Worth Fire Protection Limited. 93 Long Catlis Road, Rainham, Gillingham, Kent. ME8 9QE.

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

  • Extent of system covered by this certificate:-

  • Variations from the recommendations of Clause 39 of BS5839-1 (see BS5839-1, Clause 7):-

  • All equipment operates correctly.

  • Installation work is, as far as can be reasonably be ascertained, of an acceptable standard.

  • The entire system has been inspected & tested in accordance with the recommendations of 39.2c of BS5839-1

  • The system performs as required by the specification prepared by

  • A copy of which I/we have been given.

  • Taking into account the guidance contained in Section 3 of BS5839-1. I/we have not identified any obvious potential for any unacceptable rate of false alarms.

  • The documentation described in Clause 40 of BS5839-1-1 has been provided to the user.

  • The following work should be completed before/after the system becomes operational:- (Please specify before or after)

  • The following potential causes of false alarms should be considered at the time of the next service visit:-

  • Before the system becomes operational, it should be soak tested in accordance with the recommendations of 35.2.6 of BS5839-1 for a period of:-

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