Title Page
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Conducted on
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Prepared by
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Control room operator
Control Room
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Evacuation Break Glass Tested.
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Bomb Alert Break Glass Tested.
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Comments
Common Parts
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Date Common Alarms Tested.
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Break Glass Tested.
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Break Glass Tested.
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Break Glass Tested.
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Break Glass Tested.
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Break Glass Tested.
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A maximum of five break glasses are tested per week - see list in control room for details.