WBCG LG-11 SS2
Version 2018-01-26
Page 1 of 2
Waikato Building Consents
Compliance Schedule Details:
SS 2 – Automatic/Manual Emergency Warning Systems (alarms)
Please provide the following information with your Building Consent Application
- Form 2
(If you need help to complete this form, consult the system provider or an IQP who is registered for the system above)
Applicant Name: ……………………………………..……..…
Site Address: ……………………………………….………
………………………………………………………………..…
Existing Compliance Schedule Number(s): (if applicable)
…………………………………..............................................
…………………………………..............................................
Building Name: …………………………………..……………
Installation provider: (if known) ………………………………
…………………………………..............................................
Risk / Purpose group: …………………………….…………..
Fire Hazard Category: ……………………….……………….
Total Occupant Load:…………………….……………..
SPECIFIED SYSTEM DESCRIPTION (address those items that apply)
Specified
systems:
Existing
New
Modified
Removed
Type:
Monitored non-standard School Security Warning System (SSWS)
Monitored non-standard Security Based Warning System (SBWS)
Type 27 Warning Systems (alarms) - Acceptable Solution F7/AS1, Year: ……..………..
Type 2: Manual warning systems
Type 3: Automatic fire alarm system with heat detectors and manual call points
Type 4: Automatic fire alarm system with smoke detectors and manual call points
Type 5: Automatic fire alarm system with modified smoke / heat detection and manual call points
Type 6: Automatic fire / Sprinkler alarm system with modified smoke / heat detection and manual call
points
Type 7: Automatic sprinkler alarm system with modified smoke / heat detection and manual call points
Emergency warning systems installed to manage hazardous properties of, or danger from, substances
stored or used within the premises that are governed by a Building Code clause:
A carbon monoxide gas detection system within a car park building that warms occupants of a
potentially hazardous concentration of gas
Other: [specify]…………………………………………………………………………….……………………….
Response: (i.e. Warning)
Manual
Automatic
Supplementary Devices: (i.e. detection)
Heat Detectors
Smoke Detectors
Gas Detectors
Alarm Interfacing: [specify e.g. SS1, SS3/3, SS9]
Location Plan for specified systems and records is attached:
YES
NO
No. Equipment location Make (Main components) Model
1
2
3
4
5
6
If needed cont
inue the list on another sheet of paper
Continue on nex
t the page
WBCG LG-11 SS2 Version 2018-01-26 Page 2 of 2
STANDARDS
(address those items that apply)
Specifically designed solutions do not apply if the system has been installed against a specific Standard(s) / document.
Performance /
installation:
NZS 4512, Year: ……………..
AS 1851, Year: ……..………..
Other: ………………………….
Specifically designed solution prepared by a person
who, on the basis of experience and qualifications,
is competent to do so. (Details provided)
Inspections:
NZS 4512, Year: ……………..
AS 1851, Year: …………..…..
Other: ………………………….
Specifically designed solution prepared by a person
who, on the basis of experience and qualifications,
is competent to do so. (Details provided)
Maintenance:
NZS 4512, Year: …………….
AS 1851, Year: ……………
Other: ………………………….
Specifically designed solution prepared by a person
who, on the basis of experience and qualifications,
is competent to do so. (Details provided)
INSPECTIONS, MAINTENANCE AND REPORTING
(address those items that apply)
Minimum
inspection and
maintenance
procedures:
Planned preventative maintenance and responsive maintenance will be carried out in accordance
wit
h the nominated performance and inspection Standard/document, to ensure the system will
operate as required in the event of a fire or other danger.
Inspection
frequency and
responsibility:
Specifically designed
solutions
By IQP
School Security Warning
System (SSWS):
Monthly: by School Representative
Six Monthly: by Security Alarm maintenance contractor
Annual:
IQP
Security Alarm maintenance contractor
Security Based Warning
System (SBWS)
Weekly: (sounders) by Owner / Representative
Quarterly: (sounders & smoke detectors) by IQP only
Annually:(sounders & smoke detectors + annual survey) by IQP
only
Manual warning systems
(Type 2f alarm)
Monthly: (Sounders) by IQP only
Quarterly:(Sounders) by IQP only
Annually: by IQP only
Automatic fire alarm
system (Type 3,
4, 5, 6, 7)
Monthly: (Sounders) by IQP only
Quarterly:(Sounders) by IQP only
Annually: by IQP only
Reporting:
The owner will keep records of all inspections, maintenance and repairs undertaken in the previous
24 months. These will be recorded in the On-Site Log Book, which will remain on the premises with
the most recent compliance schedule, and as a minimum include:
Details of any inspection, test or preventative maintenance carried out, including dates,
works undertaken, faults found, remedies applied and the person who performed the work.
Form 12A provided annually by the IQP