Fire Impairment Notice

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IFPS FIRE IMPAIRMENT

To be filled out when working on any live fire systems

1
Impairment Number
2
Impairment Details
Please Select
Please Select
Client
Builder
IFPS
Requested by
Name of person requesting impairments
Phone number
Details of works to be done
3
Project
31 Market Street
UBS Project Infinity
Larmont Hotel
Central Courthouse
CCSD Lighgow Hospital
CCSD Blue Mountain Hospital
Tesla Alexandria
Toshiba Macquarie Park
Boot Factory
Town Hall House
Other
4
System getting impaired
Fire Panel
EWIS panel
ASE
Mechanical System
Security System
Fire Trip
Sprinkler System
Fire Hydrant System
Fire Hose Reel System
5
Preparations
Hydrants operational
Fire hose reels operational
Fire extinguishers on site
Site manager to be notified
Building management to be notified
Fire protection to be restored each day
6
Date of Isolation
Date
Day
Month
Year
7
Time of Isolation
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
AM
AM
PM
8
Date of Re Instatement
Date
Day
Month
Year
9
Time of Re Instatement
1
2
3
4
5
6
7
8
9
10
11
12
Hour
00
10
20
30
40
50
Minutes
AM
AM
PM
Should be Empty:

Question Label

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