Cs System Building Maintenance Evaluation Template

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SS 15.4 - Signs
Address:
Provided by (name):
Register of signs for evacuation
Make
Model
Location
1
2
3
4
5
6
7
8
9
10
Performance/Installation
NZS 6742 Year ____________
Standard:
AS 2293
Year ____________
Specifically Designed Alternative Solution
Other (Historical)_________________________________
Inspections &
NZS 6742 Year ____________
Maintenance Standard:
AS 2293
Year ____________
Specifically designed solution provide details separately
As a minimum these
Planned preventative maintenance and responsive maintenance will
inspections and
be carried out in accordance with the nominated performance and
maintenance procedures
inspection standard or document to ensure the system will operate as
will be carried out:
required. See Below
Inspection frequency and
Monthly
Owner
responsibility:
IQP
Annual
Owner
IQP
Inspections &
Maintenance:
Monthly Inspections
Illuminated signs should be inspected to ensure:
Of correct type
In correct location
Legible
Illuminated
Monthly Maintenance
Clean
Check securely fixed to wall
SBCG SS15.4 version 03-04-2012

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