Title Page
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Site conducted:
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Conducted on:
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Prepared by:
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Location:
Yorkshire Fire Solutions - Maintenance Sheet
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RMA form sequential reference number:
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Date of issue:
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Company name:
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Approved Maintainer’s name:
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Approved Maintainer’s number:
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Site Address:
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Maintenance Job Reference:
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Declaration: I declare that the work undertaken fully complies with the requirements of the Q-Mark Fire Door Maintenance scheme and that the work undertaken complies with Regulation 4 and 7 of the Building Regulations for England and Wales or in accordance with the local regulations in force at the specific job site location.
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Signature:
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Information of the maintained Fire Door products:
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Sign here to confirm completion of Door-set surveys and inspections:
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Sign to confirm completion of Door-set maintenance:
Door Ref
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YFS Ref:
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Location of Maintained Door:
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Client Declared Fire Resistance Period:
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Grade Label Fitted:
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Pictures before Maintenance:
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Non-Compliance / ART's Required:
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ART No's:
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Maintenance & Required ART’s Completed:
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Date:
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Pictures after Maintenance:
