Work Sheet - Dragon Security and Electrical Ltd

Please start by selecting the type of form you wish to complete:-

!!! Warning !!! Do Not Refresh this page or your will have to complete the form from scratch !!!
Form Type: *
Worksheet Number:
Cust Order No:
*If required
Date *

Day Month Year
Date Hour Minutes
Time on Site *
Engineer *
New Customer? *
Company name:
Name

First Name Last Name
Customer Address *

Street Address

Street Address Line 2

Town/City County

Postcode
Phone Number *

Area Code Phone Number
Email *
example@example.com
PRE-WORK RISK ASSESSMENT (Questions 1-12 must be answered before starting work) *
Any other:
Routine Maintenance Check List - *
Other Service Test Results - Battery AH, Voltage, Condition etc..
New Intruder Alarm Installation - Check List

New Intruder Alarm Installation - Guidelines with SSAIB - BS EN 50131-1 & PD6662: 2015 The following must be completed on every Installation : -
Install Date - *
Commission Date - *
Zone list - (Include Type (Alarm, E/E, E/R, CCTV etc), Name or Location) *
System Information - Please complete fully *
Control Panel Information - Please complete fully *
Power & Battery - *
Engineers Signature *

*You sign to accept the Above information is correct and as accurate as possible Clear
Engineer Name *

First Name Last Name
Intruder Alarm Service & Maintenance Check List

New Intruder Alarm Installation - Guidelines with SSAIB - BS EN 50131-1 & PD6662: 2015 The following must be completed on every Installation : -
Please note – If the proposed system requires police response then two service visits per year are mandatory. If you fail to have the system serviced or maintained then the police will remove all automatic response. Regular service has been proved to reduce false alarms and wasted police time.

Please note – If the proposed system is a requirement of your insurance company they will also require that your system is serviced or maintained in line with the current standards and current police requirements. Failure to have the system serviced or maintained or the loss of police response will mean that the insurance company may refuse to pay out after a break-in. Regular service has proved to be the only way to ensure that the system is working correctly.

The requirement is that the system MUST receive a service or maintenance visit by an alarm company engineer every 6 or 12 months.

Note – one of these visits MAY be carried out remotely (Via Online Access) by the alarm company via the telephone line and the modem.

The Service Agreement will include provision for all call-outs, parts and labour, under our normal terms and conditions. In addition to the Services, AlertSystems will carry out two scheduled maintenance visits per annum.

An inspection and test procedure will be undertaken at each scheduled maintenance visit consisting of checks to the following:
- Tamper detection; setting and unsetting; entry & exit procedures; power supplies & circuits; operation of detectors, warning devices and the alarm transmission equipment.
- Check that the installation, including type, location and siting of all equipment and devices is in accordance with the System
Check that the installation, including type, location and siting of all equipment and devices is in accordance with the System *
New Installation - Check List

New Install - Guidelines with SSAIB
FIRE DETECTION AND ALARM SYSTEM INSTALLATION CERTIFICATE - New Installation

Guidelines with BS 5839 Parts 1 - 11, also PD6531:2010
DETAILS:

FIRE DETECTION AND ALARM SYSTEM
CERTIFICATE REF: DSEF *
Example: DSEF123456MM
THE INSTALLATION IS:
Please select!
Company / Client Name: *
Install Address: *

Address

Address Line 2

Town/City County

Post Code
EXTENT OF THE FIRE DETECTION AND ALARM SYSTEM COVERED BY THIS CERTIFICATE: *
INSPECTION & TESTING OF WIRING SYSTEM

WIRING HAS BEEN TESTED IN ACCORDANCE WITH THE RECOMMENDATIONS OF CLAUSE 38 OF BS 5839:2002
INSULATION RESISTANCE TESTS:
SUPPLY CIRCUIT (S) TESTS:
TEST(S) REQUIRED BY MANUFACTURER, IF ANY:
RELATED REFERENCE DOCUMENTS AND CERTIFICATE NUMBERS:
CERTIFICATE OF COMMISSIONING

I/WE BEING THE COMPETENT PERSON(S) RESPONSIBLE (AS INDICATED BY MY/OUR SIGNATURES BELOW) FOR THE INSTALLATION OF THE FIRE ALARM SYSTEM, PARTICULARS OF WHICH ARE SET OUT ABOVE CERTIFY THAT THE SAID INSTALLATION FOR WHICH I/WE HAVE BEEN RESPONSIBLE COMPLIES TO THE BEST OF MY/OUR KNOWLEDGE AND BELIEF WITH THE SPECIFICATION DESCRIBED BELOW AND WITH THE RECOMMNDATIONS OF SECTION 4 OF BS 5839-1:2002, EXCEPT FOR THE VARIATIONS IF ANY, STATED IN THIS CERTIFICATE.VARIATIONS FROM THE SPECIFICATION AND/OR SECTION 4 OF BS 5839-1:2002 (SEE BS 5839-1, CLAUSE 7)
Engineer Name:

First Name Last Name
Engineer Signature *

THE EXTENT OF THE LIABILITY OF THE SIGNATORY/SIGNATORIES IS LIMITED TO THE WORK DESCRIBED ABOVE Clear
New CCTV Installation - Check List

New CCTV Installation - Guidelines with SSAIB BS EN 50132-7: 2012 The following must be completed on every Installation : -
Fire Alarm Preventative Maintenance - Certificate & Service Check List

Guidelines with BS 5839 Parts 1 - 11, also PD6531:2010
This certificate must be kept in a safe place and be available for inspection at all times!
Date of Service:

Day Month Year
Date
Certificate Ref: *
Example: DSEF123456NO
Test Equipment Used: *
System Category: *
Please select
System Category Other:
Period Type: *
Please select
Panel Information: *
If the person within premises management appointed to supervise matters pertaining to the fire detection & alarm system did not allow the testing of alarm devices,

Please complete the following:
Appointed Person's Name:

First Name Last Name
Appointed Person's Position within the Company:
Appointed Person's Signature:

Clear
Date Last Tested:

Day Month Year
Date
Date of Next Test: *

Day Month Year
Date

Battery Rated Size *
(Voltage. AH. Qty)
Charging Voltage : *
Voltage
Alarm Load Current : *
Amps
Quantity of Devices Tested (%) : *
Example: 70%

FIRE ALARM PPM ONLY

The Fire Detection & Alarm System has been inspected and tested in

Accordance with BS5838-1:2013 Section B issued by The British Standards

Institutions & following this service as defined above has been left fully operational

OTHER PPM ONLY

The system as defined above has been inspected & tested in accordance with

BS5838-1:2013 issued by The British Standards Institution. Following this service it has been left fully operational.
VARIATIONS TO BS *
SECTION A: To include details of the comments made in the system satisfaction report *
This certificate confirms: That other than any non-conforming equipment recorded in Section A, all systems have been inspected & serviced in accordance with the British Standards Mentioned.
System Satisfactory: *
System Operational: *
Engineer Signature *

*You sign to accept the Above information is correct and as accurate as possible Clear
Engineer Name *

First Name Last Name
Portable Appliance Check List

- PAT TEST - Guidelines with Code of Practice for In-service Inspection and Testing of Electrical Equipment (Current Edition)
Last PAT Test Date: *

Day Month Year
Should be Last Year or Previous
Next PAT test Date: *

Day Month Year
Future Date only!
New Customer? *
PAT Number Range *
Example: - 2018 - 2032
The inspection carried out in conjunction with testing -
Engineer Signature *

*You sign to accept the Above information is correct and as accurate as possible Clear
Engineer Name *

First Name Last Name
CCTV Preventative Maintenance Check List

- CCTV SERVICE - Guidelines with SSAIB - BS EN 50132-7: 2012 -
CAMERA & HOUSING -
WIRING & CABLES-
CONTROL EQUIPMENT -
CCTV EQUIPTMENT DESCRIPTION -
NETWORK SETUP DETAILS -
Camera Type / Location -
Engineer Signature *

*You sign to accept the Above information is correct and as accurate as possible Clear
Engineer Name *

First Name Last Name
Gate/Barrier Automation System - Preventative Maintenance &Service Check List

Automated Gates Preventative Maintenance Procedures - Guidelines within HSE standards, manufacturers recommendations and to ensure that the automatic gate remains reliable
Guidelines for Maintenance Schedules:
- Over 45 cycles per day Every 2 Months
- Up to 45 cycles per day Every 3 Months
- Up to 30 cycles per day Every 4 Months
- Up to 15 cycles per day Every 6 Months
Gate Type: *
Recommended Test Period: *
Test Report Ref: *
Example: DSEG123456MM
Previous Test Date:

Day Month Year
If Known
Next Advised Test Date: *

Day Month Year
Date
Select Accordingly: *

Check general operation of system Assess condition of driveway Inspect structural state of gate support Inspect cable ducts and access where possible Inspect condition of gates Check gate alignment and ground clearance Inspect general condition of hinges, gate stops and other gate furniture Grease hinges Inspect operators for condition, damage, wear etc. Check operator fixings, brackets and geometry Assess performance of operators and clutch settings Bleed and top-up oil Pressure test and adjustment – open and close Check manual release and locking performance Check protection of electrical connections to operators Assess system usage levels Assess Logic, Run, Pause, Leaf Delay and Over-run times Carry out electrical inspection and earth insulation test on motors and their cables Inspect isolation and protection of mains power supply Check if RCD is present Check electrical connections, terminations and protection Check earthing termination Check condition and operation of all control equipment Check sealing of control box Check sealing of Audio Link, photocells and other control equipment Clean Audio Entry panel Clean out foundation boxes and check drainage for Undergate / SUB Operators Check and if required, change batteries on Safety Edge and Photocell Transmitters Highlight any areas of concern and provide appropriate recommendations Check, affix and date service sticker or Label Force Test Completed
Please complete the following:
Force Test Results: *
Engineer Signature *

*You sign to accept the Above information is correct and as accurate as possible Clear
Engineer Name *

First Name Last Name
Access Control Preventative Service Check List

Service and Maintenance – Access Control - Guidelines with BS EN 50133-7: 1999
The Service Agreement will include provision for all call-outs, parts and labour, under our normal terms and conditions. In addition to the Services, Dragon Security & Electrical will carry out one scheduled maintenance visit per annum.

