Fire Detection - AOV & Servicing Inspection Report

Title Page

Certificate No.
This document is for: L&Q - Cray House, 3 Maidstone Road, Sidcup, DA14 5HU
Client
Conducted on
Servicing Engineer
- Cameron Sadler
- Nic Newbury
- Ross Maxwell
- Terry bygraves
- Mark miller
- Dave Boon
- NunoCarrelo
Photo of entrance to building
Block name & number
Area & postcode
Site Address

Certification of Inspection & Servicing

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 45 of BS5839-1 2017 for periodic or annual inspection and test (as applicable).
Relevant details of the work carried out and the faults identified have been entered in the system log book
During the past 12 months, enter the number of False Alarms
The above number of false alarms equates....False alarms per 100 automatic fire detectors per annum (for Category M systems enter “Not applicable”). N/K Enter for Not Known.
The following work/action is considered necessary:
Recommend 46.2 Special inspection as requested to client
Recommend records folder box (for storing log book & all records)
I/We being the competence person(s) responsible (as indicated by my/our signature below) for the servicing of the detection and 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 45 of BS5839-1:2017, quarterly inspection of vented batteries/periodic inspection and test/inspection and test over 12 month period (delete as applicable),
except for the variations, if any, stated in this certificate
Tick as Applicable
- Quarterly Vented Batteries
- Periodic Test/Inspection
- Inspection & Test over 12 Months
For Inspection & Servicing of the system
Name
- Cameron Sadler
- Nic Newbury
- Ross Maxwell
- Terry bygraves
- Mark miller
- Dave Boon
- NunoCarrelo
Position
Signature

PARTICULARS OF THE ORGANIZATION INSPECTING & SERVICING THE SYSTEM

This form is based on the model in Appendix G.6 of BS5839: Part1:2017.

Inspection & Servicing

SYSTEM EXAMINATIONS

System Log Book should be reviewed and include the following: 1/Weekly Tests - 2/Faults - 3/False Alarms
Log book available onsite
1-All manual call points remain unobstructed and conspicious
2-Have any new exits been created without provision of an adjacent manual call point
3-Any new or relocated partions have been erected within 500mm horizontal of any fire detectors
4-Any storage encrochement within 300mm of an existing detector
5-A clear space of 500m is maintained below each automatic fire detector and that the abilitiy of the detector to receive the stimulus that it has been designed to detect has not been inpeded by other means
6-Any change to the use or occupancy of an area making the detector unsuitable
7-Any building alterations or extensions require additional fire detection and fire alarm<br>equipment to be installed
Momentary load verification (No mains)
Operation of all Manual Call Points or Detectors per circuit / zone should be verified for correct operation at the CIE.
All Sounder (Fire Alarm Devices) should be verified

MAIN CIE

'IF' No Main CIE please tick 'N/A'
All ancillary Functions of CIE should be verified (where appl,)
All indicators works correctly (where fitted)
All Transmission signals should be verified Fire and Fault (where appl,)
All Fault indicators on the CIE should be verified with the application faults: indicator ie: LED and Lamps
Mains Fail
Battery Fail
Open Z1
Short Z1
Sounder Ct 1 Open
Sounder Ct 1 Short
Head out monitoring
All CIE indicators should be checked for correct operation
CIE verify Buzzer when faults are applied
Mains Fail
Battery Fail
Open Z1
Short Z1
Sounder Ct 1 Open
Sounder Ct 1 Short
CIE local printer verification
Printer text Eligible
Printer functions Correctly
Printer paper stock Pass / Fail<br>(sufficient until next visit)
All tests recommended by the CIE manufacturer
Size of battery 1
Measured battery Voltage 1
Measured A/Hr 1
Size of battery 2
Measured battery Voltage 2
Measured A/Hr 2

AOV Section

AOV Present within system
AOV System (where installed) Actuators
Actuator location
Actuator easily accessible
Actuator connected to a ..
Actuator is in a satisfactory condition (take photo)
Actuator chain (where installed) is connected and satisfactory
Supply cable to actuator satisfactory
Actuator connected via a point detector
Point detector when tested operates actuator (if above is N/A Tick N/A here)
Is there a local reset call point / switch (if yes take photo)
AOV System (where installed) Controller
Controller / panel easily accessible
Controller / panel healthy
Visual inspection of terminals and connection
Controller / panel within a ...
Controller / panel in a satisfactory condition (take photo)
Location of controller / panel (state floor number first)
Batteries installed (where applicable)
Date of batteries installed (if no date these may require replacing)
Size of battery 1
Measured battery voltage 1
Measured A/Hr 1
Size of battery
Measured battery voltage 2
Measured A/Hr 2
Total quantity of Actuators

All defects and Non-compliances

Defect 1
Defect 2
Defect 3
Defect 4
Defect 5
Defect 6
Defect 7
On completion of the work, any outstanding defects should be reported to the premises management, the system logbook [see 40.2d)] should be completed and an inspection and servicing certificate should be issued (see G.6)
This form is based on Clause 45 of BS5839-1 2017 for periodic or annual inspection and test BS5839: Part1:2017.