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FPA AUSTRALIA LOGBOOKS

• ACCURACY• COMPLIANCE• PEACE OF MIND• 1, 2 OR 3 YEAR LOGBOOKS

Site Name

Date / / Work Order No.

Site Address

Time

Site ID

Item No. Required procedures

Pass Fail N/AAll previously identified corrective action attended to & recorded

Batteries (Clause 2.3.2)

Distribution and Control Equipment (Clause 2.3.5)

Emergency Luminaires and Exit Signs (Clause 2.3.6)

System Check – Manual Discharge Test (Clause 2.3.7.1)

System Check – Automatic Discharge Test (Clause 2.3.7.2)

Battery Charger Assembly (Clause 2.3.3)

Inverters (Clause 2.3.4)

Inverters (Clause 2.3.4) – Continued

1 Check battery electrolyte levels and inspect for leakage

2 Inspect battery connections for corrosion and tighten where required

4 For lead acid batteries determine the electrolyte density

for each cell (record in table below)

5 Measure overall battery voltage and individual cell voltage (record in table below)

13 Inspect all components for signs that may result in malfunction


20 Isolate coil circuits from a.c. supply and observe correct operation of lighting

21 Check operation of all emergency luminaires and exit signs

(record results on lighting test record)

24 Indirect lighting systems – where relevant, check beam direction is appropriate

28 Check battery charger changes to float charge mode manual boost-charge recharge

30 Conduct an automatic discharge test for systems that incorporate automatic discharge test facilities

26 Conduct a manual discharge test for systems that incorporate manual discharge test facilities. Run test for required in-service duration


3 Apply appropriate preservative to exposed metal surfaces

9 Check connections are tight

11 Check battery earth-fault detection system

10 Check calibration of voltmeters

12 Check battery low-voltage alarm


19 Remove any dust or dirt from within enclosures

23 Indirect lighting systems – check reflecting surfaces

25 Check system operates in correct relationship to normal lighting

7 Remove any dust or dirt from cubicle

Item No. Required procedures

Pass Fail N/A

LBE1 Emergency Evacuation Lighting for Buildings – Central Systems

Yearly Service Record – Page 1 of 1

Your service provider is:

Distribution of service record copies: owner/occupier/agent = original service provider = duplicate retained in this book = triplicate © FPA Australia 2014 LBE1 V1.0 April 2014

This record of service confirms that the Emergency Evacuation Lighting system has been inspected and maintained

in accordance with AS 2293.2-1995 and that the information on this service record is true and correct. This record

does not infer compliance with all applicable building and fire safety legislation within the relevant jurisdiction.

NameTechnician

Signature

Date / /NameClient

Signature

Date / /

Name

Licence / Permit Holder

Maintenance complies with QDC, MP6.1 System is in proper working order

QUEENSLAND BUILDINGS ONLY

Licence Type

Licence No.

FPAS No.

8 Verify battery voltage is consistent with system requirements

Measured V

Required V

14 Check and verify d.c. input voltage and current is within tolerance limits of the inverter

V

A

27 On completion of discharge test – measure battery voltage and check it is within acceptable limits

V

29 For d.c. reticulated systems measure max voltage at origin during boost charging

V15 Check and verify a.c. output voltage and current is within the output tolerances of the inverter

V

A

Check calibration of voltmeters

16

Battery Test ResultsOverall

Cell 1Cell 2

Cell 3Cell 4

Cell 5Cell 6

Electrolyte Density (Lead Acid Batteries)State of Charge (Lead Acid Batteries)Float Charge (All Batteries) V

Check that no power interruption has occurred in the preceding 16 hour period

22 Clean all light-emitting and reflecting surfaces

START DATE / /END DATE / /START REPORT NO.

END REPORT NO.

SERVICE PROVIDER CONTACT DETAILS

Fire Protection Association Australia Life Property EnvironmentSITE DETAILS

© FPA Australia 2014

LBE1

Central Systems

Emergency Evacuation Lighting for Buildings

3 YEAR EDITION

AS/NZS 2293.2 – 1995 LOGBOOK

Site Name


Site Address

Time

Site ID

LB12 Passive Fire & Smoke Systems – Fire & Smoke Barriers & Construction Elements

Summary Service Record – Page 1 of 2


Item No. Required Actions Pass Fail N/A Item No. Required Actions Pass Fail N/A

1.1 Compare walls with approved design 2.1 Compare structural members with Approved design

2.1 Compare floors with approved design

6.1 Check for modifications to glazing that differ from the Approved design

4.1 Compare access panels with approved design

3.1 Compare ceilings with approved design

1.2a & b Compare wall penetrations with approved design 2.2 Check condition of structural members including mechanical damage

2.2a & b Compare floor penetrations with approved design 6.2 Check condition of glass

7.2 Check drawings for details of fire protection system

7.1 Check for modifications to air ducts

4.2 Inspect access panel and perimeter seal for damage

3.2a & b Compare ceiling penetrations with approved design

1.2c Identify any unprotected or unsuitable wall penetrations 2.3 Check fire-protection system or coating for signs of deterioration, damage or integrity as applicable

2.2c Identify any unprotected or unsuitable floor penetrations 6.3 Check frame for damage and perimeter gaps are protected

7.3 Check fire-protection system or coating for signs of deterioration or damage

4.3 Inspect and verify condition of access panel frame

3.2c Identify any unprotected or unsuitable ceiling penetrations

2.3 Inspect floors for loss of fire resistance 6.4 Check glazing seals are present and have not deteriorated

7.5 Report identified deficiencies and amend schedule

4.4 Inspect screw-fixings (where applicable)

4.5 Inspect hinges and latches (where applicable)

4.6 Inspect for any interference with panel function

1.3 Inspect walls to ensure compartmentation is complete and for any loss of fire-resistance

Distribution of service record copies: owner/occupier/agent = original service provider = duplicate retained in this book = triplicate © FPA Australia 2016 LB12 V2.0 November 2016