An inspection and test procedure will be undertaken at each scheduled maintenance visit consisting of checks to the following:
Select Accordingly: *

Check the number and type of readers are in accordance with the specification and any amendment Confirm that there remains adequate ventilation in the area of the CPU Check warning labels are still in place Check all cables and conduit are properly supported, undamaged and showing no signs of wear Check for sound physical fixings of all equipment including loosening or corrosion of supports and fixings Check all glands, seals and connections on all external equipment Ensure the equipment is free from environmental problems such as dust, vibration, electrical interference etc. Ensure the system remains protected against unauthorised interference, e.g. password level (s) Check Reader timings are as specified Check operation of all door fixings and furniture is satisfactory Check function of all interfaces with alarms is satisfactory including correct triggering of alarms Check that the performance of the system(s) continues to meet the agreed specification / operational requirement according to the periodic test scheme agreed with the customer All connections checked and labelled Customer’s system logbook filled in
Engineer Signature *

*You sign to accept the Above information is correct and as accurate as possible Clear
Engineer Name *

First Name Last Name
Reason for visit & work carried out: *
Additional Work required: (If YES please complete below)
Evidence Photos
Please List all Products used:
Input None - If nothing used
Is the Job Complete? *

YES NO
Return Visit booking Date: *
Customer Present? *

YES NO
I the Undersigned certify that the work specified above has been and: ( * Please tick only if you DISAGREE )

* A - The system has been tested and left in good working order. * B - Due to circumstances it is impossible to comprehensively but the appropriate circuit upon which the fault occured has however been tested into the main system. * C - I am satisfied with the instalation and have recieved all relevant training and information (codes, instructions etc) * D - Dragon Security & Electrical Ltd GDPR and Privacy policy is available upon request.
Customer's Signature *

Clear
Customers Name *

First Name Last Name
Date *

Day Month Year
Date
Does the customer want to pay by Cheque?

Yes No
Please input Cheque Details & Amount:
Please match the details on the cheque
Does the customer want to pay now by card?

Yes No
Customer Payment Option

Please complete accuractely and Precisely - Call the office on 01492 330707
Customer Service -

Please you if possible would your complete the following survey for our feedback.
Does the customer want to complete a Customer Feedback form?

Yes No
Please rate the service you have been provided by your Engineer/s

1 = POOR .........5 = EXCELLENT

Geolocation
Dragon Security and Electrical Ltd

Unit 5 Network House, Conwy Road, Mochdre, Colwyn Bay, Conwy LL28 5HN Registered in England& Wales Registered No:07432187 – VAT Reg No:GB 209283508 - Tel 01492 330330 Email - info@dragonse.com
Should be Empty:

	Yes	No	N/A
Signals to alarm centre tested
Controls and visual indicators checked at CIE
Fault Indicators & their Circuits checked By Simulation of Fault Conditions
Ancillary Functions of CIE Tested
Printer Checked for Correct Operation / Legibility
Batteries disconnected & Full Load Simulated
Mains Disconnected & Battery Load Tested

	Yes	No	N/A
Alarm Warning Devices Operational / Checked
MCP’s suitably sited & Unobstructed
Automatic Fire Detectors Suitably sited
Repeater Panel(s) Tested
Auxiliary Equipment Checks / Test Performed
Visible Cable, Fixings & Equipment Secure
Building checked for Alterations / Obstructions
As Fitted/Wired Drawings Available
Zone Chart Displayed
System Log Book Examined & Updated
Log / Report to Client Outstanding Defects
Number of False Alarms in last 12 months

	Not Satisfied	Somewhat Satisfied	Satisfied	Very Satisfied
Service Quality
Cleanliness
Responsiveness
Friendliness

New Intruder Alarm Installation - Check List

Intruder Alarm Service & Maintenance Check List

New Installation - Check List

FIRE DETECTION AND ALARM SYSTEM INSTALLATION CERTIFICATE - New Installation

DETAILS:

INSPECTION & TESTING OF WIRING SYSTEM

CERTIFICATE OF COMMISSIONING

New CCTV Installation - Check List

Fire Alarm Preventative Maintenance - Certificate & Service Check List

Portable Appliance Check List

CCTV Preventative Maintenance Check List

Gate/Barrier Automation System - Preventative Maintenance &Service Check List

Access Control Preventative Service Check List

Customer Payment Option

Customer Service -

Dragon Security and Electrical Ltd