SPC AOV Inspection / Servicing Checklist Certificate

• Document No.

FIRE ALARM AND EMERGENCY LIGHT OPERATIVE AUDIT FORM

• Customer Name

• Site Name and Address
  Address

• Date of inspection

  Date

• Date of last inspection

  Date

• Date of next inspection

  Date

• Reason for visit

• System being tested

• Time arrived

  Date

• Details of visit and Variations to clause 45:

Equipment Summary

• Equipment Summary

Inspection

• Total number of vents

• Is the overall condition satisfactory (inside and out)?

  Yes

  No

  N/A

• Door seals in tact, no leaks?

  Yes

  No

  N/A

• Hinges clean, no problematic paint or rust?

  Yes

  No

  N/A

• Door panels clean, no rust?

  Yes

  No

  N/A

• Area is clear to allow air passage?

  Yes

  No

  N/A

• No foreign restraints or cable installed?

  Yes

  No

  N/A

• Fusible link clean and within date?

  Yes

  No

  N/A

• Hardware examined and in good condition?

  Yes

  No

  N/A

• Cables / Chains properly tensioned, not stretched?

  Yes

  No

  N/A

• Guides, bearings and hinges well lubricated?

  Yes

  No

  N/A

• Doors satisfactorily operated to full open position?

  Yes

  No

  N/A

• Area outside is clear?

  Yes

  No

  N/A

General

• All relevant paperwork on site?

  Yes

  No

  N/A

• Log book checked and completed?

  Yes

  No

  N/A

• Is equipment undamaged where seen?

  Yes

  No

  N/A

• Is equipment firmly fixed?

  Yes

  No

  N/A

• Is equipment clean?

  Yes

  No

  N/A

• Time departed

  Date

• SPC Job Number (also Certificate Number)

• Trade Staff signature

  Sign

IA-04-22