No i.4 3t
N oi . 43 t
Clients Representative:I am awareof the works carriedout, I am also awareof the works listedconsiderednecessarythat have not been carrieclout, I am authorisedto sign for the aboveworks and recommendations listedin the abovesection.
Signeclfor and on behalf of Parr Fire protection Services Ltd
*ru
FireExtinguishers EmergencyLighting FireTraining
FireAlarmSystems FireRiskAssessments FireSafetySignage
EmergencyLightingInspectionand ServicingCertificate in accordancewith 8S5266
Dateof Service:
Customer Acc.No.
Certificate No.0758
SiteAddress:
InvoiceAddress:
SvstemInstallation consistsof:
Non Maintained
NM
Non Maintained. Maintained Luminaires
NML
Maintained
Type
Descriotion/Location
Faults
M
LEDInd. t hr Test
3HrTest
Detailsof additions,repairsor modifications to the systemor the premisespostor originalinstallation.
Relevantdetailsof the workcarriedout havebeenenteredin the systemlog book? ! Yes C No The followingworldactionis considerednecessary:
Clients Representative:I am awareof the workscarriedout, I am alsoawareof the workslistedconsiderednecessarythat hravenot beencarriedout.I am authorisedto signfor the aboveworksand recommendations listedin the abovesection. S i g n a t u r. .e. . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . Signedfor and on behalfof ParrFire ProtectionServicesLtd 17 BarkStreetEast,BoltonBL1 2BQ Tel:08453039630 Fax:01204770656 Email:[email protected] Website:www.pgfps.com
No. Site Details:
TVpeof serviceto be carriedout. Type of contracl
Periodic
12 month
Maintenanceonlv Indicate comoletion Qu€rntity / Voltage/ A-h capacity(e.9.2 x 12v x 3A-h) Batlerv lQuantitv I lVoltaoe Site Monitorinq,Alarm receivinocentre. Confirm signals received at ARC (tick if OK)
On Charqe Voltaqe:
A-h FIRE
Installed Date:
FAULT
Standby battery tests l 1 t2 Desiqn Certificate readino Readingsthis visit CIE Locatron Tvpe # of Loops # of Zones M o n i t o r i n(gl i c kt o C o n f i r m ) All othercontrolstestede.q.AccessCode.Kev switch.Buttons.etc. (tickto Confirm) o/c Indicators/Buzzerlested - zones o/c All AlarmCircuits s/c Indicators/Buzzertested - zones I s/c AIIAlarmCircuits Mairs disconnectedind.& buzzerOK. Battery disconnected ind. & buzzer OK oic & s/c test on all othermonitoredcircuits Printer if applicable(tick if tested) PrinterConsumables, checkedand foundto be sutticienl Leqibilitv of orint ALp,RMDEVICES(tickrelevantboxes) Carry out next tests on mains without batterv Then on battervwithoutmains I Audiblealarm deviceschecked I _Ta!tj!_..{!armdevices checked I Visual alarm devices checkeq_ I Alarm device testing was not allqwed today by the responsibleperson (RP)who confirmsthat they were lasttestedon, Pleasesign, print and date below:
ResDonsiblePerson Sionature DETECTION DEVICES BG Manual Call Poinl SD SmokeDetector.Ootical sl SmokeDetector,lonisation HF
Heat detector, Fixed
ZOI{E/ Deteclor#
TYPE
Hr VD
Ms
r/o
ResponsiblePerson Name (Printed) Heat detector(RoR) Void Deteclor M u l t iS e n s o r lnouVOutoutDevice
tf Interlace Zone Descriotion/Location
Date. Other remarksreoardinqfire alarmsvstem 2 3 4
Tested
I de,llare that I am a competent person in fire alarm system maintenance, with sufficient knowledge, training, equipment and information. The FireAlarm system has been serviced in accordancewith BS 5839 pat11:2002 and amendments
Atl ipmentand functionshavebeen returnedto normal. The followingitemswerefound to be defectiveand or repaired,or are need of urgentattention,see separateworksheet(s) or below:
AT B
c D E Acceptedlor and on behalfof the user,by the responsibleperson. I understandthat the systemis operatingas designed. I un,lerstandthat if any itemswere to be defective,the fire alarm systemmay not complywith 855839 part 1.
S i o n a t u r e . . . . . ... .
..
P r i n tN a m e
Signedforandonbeha|fotParrFireProtectionServicesLtd....'........,,. I ha,/ebeen shown
Continuation sheets
L_
Delc
(lnitial)
ffi
FireAlarmSystems FireRiskAssessments FireSafetySignage
FireExtinguishers Lighting EmergencY FireTraining
Working ob Sheet JobNo.:'lfl l t
ps.com www.pgf @PgfPs.comWebsite: Tel:0845 3039630 Fax O12A4770656 Email:enquiries
Clients Representative:I am awareof the works carriedout, I am also awareof the works listedconsiderednecessarythat have not been carrieclout, I am authorisedto sign for the aboveworks and recommendations listedin the abovesection.
