Information
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Certificate No.
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Job Number
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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
- HYDE HOUSING
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Site Address
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Conducted on
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Date of Last Service
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Prepared by (Engineer Name)
1. INSPECTION TYPE
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Fire Alarm Design Type
- M
- L1
- L2
- L3
- L4
- L5
- P1
- P2
- Other (Not known by client)
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What is the Inspection frequency of this visit?
- Monthly
- Quarterly
- 6 Monthly
- Annual
- Other
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Coloured Sticker used on this inspection
- Red
- Green
- Yellow
- Blue
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Total number of devices on systems
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Total number of zones on system.
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Percentage of devices tested this visit.
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Panel keys/codes:
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Media
2. START INSPECTION
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Inspection Start Time
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BLOCK PHOTO (external - showing front door)
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Upon Arrival did you notice .....
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Any Signalling?
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Provide details of signalling
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Any systems faults ?
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Provide details of system faults
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A Plant shut-down?
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Provide details of plant shut downs
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Any Isolations?
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Provied details of isolations
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Is there a log-book on site?
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Where Is it?
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If not by the main panel, where is the log book?
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Is the log-book completed correctly? (Take photo of page showing last entry)
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If not correct, please provide details
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Have all previously recorded faults listed within log-book received appropriate attention?
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If they have not all received the appropriate attention, please provide details
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Is there a zone diagram on site?
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Where is it?
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Where is it?
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Is the Zone diagram correct?
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If Zone Diagram is incorrect, please provide details
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Are as-fitted drawings available?
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What is the drawing reference number?
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Please walk around the building and complete visual checks to allow answering of the following questions....
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Have any changes to the use or occupancy of an area made the existing types of automatic fire detector unsuitable for detection of fire or prone to unwanted alarms
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Have any building alterations or extensions been made so as to require additional fire detection and fire alarm equipment to be installed?
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Do all manual call points remain unobstructed and conspicuous?
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Have any new exits been created without the provision of an adjacent manual call point
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Have any new or relocated partitions been erected within 500 mm horizontally of any automatic fire detector?
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Is there a clear space of 500 mm maintained below each automatic fire detector, and confirm that the ability of the detector to receive the stimulus that it has been designed to detect has not been impeded by other means?
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Is any storage encroaching within 300 mm of ceilings, such as to obviate compliance with 22.3i
3. FALSE ALARMS
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How many activations in the last twelve months? (A)
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How many detectors on system? (B)
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What is the % of False Alarms (A/B * 100)
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Does the rate above exceed guidelines?<br><br>Guidelines: 1 false alarm for every 25 detectors per annum (4%)
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If the answer to the question above is YES - what actions are required?
4. BATTERY INFORMATION
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What size batteries are fitted?
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What date were the batteries installed?
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What are the Amp Hour (AH) levels?
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What is the charge voltage?
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What is the standby time? (SH)
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What is the battery alarm time? - if not known then 30 minutes
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What is the Quiescent Load? (QL)
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What is the Alarm Load? (AL)
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Battery Calculations taken from information above: (QL * SH) + AL * 1.25
Fire checklist
5. DEVICE CHECK-LIST
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PANELS
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PANELS
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Please take photograph of coloured sticker in situation on the main Panel after your check
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Panels tested? Qty.
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Panels passed? Qty.
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BATTERIES
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Batteries tested? Qty.
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Batteries passed? Qty.
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REPEATERS
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Repeaters tested? Qty.
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Repeaters passed? Qty.
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SMOKE DETECTORS
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Smoke detectors tested? Qty.
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Smoke detectors passed? Qty.
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HEAT DETECTORS
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Heat detectors tested? Qty.
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Heat detectors passed? Qty.
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MANUAL CALL POINTS
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Manual call points tested? Qty.
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Manual call points passed? Qty.
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BELLS/SOUNDERS
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Bells/Sounders tested? Qty.
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Bells/Sounders passed? Qty.
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BEAM DETECTORS
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Beam detectors tested? Qty.
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Beam detectors passed? Qty.
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FLAME DETECTORS
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Flame detectors tested? Qty.
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Flame detectors passed? Qty.
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AUXILLIARIES
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Auxiliaries tested? Qty.
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Auxiliaries passed? Qty.
AOV checklist
6. 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
Audit Summary
7. SUMMARY OF AUDIT UNDERTAKEN
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Was a Visual Inspection completed?
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Have "Cause & Effects" been confirmed & documented?
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Were outputs tested during the visit?
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Is system Auditability satisfactory?
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If Unsatisfactory provide details
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Is system coverage satisfactory?
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If Unsatisfactory - provide details
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Is a quote required for further works?
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If a quote is required provide details
Recommendations/Comments
8. ENGINEERS RECOMMENDATIONS
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Are the relevant variations recorded and contained within the log book?
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Please provide details of any variations that aren't recorded
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In your opinion, is the installed system satisfactory?
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Why is the system unsatisfactory
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Recommendations and further comments
Parts used / required
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Did you use any parts to fix faults during this audit?
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What Parts did you use (please be as detailed as possible)
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Do any faults require new parts or authorisation prior to fixing?
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Please provide details of Parts or authorisation required (please be as detailed as possible)
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
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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Time of completion