FIRE & SMOKE BARRIERS – WALLS – Table 12.4.1.1 FIRE-PROTECTED STRUCTURAL MEMBERS – Table 12.4.2

FIRE & SMOKE BARRIERS – FLOORS – Table 12.4.1.2

FIRE-RATED GLAZING – Table 12.4.6

FIRE-PROTECTED AIR DUCTS – Table 12.4.7

FIRE & SMOKE BARRIERS – CEILINGS – Table 12.4.1.3

FIRE & SMOKE BARRIERS – FIRE & SMOKE RATED ACCESS PANELS & HATCHES – Table 12.4.1.4

EQUIPMENT REGISTER Total number of penetrations

Tally of ResultsChecked Passed Failed

YEARLY SERVICE SCHEDULE –PENETRATIONS

RESULTS OF ROUTINE SERVICE ACTIVITIES – Refer to equipment register for details of penetration location, protection type used and other relevant details

ID No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

ResultP P P P P P P P P P P P P P P P P P P P P P P P P

F F F F F F F F F F F F F F F F F F F F F F F F F

ID No. 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50



ID No. 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75



ID No. 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100



ID No. 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125



START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS

Fire Protection Association Australia Life Property Environment

SITE DETAILS


3 YEAR EDITION

LB12

Fire & Smoke Barriers &

Construction Elements

Fire & Smoke Doors & Shutters

Passive Fire & Smoke Systems

AS 1851-2012

(Incorporating Amendment 1)

LOGBOOK

Can your business afford non-compliance? In today’s environment of strict regulatory frameworks in all states and territories regarding routine service of fire protection systems and equipment, you simply cannot afford to leave your work to chance.

FPA Australia has created a suite of logbooks for recording and reporting routine service activities in the fire protection industry. Complying fully with the appropriate service requirements of AS 1851-2012 and AS/NZS 2293.2-1995, including keeping appropriate records, is one way of demonstrating that you have met your legal obligations should a fire emergency situation arise or enforcement action be pursued.

Meticulous planning has been undertaken to ensure that these documents accurately reflect the specific requirements of the standards and strive for best practice in reporting results to end users. Like many technical documents, AS 1851 and AS/NZS 2293.2 are not always explicitly clear about exactly what data must be documented during routine service. However, FPA Australia’s logbooks are specific about exactly what data must be documented. The professional design of these documents also assists technicians to complete the service records accurately and allows end users to fully understand the results, including any remedial actions required to ensure compliance.

FPA Australia logbooks promote better fire protection and safety outcomes for the community and give peace of mind to technicians and building owners that the appropriate routine service activities are being undertaken in full and that the records of these activities are fully compliant with the relevant standards.

FPA Australia will periodically update all logbooks to reflect any changes to the Australian Standards including all amendments.

FPA AUSTRALIA LOGBOOKSIn Stock For Immediate Delivery For Accuracy, Compliance and Peace of Mind.

PERSONALISED BOOKS

Why not promote your business with your company logo?

Now you can have any A4 size FPA Australia logbook personalised featuring your logo and company details, ensuring that anyone who views your service records understands it is your business undertaking the vital fire protection work on site. Minimum quantity orders are required so speak to one of our Membership Services staff to learn more.

When purchasing FPA Australia Logbooks, remember:

• Corporate member rates apply for all FPA Australia Organisation and Corporate members

• Fire Protection Accreditation Scheme (FPAS) Recognised Businesses receive an extra 10% off all logbook prices

• FPA Australia vouchers can be used towards purchases within the Sales Centre, including logbooks

More information about FPA Australia’s suite of logbooks and personalised options can be found at www.fpaa.com.au/sales.

To discuss any information in this brochure and to learn more about how FPA Australia logbooks can benefit your business, please call 03 8892 3131.

PERSONALISED LOGBOOKS2-3 weeks delivery Make your professional service records stand out.



Fire Detection and Alarm Systems

LB6ASTART DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS

SITE DETAILS

1 YEAR EDITION

AS 1851-2012 (Incorporating Amendment 1)

LOGBOOK

YOUR LOGO & CONTACT DETAILS TO BE PLACED HERE

Site Name

Date / /

Work Order No.

Site Address

Time

Site ID

LB6A Fire Detection and Alarm Systems

Monthly / Six Monthly Service Record – Page 1 of 1

Distribution of service record copies: owner/occupier/agent = original service provider = duplicate retained in this book = triplicate © FPA Australia 2014 LB6A V1.0 April 2014

All previous defects and non-conformances attended to and recorded

1.1 Inspect audible and visual external alarms

1.2 Check condition of CIE’s

1.2 Check replacement element and tool for MCP’s (w/a)

1.3 Inspect battery enclosure

1.4 Simulate alarm and confirm indications and alarms function correctly

1.5 Simulate alarm and confirm occupant warning system functions correctly

1.6 Confirm isolate/disable condition functions correctly

1.8 Inspect zone block plan

1.7 Test filament type visual indicators

1.9 Check presence of baseline data


2.1 Complete monthly service

2.2 Check local control station (LCS)

2.3 Inspect visual warning devices

2.5 Test manual initiate function

2.4a Automatic discharge prevented

2.4b Stops and resets discharge sequence

2.4c Activated visual indicator at LCS and FIP

2.4d Audible indication activated

2.4e Manual discharge switch continues to function

2.4 Test all discharge inhibit devices and confirm

Associated / Connected Equipment Service Completed Yes No N/A If No or N/A, indicate reason belowMonthly emergency warning system Monthly special hazards system

Item No. Actions required by Table 6.4.1.2 Pass Fail N/A



Monthly Service Activities

Six Monthly Service Activities Note: These activities relate to Special Hazards Systems ONLY

2.6 Confirm system inoperative visual warning devices activate as a result of:

2.6a Operation of a service switch

2.6b Fault in the discharge actuator circuit

2.6c Operation of a lock-off valve

2.6d Operation of a manual inhibit switch

2.6e Isolation or fault in the fire detection system

2.7 Test and verify system operation and logic

2.8 Test actuator circuit fault indictaion

2.9 Test actuators operate correctly

I hereby certify that the above system has been routinely serviced in accordance with AS1851-2012 and that the information on this service record is true and correct. This record does not infer compliance with all applicable building and fire safety legislation within the relevant jurisdiction.

