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PREMIER SX USER MANUAL, MAINTENANCE GUIDE & LOG BOOK
Approved Document No: GLT.MAN-102
PAGE 20
Issue: 1.3 Authorised: GH Date: 9/6/2004
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 below, CERTIFY that the said
installation for which I/we have been responsible complies to the best of my/our knowledge and belief
with the specifications described below, and with the recommendations of BS5839-1:2002, except for
the variations, if any, stated in this certificate
Name (in block letters): Position:
Signature: Date:
For and on behalf of:
Address:
Postcode:
The extent of liability of the signatory is limited to the system described below.
Extent of the installation work covered by this certificate.
Specification against which the system was installed:
Variations from the specification and/or section 4 of BS 5839-1:2002 (see clause 7)
The wiring has been tested in accordance with the recommendations of clause 38 of BS 5839-1:2002.
The test results have been recorded and provided to:
Certificate of Installation for the Premier SX Fire Alarm System installed at:
Address:
Unless supplied by others, the “as fitted” drawings have been supplied to the person responsible for
commissioning the system (see BS 5839-1:2002 clause 36.2m