Title Page
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Document No.
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Audit Title
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Client
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Client
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Address
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I being the competent person responsible as indicated by my signature below for the commissioning of the Fire Alarm System, particulars of which are set out below, CERTIFY that the said work for which I have been responsible complies to the best of my knowledge and belief with the recommendations of Clause 46.6 of BS5839-1, except for the variations, if any, stated in this certificate.
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Signed on behalf of Worth Fire Protection Limited. 93 Long Catlis Road, Rainham, Gillingham, Kent. ME8 9QE.
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Full name (in block capitals).
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Add signature
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Select date
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Extent of the system covered by this certificate:-
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Variations from the recommendations of Clause 46.6 of BS5839-1:-
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Please tick below as required.
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Following the modifications, a random selection of devices on the system has been tested in accordance with the recommendations of Clause 46.6 of BS5839-1.
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In accordance with BS5839-1 Clause 26 pt 1 & 2
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The installation was carried out by:-
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And it is there responsibility to provide the relevant installation certificate.
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Taking into account the guidance from Section 3 of BS5839-1, I have not identified any obvious potential for an unacceptable rate of false alarms.
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The following works should be completed before/after the system the system becomes operational:- (Please specify before or after)
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I/we the undersigned confirm that the modification have introduced no additional variations from the recommendations of BS5839-1 other than those recorded above
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Add signature
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Capacity (eg. Maintenance Company, System Designer, Consultant or User representative.
