Information
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Certificate No.
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Job Number
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Conducted on
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Date of Last Service
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Prepared by
1. VISIT DETAILS
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CLIENT NAME
- LB SOUTHWARK
- LB EALING
- NORWICH COUNCIL
- POPLAR HARCA
- DERBY HOMES
- GENESIS HA
- INTERSERVE
- LB LAMBETH
- GALLIONS HA
- LB HARINGEY
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SITE ADDRESS
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BLOCK PHOTO (external - showing front door)
2. SYSTEM CATEGORY
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M - Type Manual systems, e.g. hand bells, gongs, etc. These may be purely manual or manual electric, the latter may have call points and sounders. They rely on the occupants of the building discovering the fire and acting to warn others by operating the system. Such systems form the basic requirement for places of employment with no sleeping risk.
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L1 - Type Designed for the protection of life and which has automatic detectors installed throughout all areas of the building (including roof spaces and voids) with the aim of providing the earliest possible warning. A category L1 system is likely to be appropriate for the majority of residential care premises. In practice, detectors should be placed in nearly all spaces and voids. With category 1 systems, the whole of a building is covered apart from minor exceptions.
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L2 -Type Designed for the protection of life and which has automatic detectors installed in escape routes, rooms adjoining escape routes and high hazard rooms. In a medium sized premises (sleeping no more than ten residents), a category L2 system is ideal. These fire alarm systems are identical to an L3 system but with additional detection in an area where there is a high chance of ignition, e.g., kitchen) or where the risk to people is particularly increased (e.g., sleeping risk).
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L3 - Type Designed to give early warning to everyone. Detectors should be placed in all escape routes and all rooms that open onto escape routes. Category 3 systems provide more extensive cover than category 4. The objective is to warn the occupants of the building early enough to ensure that all are able to exit the building before escape routes become impassable.
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L4 - Type Covering escape routes and circulation areas only. Therefore, detectors will be placed in escape routes, although this may not be suitable depending on the risk assessment or if the size and complexity of a building is increased. Detectors might be sited in other areas of the building, but the objective is to protect the escape route.
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L5 - Type This is the "all other situations" category, e.g., computer rooms, which may be protected with an extinguishing system triggered by automatic detection. Category 5 systems are the "custom" category and relate to some special requirement that cannot be covered by any other category.
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P1 - Type System is installed throughout the building – the objective being to call the fire brigade as early as possible to ensure that any damage caused by fire is minimized. Small low risk areas can be excepted, such as toilets and cupboards less than 1m².
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P2 - Type Detection provided in parts of the building where the risk of ignition is high and/or the contents are particularly valuable. Category 2 systems provide fire detection in specified parts of the building where there is either high risk or where business disruption must be minimised.
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Other type - not known by the client
3. INSPECTION TYPE - BS5839-1 Sec 6 45.2/45.3
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What is the Inspection frequency of this visit?
- Monthly
- Quarterly
- 6 Monthly
- Annual
- Other
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Other frequency
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Coloured Sticker used on this inspection
- Red
- Green
- Yellow
- Blue
4. NUMBER OF DEVICES CHECKED
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other
5. CHECKS CARRIED OUT DURING THIS VISIT
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Visual Inspection
- YES
- NO
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Cause & Effects confirmed (annual check)
- YES
- NO
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Outputs tested on visit
- YES
- NO
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Signal to monitoring station confirmed
- YES
- NO
6. FALSE ALARM ACTIVATIONS IN LAST 12 MONTHS
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% of false Alarms Calculate the % using the formula (A/B) * 100
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Is false alarm % recorded in the Log Book
- YES
- NO
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Does the rate exceed guidelines in Section 3 of BS5839? Note: guidelines below: - False alarm rate exceeds 1 per 25 detectors per annum {4%} - More than 10 false alarms in the last six months - Any single device has given more than one false alarm since the last service visit, excluding false alarms with good intent.
- YES
- NO
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Add details including actions to reduce False Alarm rate
Completed with Client
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Is the system's Audibility satisfactory?
- YES
- NO
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Is the system's coverage satisfactory?
- YES
- NO
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Is the Log book completed correctly?
- YES
- NO
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Are current "as fitted" drawings available on site?
- YES
- NO
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Drawing Reference
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Photo of "as fitted drawings"
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Are Relevant Details/defects explained?
- YES
- NO
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Have any structural alterations been made since the last inspection?
- YES
- NO
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Is there a quote required for work to be carried out?
- YES
- NO
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Is there a Diagrammatic zone chart on site?
- YES
- NO
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Is the Diagrammatic zone chart correct?
- YES
- NO
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Photo of zone chart
Pre-start check list
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Is there any signalling?
- YES
- NO
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Were there any system faults identified on arrival?
- YES
- NO
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Plant shutdown?
- YES
- NO
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Isolations on arrival
- YES
- NO
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Is there a Zone diagram available on site?
- YES
- NO
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Picture of zone diagram
Battery Information/Load details
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AH Levels
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Date Fitted
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Size fitted
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Load Ambient
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Calculations: AL * SH * A * 1.25
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NOTE: IF BATTERIES HAVE NO INSTALLATION DATE, THEY MUST BE REPLACED
Fire checklist
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Panel
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Tested?
- YES
- NO
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Passed?
- YES
- NO
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Batteries
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Tested?
- YES
- NO
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Passed?
- YES
- NO
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Repeators
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Tested?
- YES
- NO
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Passed?
- YES
- NO
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Smoke detectors
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Tested?
- YES
- NO
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Passed?
- YES
- NO
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Heat detectors
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Tested?
- YES
- NO
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Passed?
- YES
- NO
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Manual Call points
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Tested?
- YES
- NO
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Passed?
- YES
- NO
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Bells/Sounders
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Tested?
- YES
- NO
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Passed?
- YES
- NO
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Beams Detectors
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Tested?
- YES
- NO
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Passed?
- YES
- NO
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Flame detectors
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Tested?
- YES
- NO
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Passed?
- YES
- NO
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Auxillaries
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Tested?
- YES
- NO
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Passed?
- YES
- NO
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Signalling
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Tested?
- YES
- NO
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Passed?
- YES
- NO
AOV checklist
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Control panel
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Tested
- YES
- NO
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Passed
- YES
- NO
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System faults on arrival
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Tested
- YES
- NO
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Passed
- YES
- NO
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Batteries
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Tested
- YES
- NO
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Passed
- YES
- NO
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Actuators
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Tested
- YES
- NO
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Passed
- YES
- NO
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Magna holders
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Tested
- YES
- NO
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Passed
- YES
- NO
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Louvred/Dampers
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Tested
- YES
- NO
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Passed
- YES
- NO
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Detection
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Tested
- YES
- NO
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Passed
- YES
- NO
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Manual operators
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Tested
- YES
- NO
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Passed
- YES
- NO
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Link to fire alarm
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Tested
- YES
- NO
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Passed
- YES
- NO
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System activation
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Tested
- YES
- NO
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Passed
- YES
- NO
Recommendations/Comments
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Recommendations/comments
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Variations/deviations
Parts used / required
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Parts Used
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Parts required
Declarations / Signatures
CLIENT DECLARATION
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All work has been carried out to my satisfaction
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Client name
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Client Job title
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Client signature
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Select date
SCCI ALPHATRACK DECLARATION
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I/we being competent persons for the servicing of these systems, certify that the above work complies, to the best of our knowledge and belief with the recommendations of BS5839-1 2002 Clause 45 and/or BS5266-1 / BS5266-8:2004 section 7 with the exception of any variations and deviations
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Engineer Name
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Engineer Signature
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Select date