Title Page
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Document No:
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Customer
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Site Address
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Date
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Arrival Time
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System Type
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% of system tested
Control Panel Items Tested & Inspected
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General State of Panel
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Battery Connection
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General Fault Indication
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Panel Lamp Test
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Silence Resound
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Reset Function
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Sounder Test
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Reason
Field Circuits
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All Circuits Respond
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Visual State of Wiring
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Visual State of Equipment
Battery Functions
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Charge Voltage - V
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Alarm Functions with Batteries Disconnected
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Battery Size - Ah
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Battery 1 - Ah
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Battery 2 - Ah
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Date on Batteries
Test Completion
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Test result
Signature
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Engineers Signature
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Customer Signature