Fire Detection - AOV & Servicing Inspection Report

• Certificate No.

• This document is for: L&Q - Cray House, 3 Maidstone Road, Sidcup, DA14 5HU

• Client

• Conducted on

  Date

• Servicing Engineer

  Select Cameron Sadler Nic Newbury Ross Maxwell Terry bygraves Mark miller Dave Boon NunoCarrelo

  • Cameron Sadler
  • Nic Newbury
  • Ross Maxwell
  • Terry bygraves
  • Mark miller
  • Dave Boon
  • NunoCarrelo

• Photo of entrance to building

  Yes

  No

  N/A

• Block name & number

• Area & postcode

• Site Address
  Address

THE EXTENT OF LIABILITY OF THE SIGNATORY IS LIMITED TO THE SYSTEM DESCRIBED BELOW

• Extent of system covered by this certificate

  System within building

  Other

• Variations from the recommendations of Clause 45 of BS5839-1 2017 for periodic or annual inspection and test (as applicable).

  None

  Yes (comment)

• Relevant details of the work carried out and the faults identified have been entered in the system log book

  Yes

  Not available to record

  N/A

• 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

  Select Quarterly Vented Batteries Periodic Test/Inspection Inspection & Test over 12 Months

  • Quarterly Vented Batteries
  • Periodic Test/Inspection
  • Inspection & Test over 12 Months

• For Inspection & Servicing of the system

• Name

  Select Cameron Sadler Nic Newbury Ross Maxwell Terry bygraves Mark miller Dave Boon NunoCarrelo

  • Cameron Sadler
  • Nic Newbury
  • Ross Maxwell
  • Terry bygraves
  • Mark miller
  • Dave Boon
  • NunoCarrelo

• Position

  Engineer

  Supervisor

• Signature

  Sign

PARTICULARS OF THE ORGANIZATION INSPECTING & SERVICING THE SYSTEM

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

SYSTEM EXAMINATIONS

• System Log Book should be reviewed and include the following: 1/Weekly Tests - 2/Faults - 3/False Alarms

• Log book available onsite

  Yes

  No

• 1-All manual call points remain unobstructed and conspicious

  Yes

  No

  N/A

• 2-Have any new exits been created without provision of an adjacent manual call point

  Yes

  No

  N/A

• 3-Any new or relocated partions have been erected within 500mm horizontal of any fire detectors

  Yes

  No

  N/A

• 4-Any storage encrochement within 300mm of an existing detector

  Yes

  No

  N/A

• 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

  Yes

  No

  N/A

• 6-Any change to the use or occupancy of an area making the detector unsuitable

  Yes

  No

  N/A

• 7-Any building alterations or extensions require additional fire detection and fire alarm<br>equipment to be installed

  Yes

  No

  N/A

• Momentary load verification (No mains)

  Pass

  Fail

• Operation of all Manual Call Points or Detectors per circuit / zone should be verified for correct operation at the CIE.

  Pass

  Fail

• All Sounder (Fire Alarm Devices) should be verified

  Pass

  Fail

MAIN CIE

• 'IF' No Main CIE please tick 'N/A'

  Yes

  No

  N/A
Main CIE Panel

• All ancillary Functions of CIE should be verified (where appl,)

  Pass

  Fail

  N/A

• All indicators works correctly (where fitted)

  Yes

  No

  N/A

• All Transmission signals should be verified Fire and Fault (where appl,)

  Pass

  Fail

  N/A

• All Fault indicators on the CIE should be verified with the application faults: indicator ie: LED and Lamps

• Mains Fail

  Pass

  Fail

  N/A

• Battery Fail

  Pass

  Fail

  N/A

• Open Z1

  Pass

  Fail

  N/A

• Short Z1

  Pass

  Fail

  N/A

• Sounder Ct 1 Open

  Pass

  Fail

  N/A

• Sounder Ct 1 Short

  Pass

  Fail

  N/A

• Head out monitoring

  Pass

  Fail

  N/A

• All CIE indicators should be checked for correct operation

  Pass

  Fail

• CIE verify Buzzer when faults are applied

• Mains Fail

  Pass

  Fail

  N/A

• Battery Fail

  Pass

  Fail

  N/A

• Open Z1

  Pass

  Fail

  N/A

• Short Z1

  Pass

  Fail

  N/A

• Sounder Ct 1 Open

  Pass

  Fail

  N/A

• Sounder Ct 1 Short

  Pass

  Fail

  N/A

• CIE local printer verification

• Printer text Eligible

  Pass

  Fail

  N/A

• Printer functions Correctly

  Pass

  Fail

  N/A

• Printer paper stock Pass / Fail<br>(sufficient until next visit)

  Pass

  Fail

  N/A

• All tests recommended by the CIE manufacturer

  Yes

  No

  N/A

• Size of battery 1

  2.2AH

  3.2AH

  7AH

  12AH

  Other

• Measured battery Voltage 1

• Measured A/Hr 1

• Size of battery 2

  2.2AH

  3.2AH

  7AH

  12AH

  Other

• Measured battery Voltage 2

• Measured A/Hr 2

AOV Section

• AOV Present within system

  Yes

  No

  N/A

• AOV System (where installed) Actuators

Actuator

• Actuator location

• Actuator easily accessible

  Yes

  No

  N/A

• Actuator connected to a ..

  Window

  Door

  Verticle shutter

  Roof shutter

  Other

• Actuator is in a satisfactory condition (take photo)

  Yes

  No

  N/A

• Actuator chain (where installed) is connected and satisfactory

  Yes

  No

  N/A

• Supply cable to actuator satisfactory

  Yes

  No

  N/A

• Actuator connected via a point detector

  Yes

  No

  N/A

• Point detector when tested operates actuator (if above is N/A Tick N/A here)

  Yes

  No

  N/A

• Is there a local reset call point / switch (if yes take photo)

  Yes

  No

• AOV System (where installed) Controller

Controller / panel

• Controller / panel easily accessible

  Yes

  No

• Controller / panel healthy

  Yes

  No

• Visual inspection of terminals and connection

  Pass

  Fail

• Controller / panel within a ...

  Cupboard

  Room

  Entrance lobby

  Mounted on wall (open area)

  Other

• Controller / panel in a satisfactory condition (take photo)

  Yes

  No

• Location of controller / panel (state floor number first)

  Yes

  No

  N/A

• Batteries installed (where applicable)

  Yes

  No

  N/A

• Date of batteries installed (if no date these may require replacing)

• Size of battery 1

  2.2AH

  3.2AH

  7AH

  12AH

  Other

• Measured battery voltage 1

• Measured A/Hr 1

• Size of battery

  2.2AH

  3.2AH

  7AH

  12AH

  Other

• 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.

• Photo of the external entrance to the building

  Yes

  No

  N/A

• Photo of CIE

  Yes

  No

  N/A

• Photo of diagrammatic zone chart

  Yes

  No

  N/A

• Any areas that are defective / damaged please take a photo below

• Defective / damaged items

  Yes

  No

  N/A

• Areas tested within Fire detection system

• Areas that require testing on next PPM