Fillable Form 1: SS 4 - Emergency Lighting Systems (Invercargill City Council New Zealand)

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Form 1: SS 4 - Emergency Lighting Systems (Invercargill City Council New Zealand)

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SS 4 - Emergency Lighting Systems
Page 1 of 1
SBCG SS4 Version January 2018
Address:
Building Name:
Provide by (name):
No. Make Model Location
1
2
3
4
5
6
Installation Standard:
NZS 6742:1971
AS/NZS 2293.1:1995
Specifically Designed Alternative Solution (please supply)
Other (Historical) ________________________________
Inspections & Maintenance
Standard:
NZS 6742:1971
AS/NZS 2293.2:1995
Specifically Designed Alternative Solution (please supply)
Other (Historical) ________________________________
Frequency:
Monthly
Owner
IQP
Six-monthly
IQP
Annually
IQP
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 4 - Emergency Lighting Systems (Invercargill City Council New Zealand)

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Completed 14 November 2020

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