Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Job Details:

  • Select date

  • JOB #

  • W/O #

  • P/O #

  • Client Name:

  • Site Address:
  • Billing Address:
  • Contact Name:

  • Contact Phone:

  • Contact Email:

Type of Job:

  • Type of Job:

Machine Details:

  • Machine Type:

  • Machine ID:

  • Hours / Km's:

  • Location (GPS):
  • System Type:

  • System Make:

  • System Size:

  • Pressure Test Due:

  • Serial (cylinder) Number:

Service Checklist:

  • 1. Check cylinder is undamaged and pressure test is not due:

  • 2. Check cylinder is securely mounted:

  • 3. Check cylinder valve is undamaged and securely mounted:

  • 4. Check pressure is correct and gauge is undamaged:

  • 5. Check detection tube/sensors are secure and undamaged:

  • 6. Check actuation lines allow for directional flow as per type of system:

  • 7. Pressurise each actuation hose for integrity to 2000 Kpa:

  • 8. Check remote actuators are ergonomically accessible and undamaged:

  • 9. Check pull pins are accessible and undamaged, replace anti tamper seals:

  • 10. Check remote actuator cartridges for corrosion, damage and expiry (ROP only):

  • 11. Check discharge hosing and pipe work for damage and security:

  • 12. Check alignment of nozzles in relation to targets and area protected:

  • 13. Check fire alarm panel for correct function, wiring integrity and audible tones:

  • 14. Actuate system via remote actuator observing coverage, blockages and leaks and record discharge time:

  • Discharge time in seconds:

  • 15. Check discharge time is within acceptable tolerance of original specifications:

  • 16. Flush ring main with water to clear any residue:

  • 17. Refill system with correct product ratios as per manufacturers specifications:

  • 18. Does the system require retesting after repair or issues identified in the above checks:

Extinguishers:

  • Extinguishers:

  • Extinguisher
  • Type:

  • Size:

  • PT Date:

  • Extinguisher #:

Comments / Defects / Detail / Repairs:

  • Comments / Defects / Detail / Repairs:

  • Photo Evidence:

Parts Used:

  • Parts Used:

  • Part:
  • Description:

  • Part Number:

  • Quantity:

Labour Times:

  • Travel to/from site:

  • Travel on site:

  • Waiting time:

  • Repair time:

  • Service time:

  • Total hours:

CHECKLIST:

  • Extinguishers Checked?

  • Defects Reported to Client?

  • Order Number Obtained?

  • Quote Required?

  • Locks and Tags Removed?

  • Photo of Relevant Safety Documents:

Sign Off:

  • Signed for Sicada Fire & Safety by:

  • Signed for customer by:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.