NameTechnicianSignature

Date / /

NameClient

SignatureDate / /

NameLicence / Permit Holder

Maintenance complies with QDC, MP6.1 System is in proper working order


Licence Type

Licence No. FPAS

No.

Activity / System Failures & CommentsItem No. Defect Type Description / Corrective Action Required or Repairs Completed

Defect Type Identified

1 – Critical Defect 2 – Non Critical Defect 3 – Non Conformance 4 – Recommendations

Further information recorded on notes page

YOUR CONTACT DETAILS TO BE PLACED HERE

LOGBOOKS

LB2A Automatic Fire Sprinkler Systems – Wet Pipe Systems Contains the service records required by Section 2 of AS 1851-2012 for Wet Pipe Systems as well as the wet pipe components that are applicable to Dry Pipe Systems, Deluge and Water Spray Systems and Pre-Action Systems.Available as 1 or 2 Year Edition

LB2BAutomatic Fire Sprinkler Systems – Dry Pipe, Deluge / Water Spray and Pre-Action Systems Contains the service records required by Section 2 of AS 1851-2012 for Dry Pipe Systems, Deluge and Water Spray Systems and Pre-Action Systems. This logbook is to be used in conjunction with logbook LB2A – Automatic Fire Sprinkler Systems – Wet Pipe Systems. Available as 1 Year Edition

LB3AFire Pumpsets – Electric MotorContains the service records required by Section 3 of AS 1851-2012 for Electric Motor Driven Pumpsets, Hose Reel Pumpsets and Pressure Maintenance /Jacking Pumpsets.Available as 1 or 2 Year Edition

LB3BFire Pumpsets – Compression Ignition (Diesel)Contains the service records required by Section 3 of AS 1851-2012 for Compression Ignition (Diesel) Driven Pumpsets, Hose Reel Pumpsets and Pressure Maintenance / Jacking Pumpsets.Available as 1 or 2 Year Edition

Site Name


Site Address

Time

Site ID

Alarm function test results No. 1 No. 2 No. 3 No. 4 No. 5 No. 6 No. 7 No. 8 No. 9 No. 10 No. 11 No. 12

Installation pressure before test – 1.11 kPa

Time to operation of alarm gong – 1.12b Secs

Installation pressure after test – 1.15 kPa

Pressure readings 1.15 Location 1 Location 2 Location 3 Location 4

Below Stop Valve kPa

Water Supply 1 kPa

Water Supply 2 kPa

Associated / Connected Equipment Service Completed Yes No N/A If No or N/A, indicate reason below

Monthly pumpset

Monthly water storage tank (Item 1.18)

Monthly CIE



1.1 Check control valve assembly is unobstructed

1.2 Check spare sprinklers and spanner are available

1.3 Check signage for damage, legibility and location

1.4 Check fire brigade booster connection is operational

1.7 Check pressure switches

1.8 Check alarm signalling equipment (ASE)

1.9 Check sprinkler system interface status

1.5 Check main stop valves and alarm cocks are open, secured and labelled

No. checked

1.6 Check pump-starting devices are open and secured

No. checked

1.10a Verify water supply stop valves are open and secured

No. checked


1.11 Record and verify system pressure gauge readings before alarm function test (record in table below)

1.12 Conduct alarm function test and verify time of operation of gong(s) (record in table below)

1.15 Record and verify system pressure gauge readings after alarm function test (record in table below)

1.19 Check foam concentrate levels

1.14 Check operation of strobe indicators

1.13 Verify alarm signal operation No. checked

1.16 & 1.17

Test automatic and manual pump starting devices in accordance with item 1.13 and 1.17 of Table 3.4.1. Record results in pumpset logbook.

No. of devices checked

1.10b Verify water supply Stop valve position indicators

No. checked

LB2A Automatic Fire Sprinkler Systems – Wet Pipe Systems

Monthly Service Record – Page 1 of 1


Activity / System Failures & Comments

Item No. Defect Type Description / Corrective Action Required or Repairs Completed


1 – Critical Defect

2 – Non Critical Defect

3 – Non Conformance

4 – Recommendations


Auto Manual

Distribution of service record copies: owner/occupier/agent = original service provider = duplicate retained in this book = triplicate © FPA Australia 2016 LB2A V2.0 November 2016

I hereby certify that the above system has been routinely serviced in accordance with AS1851-2012 (Incorporating Amendment 1) and that the information on this service record is true and correct. This record does not infer compliance with all applicable building and fire safety legislation within the relevant jurisdiction.

NameTechnician Signature Date / /

NameClient Signature Date / /


Maintenance complies with QDC, MP6.1

System is in proper working order QUEENSLAND BUILDINGS ONLY

Licence Type

Licence No.

FPAS No.


