SS 15.5 - Smoke Separations
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SBCG SS15.5 Version January 2018
Address:
Building Name:
Provided by (name):
Register (Additional sheets may be required) :
Location and Type
Eg. gib ceiling, glass wall
Doors, hold open devices etc used
Features
1
2
3
4
5
6
Installation Standard:
NZBC C AS/VM _____________________________
Specifically Designed Alternative Solution (please supply)
Other (Historical)_________________________________
Inspections & Maintenance
Standard:
Compliance Schedule Handbook Clause 15.5 B.3 - B.17
Specifically Designed Alternative Solution (please supply)
Other (Historical)_________________________________
Buildings Requiring Daily
Maintenance:
If ticked daily inspections are
required as stated below
(doors only)
CS Crowd Activity
CL Crowd Activity
CO Crowd Activity
CM Activity
Building undergoing building work affecting a fire separation
Monthly and annually for all other crowd activity
Inspection frequency &
responsibility:
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.
SS 15.5 - Smoke Separations
Page 2 of 2
SBCG SS15.5 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.
Reporting:
The owner must keep records of all inspections, maintenance and
repairs undertaken in the previous 24 months. The records must be
kept with the compliance schedule and as a minimum, include:
Details of any inspection, test or preventative maintenance
carried out. Include 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.
A Form 12A provided by an IQP annually
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