Smoke & Heat Alarms (Domestic) — Royal Docks Electrical

1

CLIENT & PREMISES

Certificate type *

Installation

Commissioning

Acceptance

Periodic Inspection & Servicing

Client Name *

Client Email (optional — kept on the record; the cert is sent from ServiceM8)

Address

Premises / site address (if different)

Responsible person (Fire Safety Order 2005)

Date of inspection

2

SYSTEM DETAILS

System type *

Commercial panel system (BS 5839-1:2017)

Domestic interconnected alarms (BS 5839-6:2019+A1:2020)

System Category (BS 5839-1) *

Control panel make / model *

Control panel location

No. of zones / devices

3

ZONE SCHEDULE

0 zones recorded

4

INSPECTION & TEST CHECKLIST (BS 5839-1 §44–45)

5

SERVICING & RECORDS

Log book entries made *

Yes

No

False alarm rate reviewed since last service *

Yes

No

False alarm notes (rate / causes / action taken)

6

DEFECTS & VARIATIONS

Defects found (leave blank if none — any entry here makes the outcome NOT satisfactory)

Variations from BS 5839-1

Outcome pending — record zone results and complete the checklist

7

DECLARATION

I certify that the work described has been carried out in accordance with the recommendations of BS 5839-1:2017 except for the variations stated above.

Name *

Position

Competency / qualifications

Signature *

Date

Next service due *

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