WBCG SS-9 Version 2018-01-26
Page 1 of 2
Waikato Building Consents
Compliance Schedule Details:
SS 9 – Mechanical Ventilation or Air Conditioning Systems
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:
Toilet extract system servicing multiple facilities
Ducted ventilation or air conditioning system
Spray booth ventilation system where the booth forms all or part of the building
Air-handling system that maintains a differential air pressure in a hospital operating theatre, medical
isolation room, quarantine facility or pharmaceutical manufacturing plant
Cooling-water system incorporating one or more cooling towers or evaporative condensers
Air-handling system required to function in smoke management or smoke clearance mode during a fire
System incorporating one or more solid liquid or gas-fired boilers
System containing one or more electric heating elements mounted in air handling units or ducts located
outside the occupied space
Split air conditioning unit that introduces fresh air into the building
Dust extract system in a building that is not part of the building
Other: [specify] …………………………………………………..
Location Plan for specified systems and records is attached:
YES
NO
No. Equipment location Make (Main components) Model
1
2
3
4
5
If
needed continue the list on another sheet of paper
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 4303, Year: …………………………..
AS/NZS 3666, Year: ………………………
AS 1668, Year: …………………………….
AS 1851, Year: …………………………….
Specifically designed solution prepared by a
person who, on the basis of experience and
qualifications, is competent to do so. (Details
provided)
Other: ………………………….
Continue on the next page
WBCG SS-9 Version 2018-01-26 Page 2 of 2
Inspections
and
Maintenance:
Systems
Hygiene
AS/NZS 3666.2, Year: …………………
Other: ……………………………………
Specifically designed solution prepared by a
person who, on the basis of experience and
qualifications, is competent to do so. (Details
provided)
Chemical
control
AS/NZS 3666.3, Table 3.2, Year: ………..
Compliance Schedule Handbook, pg 40
Other: ……………………………………….
Specifically designed solution prepared by a
person who, on the basis of experience and
qualifications, is competent to do so. (Details
provided)
Fire and
Smoke
Control
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:
Regular inspection and planned preventative maintenance and responsive maintenance
will be carried out in accordance with the nominated performance and inspection
standard/document to ensure effective operation and preservation of any inbuilt safety
features.
Inspection frequency and
responsibility:
Depending on the type of installation and its performance standard/document:
Specifically designed solutions: by IQP only
Standard /other document:
Weekly: by IQP
Monthly: by IQP
Annually: by IQP
Inspections &
Maintenance:
Weekly/
Monthly Inspections
In addition to the maintenance required by the applicable standard selected, particular
attention will
be given to systems incorporating cooling towers or evaporative
condensers, in case organisms such as Legionella are present.
Monthly/
Annual Inspections
Monthly and annual inspections will be carried out as per the applicable standard /
document
selected. However, where appropriate any additional inspections or
maintenance activities required to ensure that a system continues to operate properly
will be included with inspection and maintenance procedures.
Chemical Control
For cooling towers and evaporative condensers with automatic chemical dosing:
Bacteriological tests: Compliance Schedule Handbook, Table 1, Pg 40
For cooling towers and evaporative condensers without automatic chemical dosing:
Weekly dip-slide tests. If dip-slide tests have a result greater than 10^5 cfu / ml,
control strategies in AS/NZS 3666.3 Table 3.2 must be implemented.
Reporting:
The ow
ner 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.