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Emergency Lighting Form
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17
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1
Office
*
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Fire Durham
Fire Glasgow
Fire Leeds
Pointer Security
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2
Customer Name
*
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3
Customer Address
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4
Contract Number
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5
Date of Call
*
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6
Call Reference Number
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7
Call Type
*
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Call Out
Service / Maintenance
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8
Indicators of Central Power Supply inspected for correct operation
Yes
No
N/A
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9
All luminaires and signs shall be checked to ensure that they are present, clean and functioning correctly
Switch on in the emergency mode each luminaire and each internally illuminated exit sign from its battery by simulation of a failure of the supply to the normal lighting for a period sufficient to ensure that each lamp is illuminated
Yes
No
N/A
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10
In addition to central battery systems, the correct operation of system monitors shall be checked.
Switch on in the emergency mode each luminaire and each internally illuminated exit sign from its battery by simulation of a failure of the supply to the normal lighting for a period sufficient to ensure that each lamp is illuminated
Yes
No
N/A
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11
Each luminaire and internally illuminated sign shall be tested as per but for its full rated duration in accordance with the manufacturer's information;
Yes
No
N/A
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12
The supply of the normal lighting shall be restored and any indicator lamp or device checked to ensure that it is showing that normal supply has been restored. The charging arrangements should be checked for proper functioning;
Yes
No
N/A
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13
The date of the test and its results shall be recorded in the system logbook
Yes
No
N/A
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14
Engineer Notes
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15
Any Parts Used?
*
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Yes
No
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16
Parts Used Detail
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17
The system has been left in a working condition
*
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Yes
No
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18
Engineer Name
*
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19
Engineer Signature
*
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20
Customer Name
*
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21
Customer Signature
*
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22
Customer Email Address
For a copy of the call form to be emailed by our office
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23
Time On Site
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24
Time Off Site
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25
Travel Time (Mins)
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