Title Page
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Site Name
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Document No.
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Conducted on
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Location
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Contract/Service Number
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Customer Order Number
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Date Attended
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Mileage and Travel Time
- Within M25 (2 hours, 60 miles)
- Outside M25 (3 hours, 80 miles)
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Customer Name
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Type of System
- Fire Alarm System
- Emergency Lights
- Access Control
- Intercom System
- Intruder Alarms
- CCTV System
- Air Sampling/Vesda
- Fixed Extinguishing
- PA/VA System
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Visit Type
- Corrective Call Out
- Service
- Remedial Works from Maintenance Visit
- Follow up Visit
- Commissioning
- Survey
- Contract
- Day Works
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Reason for Visit
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Comment on work that was carried out, how was the system left?
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Materials Used (Make, Model, Part No and Quantity)
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Materials Required (Make, Model, Part No and Quantity)
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I Certify that the engineer has attended site and completed all the above works to my satisfaction
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Customer Name
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The System has been checked in accordance with the relevant British Standards and is operational.
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Engineers Name
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Pictures
