Fillable Form 1: SS 1 - Automatic Systems for (Invercargill City Council New Zealand)

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Form 1: SS 1 - Automatic Systems for (Invercargill City Council New Zealand)

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SS 1 - Automatic Systems for Fire Suppression
SBCG SS1 Version January 2018
Page 1 of 1
Address:
Building Name:
Provided by (name):
No. Make Model Location
1
2
3
Installation Standard:
(specify year)
NZS 4541:
NZS 4515:
AS 1851:
Specifically Designed Alternative Solution (please supply)
Other (historical)
Inspections & Maintenance
Standard:
(specify year)
NZS 4541:
NZS 4515:
AS 1851:
Specifically Designed Alternative Solution (please supply)
Other (historical)
Buildings Requiring Weekly
Maintenance:
If ticked weekly inspections are
required as stated below
Building contains diesel fire pump
Building contains an electric fire pump without an alarm
Building contains a direct connection to the fire department
that requires weekly maintenance
Frequency:
Weekly
Owner
IQP
Monthly
Owner
IQP
Annually
IQP
Where the system is connected to the buildings emergency
warning system, testing of the interface between the two
systems should be carried out annually.
Inspections & Maintenance:
Planned preventative maintenance and responsive maintenance
should be carried out in accordance with the nominated
performance and inspection standard or document to ensure the
system will operate as required.
Reporting:
The owner must keep records of all inspection, maintenance and
repairs undertaken in the previous 24 months. The records must
be kept on site and as a minimum, include:
• Details of any inspection, test or preventative maintenance
c
arried out, including dates, work undertaken, faults found,
remedies applied, and the person who performed the work.
• Details of any other faults found or maintenance and repair
work undertaken to maintain the system in working order,
including dates, work undertaken, faults found, remedies
applied and the person who performed the work.
The information above is used to help generate the compliance schedule. If you are unsure how to complete
this form, please consult an Independently Qualified Person (IQP) who is registered for the system above.
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Form 1: SS 1 - Automatic Systems for (Invercargill City Council New Zealand)

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Completed 14 November 2020

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