Wet Pipe Systems

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS


SITE DETAILS

Automatic Fire

Sprinkler Systems

LB2A


LOGBOOK1 YEAR EDITION

Site Name


Site Address

Time

Site ID

Pressure Readings No. 1 No. 2 No. 3 No. 4 No. 5 No. 6 No. 7 No. 8 No. 9 No. 10

Air pressure gauge reading (Dry Pipe) kPa

Pilot line (Deluge / Water Spray) kPa

Supervisory pressure (Pre-Action) kPa

Diaphragm line (Deluge/ Water Spray & Pre-Action) kPa

Below Stop Valve (Deluge/ Water Spray & Pre-Action) kPa

Item No. Actions required by Table 2.4.3.1, 2.4.4.1 & 2.4.5.1 Pass Fail N/A


Activities common to ALL systems

DP - 1.1 DW - 1.1 PA - 1.1

Complete applicable monthly wet pipe service activities in wet pipe systems logbook (LB2A)

DP - 1.7 DW - 1.9 PA - 1.9

Conduct alarm test

DP - 1.2 DW - 1.2 PA - 1.2

Check pressure gauge readings (record in table below)

DP - 1.5 DW - 1.6 PA - 1.5

Verify air compressor operating pressures

Cut-in (kPa)

Cut-out (kPa)

DP - 1.6 DW - 1.8 PA - 1.8

Verify low air pressure alarms

Activation Pressure (kPa)

LB2B Automatic Fire Sprinkler Systems – Dry Pipe, Deluge / Water Spray and Pre-Action Systems

Monthly Service Record – Page 1 of 1


Distribution of service record copies: owner/occupier/agent = original service provider = duplicate retained in this book = triplicate © FPA Australia 2016 LB2B V2.0 November 2016

Item No. Actions required Pass Fail N/A

Additional Actions – Dry Pipe Systems ONLY – As required by Table 2.4.3.1

Additional Actions – Deluge / Water Spray Systems ONLY – As required by Table 2.4.4.1

Additional Actions – Pre-Action Systems ONLY – As required by Table 2.4.5.1

1.3 Check desiccant

1.3 Check oil level and regulator

1.3 Check oil level and regulator (where fitted)

1.4 Check oil level

1.4 Inspect and Test electrical detection (where fitted)

1.4 Inspect and test electrical detection

1.8 Drain air receiver condensate

1.5 Check detector sprinkler line (where fitted)

1.7 Test solenoid valve(s)

1.7 Test solenoid valve(s)

1.6 Check Nitrogen supply (where fitted)

Cylinder Pressure (kPa)

System Type Being Serviced

DP Dry Pipe

DW Deluge / Water Spray

PA Pre-Action















Licence Type

Licence No.

FPAS No.


Dry Pipe, Deluge / Water Spray

and Pre-Action Systems


Automatic Fire

Sprinkler Systems

LB2B

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS

SITE DETAILS

1 YEAR EDITION


LOGBOOK

LB3A Fire Pumpsets – Electric Motor

Six Monthly / Yearly Service Record – Page 1 of 1


Site Name


Site Address

Time

Site ID


Pumpset Type Hydrant Sprinkler Hose Reel

Pumpset ID












Six Monthly Service Activities for Hose Reel and Pressure Maintenenace / Jacking Pumpsets


6.2 Verify hydro-pneumatic accumulator air pressure

2.3 Check Hydro-pneumatic accumulator and record air pressure (where fitted) kPa

Item No. Actions required by Table 3.4.2 Pass Fail N/A

Six Monthly Service Activities for Main Fire Pump (Electric)

3.10 Check Non-return valves

3.11 Check pipework for corrosion

3.12 Test and verify operation of pressure-relief valve

3.13 Restore pumpsets

3.15 Test and verify duty head

3.16 Test and verify remote start/stop function


3.1 Complete monthly and 6 monthly service

3.9a Inspect heavy current carrying contacts

3.4 Check condition of all batteries

3.3 Conduct annual full flow test and load test (Record all results in Electric Load and Flow Test Table – next tab)

3.9b/c/d Inspect pump / driver coupling, grease pump and motor bearings and replace bearing oil

3.7 Test battery charger Controller battery

charger (V)

3.6 Verify condition of control batteries

Date last replace / /

or: Load current (A)

Final Voltage (V)


Yearly Service Activities

2.2 Check alternative power supplies








Licence Type

Licence No.

FPAS No.


Electric Motor


Fire Pumpsets

LB3A

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS

SITE DETAILS

1 YEAR EDITION


LOGBOOK

LB3B Fire Pumpsets – Compression Ignition (Diesel)

Six Monthly / Yearly Service Record – Page 1 of 1


Site Name


Site Address

Time

Site ID



3.10 Check Non-return valves

3.11 Check pipework for corrosion

3.12 Test and verify operation of pressure-relief valve

3.13 Restore pumpsets

3.14 Test engine overspeed

3.15 Test and verify duty head

3.16 Test and verify remote start/stop function

3.7 Test battery charger

Start battery charger (V)

Controller battery charger (V)

3.6 Verify condition of control batteries

Date last replaced / /

or: Load Current (A)

Final Voltage (V)

Pumpset Type Hydrant Sprinkler Hose Reel

Pumpset ID



3.8a/b Replace engine oil & filter

3.8c Check fuel condition

3.8g Check cooling system pressure reducing valves

3.8h Service heat exchanger strainers

3.8i Service other items (manufacturers requirements)

3.8 j/k/l/m

Inspect pump / driver coupling, grease jump bearings and replace bearing and gearbox oil

3.8d/e/f Inspect cooling hoses, flush and pressure test cooling system

3.4 Check condition of all batteries

3.2 Conduct annual full flow test and load test (Record all results in Load and Flow Test Table – next tab)

3.5Check engine start batteries are less than 2 years old

Last replaced

New battery installed

/ /

3.8 Service Pumpset



Six Monthly Service Activities for Hose Reel and Pressure Maintenenace / Jacking Pumpsets


6.2 Verify Hydro-pneumatic accumulator air pressure

2.3 Check hydro-pneumatic accumulator and record air pressure (where fitted) kPa



Six Monthly Service Activities for Main Fire Pump (Diesel)

Yearly Service Activities
















Licence Type

Licence No.

FPAS No.


Compression Ignition (Diesel)


Fire Pumpsets

LB3B

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS

SITE DETAILS

1 YEAR EDITION


LOGBOOK

LOGBOOKS

LB4Fire Hydrant Systems Contains the service records required by Section 4 of AS 1851-2012 for Fire Hydrant Installations and associated Fire Mains and Fire Brigade Booster Assemblies.Available as 1 Year Edition

LB5Water Storage Tanks for Fire Protection SystemsContains the service records required by Section 5 of AS 1851-2012 for Water Storage Tanks for Fire Protection Systems.Available as 1 Year Edition

LB6BFire Detection & Alarm Systems – Emergency Warning Systems & Emergency Intercom SystemsContains the service records required by Section 6 of AS 1851-2012 for Emergency Warning Systems and Emergency Intercom Systems.Available as 1 or 2 Year Edition

LB6AFire Detection & Alarm Systems – General Requirements (A4 & A5 size)Contains the service records required by Section 6 of AS 1851-2012 for Fire Detection and Alarm Systems including those functions that control the operation of Special Hazard Systems and Smoke Hazard Management Systems. (A4 size, contains notes pages)Available as 1 or 2 Year Edition

LB4 Fire Hydrant Systems



Site Name



Preliminary survey questions for the owner / occupier Yes No Not Known

Has the occupant been in the building for the previous 12 months?

Have there been any additions or alterations (minor or major) made to the building in the last 12 months?

Have any of the fire safety systems or equipment in the building been altered or undergone major repairs in the last 12 months?

Have there been any changes made to the occupancy of the building?

Outcome of Annual Survey Yes No

Further Action / Investigation Recommended

System Interface Test Results Note: Refer to system interface diagram and test plan

Pass Fail N/A

Pass Fail N/A

Roof vents

Plant shutdown

Fuel isolation

Elevator override

Door release

Stair pressurisation

Pass Fail N/A

Warning system / intercom

Smoke control / exhaust

HVAC controls

Special Hazards

Notification and alert systems

Other Systems (Detail below)

Annual Survey

Note: The purpose of the annual survey is to identify component degradation and building changes that may impact on system or equipment performance. It is a visual inspection, typically conducted from floor level. It is designed to identify the potential for further investigation to assess any changes to the occupancy, environment or building that may affect the performance of the fire safety system or equipment.Where the outcome of the survey identifies the need for further investigation, it is recommended that a Fire Safety Audit in accordance with AS 4655 be undertaken by an appropriately qualified professional. An audit will support a responsible entity in satisfying themselves that any changes made to the fire safety system, building or occupancy are fully compliant with any applicable legislative requirements.

Specific survey items from relevant tableItem No. Actions required by Table 4.4.3 Pass Fail N/A

3.11 Check installation

3.12 Check design















Licence Type

Licence No.

FPAS No.



Fire Hydrant Systems

LB4

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS

SITE DETAILS

1 YEAR EDITION


LOGBOOK

LB5 Water Storage Tanks for Fire Protection Systems



Site Name


Site Address

Time

Site ID





3.2 Check for water leakage

3.3 Check for loose components

3.4 Check for external damage

3.5 Check foundation

3.6 Check for corrosion

3.7, 3.8, 3.9 Check access hatch, ladder & roof

3.10 Check vermin proofing

3.11 Check for foreign objects

3.12 Check for algae

All Tanks

3.16 Check condition of gaskets and seals

3.17 Check condition of vortex inhibitor

3.18 Service-level indicator components

3.19 Check compatibility of hard suction fittings

3.20 Drain, clean and refill tank (Only required after 1st year of install then every ten years)

3.35 Visually inspect internal stay support system

3.36a Inspect tank condition

3.13 Check vents

3.14 Check tank access

3.15 Check condition of signage

3.36b Verify low water level alarm Alarm level (m)

Rectangular Panel Tanks

Pressure Tanks


3.21 Check liner fixing system

3.27 Check liner flexibility

3.22 Check liner for discolouration

3.28 Check liner for discolouration

3.23 Check liner for shrinkage

3.29 3.30 Check liner for signs of elongation or bulging

3.24 Check liner for brittleness

3.25 Check liner for cuts and tears

3.31 Check liner for leaks, cuts and tears

3.26 Check liner for surface deterioration

3.32 Drain, clean and re-fill (see notes in AS1851)

3.33 Check sludge depth

3.34 Check tank base

Tanks with Liners – Above the Waterline

Tanks with Liners – Below the Waterline















Licence Type

Licence No.

FPAS No.



Water Storage Tanks for Fire

Protection Systems

LB5

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS

SITE DETAILS

1 YEAR EDITION


LOGBOOK

Site Name


Site Address

Time

Site ID

LB6B Emergency Warning Systems (EWS) and Emergency Intercom Systems (EIS)

EWS Monthly / Yearly Service Record – Page 1 of 1



Item No. MONTHLY Actions required by Table 6.4.3.1 Pass Fail N/A

Item No. YEARLY Actions required by Table 6.4.3.2 Pass Fail N/A



1.2 Inspect zone block plan

1.3a & b Check condition of warning system panel

1.3c Check replacement element and tool for MCP’s (w/a)

1.4 Inspect battery enclosure

1.5 Test warning signal operation

2.2 & 2.3 Check and test emergency call points


2.4 & 2.5 Inspect and test visual warning devices (VWDs)

2.6 & 2.7 Inspect and test other warning devices

2.8 Inspect “as installed” drawings

2.9 Test warning system initiation

2.10 Test circuit fault condition throughout system

2.11 Test aural indicators

2.12 Test panel switches and keypads

Item No. YEARLY Actions required by Table 6.4.3.2 Pass Fail N/A

2.13 Confirm fault condition indication

2.14 Test visual indicators and alphanumeric displays

2.15 Measure and verify battery capacity (record in table below)

2.16 Test ancillary controls

2.17 Test audibility

2.18 Test alarm signal override

2.19 Test and Verify system interfaces

2.21 Check building layout changes

2.22 Check occupancy changes

2.20 Verify battery condition

Date last replaced

Test load current (A)

Final test voltage (V)

/ /

Associated / Connected Equipment Service Completed Yes No N/A If No or N/A, indicate reason below

Monthly fire detection system

Yearly fire detection system

Battery Capacity Test Results

Quiescent Current (IQ) A Calculated 20h rate Capacity Ah

Alarm Mode Current (IA) A Age factor (calculated capacity X 1.25) Ah

Required Quiescent Standby Time h Required Capacity Ah

Required Alarm Mode Standby Time h Fitted Capacity Ah







Licence Type

Licence No.

FPAS No.







4 – Recommendations Further information recorded on notes page



Emergency Warning Systems

(EWS) and Emergency Intercom

Systems (EIS)

LB6B

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS

SITE DETAILS

1 YEAR EDITION


LOGBOOK

LB6A Fire Detection and Alarm Systems

Detector Test Record – Page 1 of 1



For details on the required test regime – see separating tab or refer to Appendix G of AS1851-2012.

Place a tick ü in the numbered boxes for detectors & sampling points complying with response limits listed below.Place a cross û in the numbered boxes for detectors & sampling points not complying with response limits listed below.

Site Name

Date / / Time

Date Loop No. Alarm Zone Detectors & Sampling Points Tested

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

/ /1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40

Detector TypeResponse Limits

ReferenceLower Limit Upper Limit



Fire Detection and

Alarm Systems

LB6A

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS

SITE DETAILS

1 YEAR EDITION


LOGBOOK

LB7 Special Hazard Systems Contains the service records required by Section 7 of AS 1851-2012 for Special Hazard Systems including Gaseous Systems, Aerosol Systems and Water Mist Systems. This logbook must be used in conjunction with logbook LB6A – Fire Detection and Alarm Systems – General Requirements, which covers the detection and control components of such systems.Available as 1 Year Edition

LB7 Special Hazards Systems

Yearly / 10 Yearly Service Record – Page 1 of 1



Item No. Actions required by Table 7.4.4 Pass Fail N/A Item No. Actions required by Table 7.4.4 Pass Fail N/A


3.1 Complete Monthly and Six-Monthly service

3.2 Complete yearly electrical detection and control systems service

3.3 Identify test date of gas storage containers

3.4 Service mechanical actuator & mechanical release system

3.5 Service detection system (mechanical)

3.6 Replace detection devices (mechanical) as necessary

3.7 Check location of detection devices (mechanical)

3.8 Replace pyrotechnic actuator as necessary

3.9 Clean nozzles

3.18 Inspect areas adjacent to protected areas

3.21 Test post-discharge ventilation

3.22 Confirm operation of directional valve(s)

3.19 Test operation of ventilation dampers

4.1 Complete monthly, six-monthly & yearly service

3.10 Clean dampers

3.11 Check for any unintentional discharge condition

3.12 Verify hazard – fuel type

3.13 Verify enclosure volume for total flooding systems

3.14 Verify design concentration or application density

3.15 Verify dimensions of protected objects – Local application systems

Site Name


Site Address

Time

Site ID

3.16Complete enclosure integrity test (total flooding systems)

Equivalent leakage area m2

Retention time min (gaseous systems only)









3.17 Test pressure-relief vent operation (where fitted) kPa

3.24 Replace aerosol generators (as necessary)

3.25 Conduct full flow test

4.2 Test flow from nozzles

4.3 Pressure test gas storage container

4.4 Inspect internally storage container

3.26 Check water additive concentration

3.27 Service line strainers and filter

3.28 Inspect internal condition of container

Aerosol Systems – Additional Activities

Water Mist Systems – Additional Activities

The following Activities are required to be performed every ten years ONLY








Licence Type

Licence No.

FPAS No.

3.23 Test and verify interfaced system initiation

EWS

Power shut-off

Fuel shut-off

HVAC



Special Hazard Systems

LB7

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS

SITE DETAILS

1 YEAR EDITION


LOGBOOK

LB12Passive Fire & Smoke Systems – Fire & Smoke Barriers & Construction Elements – Fire & Smoke Doors & Shutters Contains the service records required by Section 12 of AS 1851-2012 for Fire and Smoke Barriers, Service Penetrations, Control Joints, Access Panels and Hatches, Fire Protected Structural Members, Fire Rated Glazing and Fire Protected Air Ducts, Fire Resistant Doorsets, Smoke Doors and Fire Shutters.Available as 3 Year Edition

Site Name


Site Address

Time

Site ID

LB12 Passive Fire & Smoke Systems – Fire & Smoke Barriers & Construction Elements





2.1 Compare floors with approved design 6.1 Check for modifications to glazing that differ from the

Approved design






















FIRE & SMOKE BARRIERS – FLOORS – Table 12.4.1.2 FIRE-RATED GLAZING – Table 12.4.6

FIRE-PROTECTED AIR DUCTS – Table 12.4.7FIRE & SMOKE BARRIERS – CEILINGS – Table 12.4.1.3






ID No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25



ID No. 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50



ID No. 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75



ID No. 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100



ID No. 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125



START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS


SITE DETAILS


3 YEAR EDITION

LB12


Construction Elements

Fire & Smoke Doors & Shutters

Passive Fire & Smoke Systems


LOGBOOK

LBE2Emergency Evacuation Lighting for Buildings – Single Point SystemsContains the service records required by AS/NZS 2293.2-1995 for Emergency Escape Lighting and Exit Signs – Single Point Systems.Available as 3 Year Edition

LBE2 Emergency Evacuation Lighting for Buildings – Single Point Systems

Lighting Test Record – Page 1 of 1



RESULTS OF INSPECTION & MAINTENANCE PROCEDURES – Refer to as-installed plans or schedule for identification and type of luminaire or exit sign

ID No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25



ID No. 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50



ID No. 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75



ID No. 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100



ID No. 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125



ID No. 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150



Site Name

Date / / Time

ID / Item No. Description / Corrective Action Required or Repairs Completed


START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS


SITE DETAILS


LBE2

Single Point Systems

Emergency Evacuation

Lighting for Buildings

3 YEAR EDITION

AS/NZS 2293.2 – 1995

LOGBOOK

LOGBOOKS

LBE1Emergency Evacuation Lighting for Buildings – Central SystemsContains the service records required by AS/NZS 2293.2-1995 for Emergency Escape Lighting and Exit Signs – Central Point Systems.Available as 3 Year Edition

Site Name


Site Address

Time

Site ID

Item No. Required procedures Pass Fail N/A

All previously identified corrective action attended to & recorded

Batteries (Clause 2.3.2)Distribution and Control Equipment (Clause 2.3.5)

Emergency Luminaires and Exit Signs (Clause 2.3.6)

System Check – Manual Discharge Test (Clause 2.3.7.1)

System Check – Automatic Discharge Test (Clause 2.3.7.2)

Battery Charger Assembly (Clause 2.3.3)

Inverters (Clause 2.3.4)

Inverters (Clause 2.3.4) – Continued

1 Check battery electrolyte levels and inspect for leakage

2 Inspect battery connections for corrosion and tighten where required

4 For lead acid batteries determine the electrolyte density for each cell (record in table below)

5 Measure overall battery voltage and individual cell voltage (record in table below)



20 Isolate coil circuits from a.c. supply and observe correct operation of lighting

21 Check operation of all emergency luminaires and exit signs (record results on lighting test record)

24 Indirect lighting systems – where relevant, check beam direction is appropriate

28 Check battery charger changes to float charge mode manual boost-charge recharge

30 Conduct an automatic discharge test for systems that incorporate automatic discharge test facilities

26Conduct a manual discharge test for systems that incorporate manual discharge test facilities. Run test for required in-service duration


3 Apply appropriate preservative to exposed metal surfaces


11 Check battery earth-fault detection system

10 Check calibration of voltmeters

12 Check battery low-voltage alarm


19 Remove any dust or dirt from within enclosures

23 Indirect lighting systems – check reflecting surfaces

25 Check system operates in correct relationship to normal lighting

7 Remove any dust or dirt from cubicle

Item No. Required procedures Pass Fail N/A

LBE1 Emergency Evacuation Lighting for Buildings – Central Systems




This record of service confirms that the Emergency Evacuation Lighting system has been inspected and maintained in accordance with AS 2293.2-1995 and that the information on this service record is true and correct. This record does not infer compliance with all applicable building and fire safety legislation within the relevant jurisdiction.





System is in proper working order


Licence Type

Licence No.

FPAS No.

8Verify battery voltage is consistent with system requirements

Measured V

Required V

14Check and verify d.c. input voltage and current is within tolerance limits of the inverter

V

A

27On completion of discharge test – measure battery voltage and check it is within acceptable limits

V

29For d.c. reticulated systems measure max voltage at origin during boost charging

V

15Check and verify a.c. output voltage and current is within the output tolerances of the inverter

V

A

Check calibration of voltmeters 16

Battery Test Results Overall Cell 1 Cell 2 Cell 3 Cell 4 Cell 5 Cell 6

Electrolyte Density (Lead Acid Batteries)

State of Charge (Lead Acid Batteries)

Float Charge (All Batteries) V

Check that no power interruption has occurred in the preceding 16 hour period

22 Clean all light-emitting and reflecting surfaces

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS


SITE DETAILS


LBE1

Central Systems

Emergency Evacuation

Lighting for Buildings

3 YEAR EDITION

AS/NZS 2293.2 – 1995

LOGBOOK

ADDITIONAL BOOKS

SR8-11Fire Extinguishers, Blankets, Hose Reels & Lay Flat Hose Contains the service records required by Sections 8, 9, 10 and 11 of AS 1851-2012 for Portable and Wheeled Fire Extinguishers, Fire Blankets, Fire Hose Reels and Delivery Lay Flat Fire Hose.

2.1 Complete six-monthly service

2.2 Check operating head or cap is undamaged and any strainer or vents are clear 1

2.3 Check extinguisher discharges correctly in accordance with the operating instructions 2

2.4 Check actuating device is undamaged and moves freely 2.5 Check internal components provide clear passage and are securely attached 1 2.7 Check cylinder interior is clean 2.8 Recharge the extinguisher with fresh extinguishing agent 1 2.9 Check condition of operating head or cap seal 1 2.10 Test for leaks from any joints and seals 1 2.11 Check fire hazard has not changed 2.12 Check suitability for hazard is appropriate

2.13 Check alterations to the building that might impede access to, or movement of, wheeled extinguisher

Five Yearly Service – Table 10.4.3

3.1 Complete Six-Monthly and Yearly service

3.2 Check extinguisher discharges correctly in accordance with the operating instructions

3.3 Check actuating device is undamaged and moves freely 3.4 Check internal components provide clear passage and are securely attached

3.6 Check internal condition of cylinder in accordance with the requirements of AS 2030.5

3.7 Check condition of operating head or cap seal

3.9 Pressure test wheeled extinguishers in accordance with AS 2030.5 at an approved test station

3.10 Recharge the extinguisher with fresh extinguishing agent as required by the manufacturer 3

3.11 Renew seals and gaskets fitted to the actuating device, operating head or cap.

3.12 Test for leaks from any joints and seals

3.13Pressure test hose assembly to 1.5x the working pressure or 2MPa whichever is the greatest (for all wheeled extinguishers other than CO2). For CO2, pressure test hose assembly to 10MPa

