Fillable Form 1: SS 6 - Riser Mains Make (Invercargill City Council New Zealand)

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Form 1: SS 6 - Riser Mains Make (Invercargill City Council New Zealand)

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SS 6 - Riser Mains
Page 1 of 1
SBCG SS6 Version January 2018
Address:
Building Name:
Provided by (name):
Make Model Location Dry
tick
Wet
tick
1
2
3
4
5
6
7
8
9
10
Installation Standard:
(specify year)
NZS 4510:
Specifically Designed Alternative Solution (please supply)
Other (Historical) _______________________________________
Inspections &
Maintenance
Standard:
(specify year)
NZS 4510:
Specifically Designed Alternative Solution (please supply)
Other (Historical) _______________________________________
Frequency:
Monthly
Owner
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 carried
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 6 - Riser Mains Make (Invercargill City Council New Zealand)

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Completed 14 November 2020

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