Site Information
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Document No.
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Job No.
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Client
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Site
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Engineer
System
Inspection
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What is the inspection frequency?
Property
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How many dwellings in the block?
Grade D System
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Communal system tested?
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System ok?
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Details
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Flats tested?
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System ok?
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Details
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Flats that were tested?
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List any defects
Emergency Lighting Inspection
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Does the site have emergency lighting?
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Have you been asked to test emergency lighting?
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How many?
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Three hour drain down Completed?
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Issues
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Does this block have a Landlords power supply available?
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What flat is the Fire alarm connected to?
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if unknown, please explain.
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System Status
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Remediation Requirements
Declaration
Declaration
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Resident available?
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Resident Declaration: All work has been carried out to my satisfaction
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Signature:
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Date:
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SCCI Alphatrack Engineer(s) Declaration: I/We, being the competent person(s) for the servicing, certify that the above work complies to the best of my/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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Signature:
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Date:
