Fillable Form 1: SS 11 - Laboratory Fume Cupboards (Invercargill City Council New Zealand)

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Form 1: SS 11 - Laboratory Fume Cupboards (Invercargill City Council New Zealand)

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SS 11 - Laboratory Fume Cupboards
Page 1 of 1
SBCG SS11 Version J
anuary 2018
T
he 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.
Address:
Building Name:
Provided by (name):
Make Model Location
1
2
3
4
Installation Standard:
(specify year)
AS/NZS 2243.8:
AS/NZS 2243.1:
Specifically Designed Alternative Solution (please supply)
Other (Historical) ________________________________
____
Inspections & Maintenance
Standard:
(specify year)
AS/NZS 2243.8:
AS/NZS 2243.1:
Specifically Designed Alternative Solution (please supply)
Other (Historical) ________________________________
____
Frequency:
Annually
IQP
Monthly
Owner
IQP
Inspections & Maintenance:
Planned preventative maintenance and responsive maintenance
shall 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
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Form 1: SS 11 - Laboratory Fume Cupboards (Invercargill City Council New Zealand)

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Completed 14 November 2020

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