SS 15.3 - Fire Separations
Page 1 of 2
SBCG SS15.3 Version January 2018
Address:
Building Name:
Provided by (name):
Register (Additional sheets may be required) :
Make
Model
Location
1
2
3
4
5
6
7
8
9
Installation Standard:
(specify year)
NZBC C AS/VM ____________________________
NZS 1900.5 (Doors)
NZS 1188:1954
NZS 4520:2010
AS/NZS 1905.1:1997
Specifically Designed Alternative Solution (please supply)
Other (Historical)_________________________________
Inspections & Maintenance
Standard:
(specify year)
Compliance Schedule Handbook
NZS 1188:1954
NZS 4520:2010
AS/NZS 1905.1:1997
Specifically Designed Alternative Solution (please supply)
Other (Historical)_________________________________
Daily & Six-monthly
Inspections Required:
CS Crowd Activity
CL Crowd Activity
CO Crowd Activity
CM Crowd Activity
Building undergoing building work affecting a fire separation
Monthly and annually for all other crowd activity
SS 15.3 - Fire Separations
Page 2 of 2
SBCG SS15.3 Version January 2018
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.
Frequency:
Daily
Monthly
Six-monthly
Annually
Inspections & Maintenance:
Minimum maintenance and testing as specified in Compliance
Schedule Handbook, to be performed in conjunction with
maintenance required by applicable standard.
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.
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