Information
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Client Name:
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Key Number:
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Address:
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Photo of Building:
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Date Completed:
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Review Date (no more than 12 months from completion)
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Client Type:
- Mobile Patrol
- Alarm Response
- CCTV Monitoring
Contact Details
Client Contact Details:
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Primary Contact:
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Contact 2:
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Contact 3:
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Contact 4:
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Website:
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Email Address:
Emergency Services Contact Details:
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Alarm Monitoring Station:
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CCTV Monitoring Station:
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Alarm Engineer:
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Any Other Useful Numbers:
Utility Locations
Utility Locations
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Water Stopcock:
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Photo of Location:
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Electrical Consumer Unit/ Breaker Box:
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Photo of Location
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Gas Shut Off Valve:
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Photo of Location:
Entry / Exit safe Route
Entry / Exit Route
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Safe Route In / Out:
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Diagrams
Site Hazards:
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Comments:
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Intruder / Fire Alarm Details
Intruder Alarm Details:
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Location:
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Alarm Company Details (who is the engineer if required)
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Alarm Contract Details: Password: Contract No: Code:
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Procedure for Deactivation:
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Procedure for Activating:
Fire Alarm Details
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Location:
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Alarm Company Details (who is the engineer if required)
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Alarm Contract Details: Contract No: Password: Code:
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Procedure for Deactivation:
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Procedure for Activating:
Keys and Sig
Keys:
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Key Description and Qty:
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Photo of Keys:
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Client Sig:
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LSM Rep Sig:
