SBCG27 Version November 2017
Compliance Schedule Specified Systems Form SBCG27
This checklist should be used to identify specified systems within buildings in accordance with Building Act 2004.
Please identify specified systems by nominating the appropriate boxes and include maintenance and inspection
requirements as provided by owner / designer.
Site Address: __________________________________ Fire Hazard Category FHC: __________________
Building Name: ________________________________ Crowd Activity: ____________________________
Owners Name: ________________________________ Total Occupant Load: _______________________
Existing Compliance Schedule number: _____________
SPECIFIED SYSTEMS
Existing
Add
Alter
Remove
SS1 SS16
Form Attached
SS1 Automatic Systems for Fire Suppression
SS2 Emergency Warning Systems
SS3.1 Automatic Doors
SS3.2 Access Controlled Doors
SS3.3 Interfaced Fire or Smoke Doors or Windows
SS4 Emergency Lighting Systems
SS5 Escape Route Pressurisation Systems
SS6 Riser Mains
SS7 Automatic Backflow Preventers
SS8.1 Passenger Carrying Lifts
SS8.2 Service Lifts
SS8.3 Escalators and Moving Walks
SS9 Mechanical Ventilation or Air Conditioning Systems
SS10 Building Maintenance Units
SS11 Laboratory Fume Cupboards
SS12.1 Audio Loops
SS12.2 FM Radio & Infrared Beam Transmission Systems
SS13.1 Mechanical Smoke Control
SS13.2 Natural Smoke Control
SS13.3 Smoke Curtains
SS14.1 Emergency Power Systems 1 - 13
SS14.2 Signs for Systems 1 13
SS15.1 Systems for Communicating Evacuation
SS15.2 Final Exits
SS15.3 Fire Separations
SS15.4 Signs for Facilitating Evacuation
SS15.5 Smoke Separations
SS16 Cable Cars
SPECIFIED SYSTEMS PLAN ATTACHED
Yes No
SBCG27 Version November 2017
Does your building require a Compliance Schedule?
DWELLING UNITS:
If your dwelling contains a cable car you must obtain a Compliance Schedule.
OTHER BUILDINGS:
If your building contains any of the following Specified Systems you must obtain a valid
Compliance Schedule:
Sprinkler systems.
Fire alarm systems.
Automatic doors and/or windows.
Security controlled doors that prevent free passage to parts of the building.
Electromagnetic devices that hold doors open or closed located in a Fire Separation.
Emergency lighting.
Mechanical ventilation systems required by Building Code (ie: toilets in a restaurant).
Mechanical extraction systems required by Building Code (ie: commercial cooking exhaust).
Mechanical air handling systems used for escape route pressurisation.
A system of water supply lines used for fire-fighting purposes.
Backflow prevention devices protecting the potable water supply.
Lifts/escalators/moving walks.
Fixed mech./elec. equipment located outside the building used for maintenance (ie:
window cleaning gantry).
Laboratory fume cupboard with ducted exhaust.
Closed Circuit listening devices for people with hearing disabilities, found in
auditoriums or meeting rooms.
Mechanical means of controlling smoke in the event of a fire (ie: smoke control system).
Natural means of controlling smoke in the event of a fire (window or panel that opens in a fire).
Smoke curtains required by Building Code (ie: theatre).
Emergency Power System (ie: diesel generator, for the operation of S.S.’s 1-13).
P.A. system that can be used to facilitate evacuation (if the building has S.S.’s 1-6, 9 or 13).
Final Exits (if the building has S.S.’s 1-6, 9 or 13).
Fire Separations (if the building has S.S.’s 1-6, 9 or 13).
Smoke Separations (if the building has S.S.’s 1-6, 9 or 13).
Signs for S.S.’s 1-13 (ie: max. occupancy for a lift, if the building has S.S.’s 1-13).
Exit signs (if the building has S.S.’s 1-6, 9 or 13).
Cable Car.
Attach Specified System Forms SS1 SS16
Please complete the “Compliance Schedule Specified Systems Form SBCG27” and
attach the applicable specified system forms (one for each system present in the
building). These forms provide the details of their performance standards, and their
inspection and maintenance regime planned.
These forms are required to be submitted with your application for Building Consent.
Compliance Schedule & Specified Systems Guidance
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