Signeclfor and on behalf of Parr Fire protection Services Ltd
*ru
FireExtinguishers EmergencyLighting FireTraining
FireAlarmSystems FireRiskAssessments FireSafetySignage
EmergencyLightingInspectionand ServicingCertificate in accordancewith 8S5266
Dateof Service:
Customer Acc.No.
Certificate No.0758
SiteAddress:
InvoiceAddress:
SvstemInstallation consistsof:
Non Maintained
NM
Non Maintained. Maintained Luminaires
NML
Maintained
Type
Descriotion/Location
Faults
M
LEDInd. t hr Test
3HrTest
Detailsof additions,repairsor modifications to the systemor the premisespostor originalinstallation.
Relevantdetailsof the workcarriedout havebeenenteredin the systemlog book? ! Yes C No The followingworldactionis considerednecessary:
Clients Representative:I am awareof the workscarriedout, I am alsoawareof the workslistedconsiderednecessarythat hravenot beencarriedout.I am authorisedto signfor the aboveworksand recommendations listedin the abovesection. S i g n a t u r. .e. . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . Signedfor and on behalfof ParrFire ProtectionServicesLtd 17 BarkStreetEast,BoltonBL1 2BQ Tel:08453039630 Fax:01204770656 Email:[email protected] Website:www.pgfps.com
No. Site Details:
TVpeof serviceto be carriedout. Type of contracl
Periodic
12 month
Maintenanceonlv Indicate comoletion Qu€rntity / Voltage/ A-h capacity(e.9.2 x 12v x 3A-h) Batlerv lQuantitv I lVoltaoe Site Monitorinq,Alarm receivinocentre. Confirm signals received at ARC (tick if OK)
On Charqe Voltaqe:
A-h FIRE
Installed Date:
FAULT
Standby battery tests l 1 t2 Desiqn Certificate readino Readingsthis visit CIE Locatron Tvpe # of Loops # of Zones M o n i t o r i n(gl i c kt o C o n f i r m ) All othercontrolstestede.q.AccessCode.Kev switch.Buttons.etc. (tickto Confirm) o/c Indicators/Buzzerlested - zones o/c All AlarmCircuits s/c Indicators/Buzzertested - zones I s/c AIIAlarmCircuits Mairs disconnectedind.& buzzerOK. Battery disconnected ind. & buzzer OK oic & s/c test on all othermonitoredcircuits Printer if applicable(tick if tested) PrinterConsumables, checkedand foundto be sutticienl Leqibilitv of orint ALp,RMDEVICES(tickrelevantboxes) Carry out next tests on mains without batterv Then on battervwithoutmains I Audiblealarm deviceschecked I _Ta!tj!_..{!armdevices checked I Visual alarm devices checkeq_ I Alarm device testing was not allqwed today by the responsibleperson (RP)who confirmsthat they were lasttestedon, Pleasesign, print and date below:
ResDonsiblePerson Sionature DETECTION DEVICES BG Manual Call Poinl SD SmokeDetector.Ootical sl SmokeDetector,lonisation HF
Heat detector, Fixed
ZOI{E/ Deteclor#
TYPE
Hr VD
Ms
r/o
ResponsiblePerson Name (Printed) Heat detector(RoR) Void Deteclor M u l t iS e n s o r lnouVOutoutDevice
tf Interlace Zone Descriotion/Location
Date. Other remarksreoardinqfire alarmsvstem 2 3 4
Tested
I de,llare that I am a competent person in fire alarm system maintenance, with sufficient knowledge, training, equipment and information. The FireAlarm system has been serviced in accordancewith BS 5839 pat11:2002 and amendments
Atl ipmentand functionshavebeen returnedto normal. The followingitemswerefound to be defectiveand or repaired,or are need of urgentattention,see separateworksheet(s) or below:
AT B
c D E Acceptedlor and on behalfof the user,by the responsibleperson. I understandthat the systemis operatingas designed. I un,lerstandthat if any itemswere to be defective,the fire alarm systemmay not complywith 855839 part 1.
S i o n a t u r e . . . . . ... .
..
P r i n tN a m e
Signedforandonbeha|fotParrFireProtectionServicesLtd....'........,,. I ha,/ebeen shown
Continuation sheets
L_
Delc
(lnitial)
ffi
FireAlarmSystems FireRiskAssessments FireSafetySignage
FireExtinguishers Lighting EmergencY FireTraining
Working ob Sheet JobNo.:'lfl l t
ps.com www.pgf @PgfPs.comWebsite: Tel:0845 3039630 Fax O12A4770656 Email:enquiries