SR8-11 Fire Extinguishers, Blankets, Hose Reels & Lay Flat Hose

Required Action Reference Guide – Page 4 of 4

Pow

der

Foa

m

Vap

orisi

ng Li

quid

Wat

er

Wet

Chem

ical

Pow

der

Wat

er

Foa

m

Car

bon D

ioxid

e

WHEELED FIRE EXTINGUISHERS – Continued

EXTINGUISHER TYPE

STORED PRESSURE

Item No. Actions Required

Yearly Service – Table 10.4.2

Required Action Reference Guide – Page 4 of 4 © FPA Australia 2016 SR8-11 V2.0 November 2016

GAS CONTAINER

1 Water with additive ONLY 2 Only applies to water with additive (discharged yearly) and water with corrosion inhibitor or freezing point depressants (discharged 3 yearly). 3 Applies to foam (gas container with sealed foam liquid container) ONLY

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS



Fire Extinguishers, Blankets,

Hose Reels & Lay Flat Hose

SR8-11


SUMMARY

RECORD

SR12APassive Fire & Smoke Systems – Fire & Smoke Barriers & Construction ElementsContains the service records required by Section 12 of AS 1851-2012 for Fire and Smoke Barriers, Service Penetrations, Control Joints, Access Panels and Hatches, Fire Protected Structural Members, Fire Rated Glazing and Fire Protected Air Ducts.

Site Name


Site Address

Time

Site ID

SR12A Passive Fire & Smoke Systems – Fire & Smoke Barriers & Construction Elements





2.1 Compare floors with approved design 6.1 Check for modifications to glazing that differ from the

Approved design




















Distribution of service record copies: owner/occupier/agent = original service provider = duplicate © FPA Australia 2016 SR12A V2.0 November 2016


FIRE & SMOKE BARRIERS – FLOORS – Table 12.4.1.2 FIRE-RATED GLAZING – Table 12.4.6

FIRE-PROTECTED AIR DUCTS – Table 12.4.7FIRE & SMOKE BARRIERS – CEILINGS – Table 12.4.1.3






ID No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25



ID No. 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50



ID No. 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75



ID No. 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100



ID No. 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125



START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS



SR12A


SUMMARY

RECORD


Construction ElementsPassive Fire & Smoke Systems

SR12BPassive Fire & Smoke Systems – Fire & Smoke Doors & ShuttersContains the service records required by Section 12 of AS 1851-2012 for Fire Resistant Doorsets, Smoke Doors and Fire Shutters.

Site Name


Site Address

Time

Site ID

SR12B Passive Fire & Smoke Systems – Fire & Smoke Doors & Shutters



Distribution of service record copies: owner/occupier/agent = original service provider = duplicate © FPA Australia 2016 SR12B V2.0 November 2016

FIRE DOORS – Tables 12.4.3.1 & 12.4.3.2 EQUIPMENT REGISTER: Total number of Fire Doors:

Fire Door Type Tally of Results Type of Service CompletedChecked Passed Failed Missing 3 Monthly 6 Monthly

Hinged & pivoted fire resistant doorsets

Horizontal sliding fire-resistant doorsets

System Type Equipment Register Total

Tally of ResultsChecked Passed Failed Missing

SMOKE DOORS – 6 MONTHLY Tables 12.4.4

FIRE SHUTTERS – YEARLY Table 12.4.5

RESULTS OF ROUTINE SERVICE ACTIVITIES – Refer to equipment register for details of equipment type, location and other relevant details

ID No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25



ID No. 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50



ID No. 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75



For sites with more than 75 fire and smoke doors: Record additional items on Additional Equipment Test Record contained in Supplementary Forms Book


ID No. Defect Type Description / Corrective Action Required or Repairs Completed

Legend 1 – Critical Defect 2 – Non Critical Defect 3 – Non Conformance 4 – Recommendations Refer to equipment register for details of equipment type, location and other relevant details







Licence Type

Licence No.

FPAS No.

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS



SR12B

Fire & Smoke Doors & ShuttersPassive Fire & Smoke Systems


SUMMARY

RECORD

SRFORMS1Supplementary Forms BookContains additional “Notes/Comments” records and additional “Equipment Test” records that have been designed to supplement the standard forms contained in summary record book SR8-11. They are designed specifically for larger sites that often require significant notes to be recorded for each routine service activity completed, or have a large number of items to be serviced that exceed the design of the standard SR8-11 books. They can also be used to document quotes, for recording records of repairs and upgrades completed or for making recommendations.

SRFORMS1 Supplementary Forms Book

Additional Equipment Test Record


Distribution of service record copies: owner/occupier/agent = original service provider = duplicate © FPA Australia 2014 SRFORMS1 V1.0 April 2014

Site Name


Site Address

Time

Site ID

Associated Sheet ID

ID No. 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125

Service Type



ID No. 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

Service Type



ID No. 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225

Service Type



ID No. 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150

Service Type



ID No. 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250

Service Type



ID No. 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175

Service Type



ID No. 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275

Service Type



ID No. 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200

Service Type



ID No. 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300

Service Type



RESULTS OF ROUTINE SERVICE ACTIVITIES – Refer to equipment register for details of equipment type, location and other relevant details

Supplementary Notes / Comments Record

Additional Equipment Test Record

START DATE / /

END DATE / /

START REPORT NO.

END REPORT NO.

SERVICE PROVIDER

CONTACT DETAILS



SRFORMS1


SUPPLEMENTARY

FORMS

Supplementary Forms Book

SUMMARY RECORDS

For more information visit www.fpaa.com.au/sales

Building 2, 31–47 Joseph Street Blackburn North VIC Australia 3130

PO Box 1049 Box Hill VIC Australia 3128

P 03 8892 3131 E [email protected] F 03 8892 3132 W www.fpaa.com.au

Fire Protection Association Australia

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