Title Page
-
Document No.
-
Client / Site
-
Conducted on
-
Prepared by
Fire Alarm
-
Last Weekly Test Date
-
7 Days Apart
-
Quarterly Service Date
-
Quarterly Service Date
-
Quarterly Service Date
-
Quarterly Service Date
-
Weekly Test Notice in Place
-
Log Book up to Date / Reports left in Logbook
-
Action Required by LBE
-
Action Required by Contractor
-
Last Service Report Number
-
Comments
-
Pictures
-
Enable panel Controls by:
-
Panel Access Code
-
Panel Key Number
Emergency Lighting
-
Last Monthly Test
-
Last Annual Test
-
Action Required by LBE
-
Action Required by Contractor
-
Monthly Tests Carried Out +- 3 days (30-31)
-
Comments
-
Pictures
Door Entry
-
DE Manufacturer
-
System info
- ISM 1500-1600 series
- ISM C2000
- GDX5
- Sentrymatic AC1100
- Entrotec RDC
- Entrotec Vertex
- Entrotec Alpha-numeric
- Entrotec Apex
- Entrotec Elite
- Other
- ISM2650
- ISM2001
-
System info (other)
-
System Type
-
Door Type
- wood
- steel
- Ali
- Door requires painting / staining
- Steel Gate
-
Entrance Inspected
- Doors
- Panel
- Locking Device
- Fireman Switch
- Automation
-
Control Equipment Sercurly Fixed
-
Access Control
- 512
- Easi-key, IPac
- Modem GPRS
- Modem GSM
- 2100,2200
- Other
- Entrotec
- keyswitch
- 512 shared with another block
- Modem shared
- Key / mortice latch
-
Comment
-
Pictures
-
Approximate Age of Installation
Barriers and Automated Gates
-
Location
-
Type
- Automated Gate
- Barrier
-
Make
-
Type of opener
- Floor
- Gate mounted
-
Mode of Operation Entry
- Fob
- DES
-
Mode of Operation Exit
- Fob
- Ground Loop
- Exit Button
-
Safety
- Safety Loop
- Photocell
- Hinge Guard
- Drop Key
-
Battery Back Fitted
-
Media
-
Comments
-
Total Number of Barriers and Gates
-
- ISM 1500-1600 series
- ISM C2000
- GDX5
- Sentrymatic AC1100
- Entrotec RDC
- Entrotec Vertex
- Entrotec Alpha-numeric
- Entrotec Apex
- Entrotec Elite
- Other
- ISM2650
- ISM2001
-
- ISM 1500-1600 series
- ISM C2000
- GDX5
- Sentrymatic AC1100
- Entrotec RDC
- Entrotec Vertex
- Entrotec Alpha-numeric
- Entrotec Apex
- Entrotec Elite
- Other
- ISM2650
- ISM2001
Warden Call
-
Manufacturer
-
Media
-
Comments
EICR
-
Last EICR
-
Next EICR
-
Circuit chart fitted
-
Signage on intake door
-
Intake clear of rubbish
-
Pictures
-
Comments
Portable Appliance Test
-
Last Test Date
-
Picture of Label
-
Comments
-
Any new items or missed requiring testing
