Service – Fire Roller Shutters Authorised Technician BS EN 16005:2012 Commissioning Checklist Customer Street Address Address Line 2 Address Line 3 Post Code SLA No.(Required)SelectM1407/348/MM1407/349/MM1407/350/MM1407/351/MWhats the purpose of your visit?(Required)SelectServiceRoller Shutter InformationRoller Shutter Manufacturer(Required)SelectUnknownWhat is the Location / Reference for the Roller Shutter?(Required)SelectRS1 Diners RepublicRS2 Diners RepublicRS3 Diners RepublicRS4 Diners Republic ExpressRoller Shutter Height Enter in mmRoller Shutter Width Enter in mmRoller Shutter Mechanical Checks Carried Out Overall condition Guides Lubricate all moving parts Manual over-ride Shutter securely fixed Top limit correct Canopy secured Motor & bracket secure Select AllTo BSEN 16005:2012Control Panel ParametersControl Panel Manufacturer(Required)SelectEllard – FDCP Fire Control Panel – 00133Battery VoltageIn VoltsAlarm Door Type(Required)SelectPower ClosingAlarm Zone 1(Required)SelectN/OAlarm Zone 2(Required)SelectOffTest Delay Timer(Required)Select10sAlarm Delay Timer(Required)Select10sF. Closed Running Time(Required)Select40sDoor Closed Alarm(Required)SelectVisual & Sound OffVisual & SoundAUX 1 Relay After Close(Required)SelectOnAUX 2 Relay(Required)SelectStop DelayPhoto Beam in Operator in Alarm(Required)SelectOffRe-open Time(Required)Select0sIn SecondsCommissioningIs there a fire alarm connected?(Required)SelectYes – TestedYes – UntestedNoAutomatic Fire Shutter Signage(Required)SelectYesNoRequiredAdvisedKeep Clear Signage(Required)SelectYesNoRequiredAdvisedIs the system compliant to BS EN 16005:2012?(Required)SelectYesNoReason if compliance failureSystem tested(Required)SelectYesNoSystem working(Required)SelectYesNoAttention RequiredDefects, Risks or HazardsThe door is in working order but requires repairs/modifications to reduce risk of personal injury Yes N/A The door presents an unacceptable personal injury risk and has been set to a safe position Yes N/A Authorised technician(Required)SelectPaul FosterTime Hours : Minutes AM PM AM/PM Date(Required) DD slash MM slash YYYY Upload Photo 1Accepted file types: jpg, jpeg, png, gif.You can upload photos of the door or components hereUpload Photo 2Accepted file types: jpg, jpeg, png, gif.You can upload photos of the door or components hereUpload Photo 3Accepted file types: jpg, jpeg, png, gif.You can upload photos of the door or components hereUpload Photo 4Accepted file types: jpg, jpeg, png, gif.You can upload photos of the door or components here