G.1 Design certificate

Certificate of design for the fire detection and fire alarm system at:

Address: ........................................................................................................................................................................................................................................................................................................................................................................................

I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the design of the fire detection and fire alarm system, particulars of which are set out below, CERTIFY that the said design for which I/we have been responsible complies to the best of my/our knowledge and belief with the recommendations of Section 2 of BS 5839-1:2017 for the system category described below, 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.

System category (see BS 5839-1:2017, Clause 5): .........................................................................................................

Variations from the recommendations of Section 2 of BS 5839-1:2017 (see BS 5839-1:2017, Clause 7):

........................................................................................................................................................................................................................................................................................................................................................................................

Extent of system covered by this certificate:

........................................................................................................................................................................................................................................................................................................................................................................................

Brief description of areas protected (not applicable for Category M, L1 or P1 systems):........................................................................................................................................................................................................................................................................................................................................................................

Measures incorporated to limit false alarms. Account has been taken of the guidance contained in Section 3 of

BS 5839-1:2017 and, more specifically (tick as appropriate):

● The system is manual. Type and siting of manual call points takes account of the guidance contained in Section 3 of BS 5839-1:2017.

● The system incorporates automatic fire detectors, and account has been taken of reasonably foreseeable causes of unwanted alarms, particularly in the selection and siting of detectors.

● An appropriate analogue system has been specified.

● An appropriate multi-sensor system has been specified.

● A time-related system has been specified. Details: ……………………………………………………………………...………………………………...……

● Fire signals from automatic fire detectors result initially in a staff alarm, which delays a general alarm/ transmission of signals to an alarm receiving centre (delete as applicable) for min.

● Appropriate guidance has been provided for the user to enable limitation of false alarms.

● Other measures as follows: ………………………………………………………………………………………………………………

Installation and commissioning

It is strongly recommended that installation and commissioning be undertaken in accordance with the recommendations of Section 4 and Section 5 of BS 5839-1:2017 respectively.

Soak test

● In accordance with the recommendations of 35.2.6 of BS 5839-1:2017, it is recommended that, following commissioning, a soak period of should follow. (Enter a period of not less than one week.)

● As the system incorporates no more than 50 automatic fire detectors, no soak test is necessary to satisfy the recommendations of BS 5839-1:2017.

Verification

Verification that the system complies with BS 5839-1:2017 should be carried out, on completion, in accordance with Clause 43 of BS 5839-1:2017:

Yes No To be decided by the purchaser or user

Maintenance

It is strongly recommended that, after completion, the system is maintained in accordance with Section 6 of BS 5839-1:2017.

User responsibilities

The user should appoint a relevant member of the premises management to supervise all matters pertaining to the fire detection and fire alarm system in accordance with the recommendations of Section 7 of BS 5839-1:201

G.2 Installation certificate

Certificate of installation for the fire detection and fire alarm system at:

Address: .......................................................................................................................................................................................

I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the installation of the fire detection and 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 specification described below and with the recommendations of Section 4 of BS 5839-1:2017, 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 installation work covered by this certificate:

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Specification against which system was installed:

.....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Variations from the specification and/or Section 4 of BS 5839-1 (see BS 5839-1:2017, Clause 7):

..............................................................................................................................................................................................................................................................................................................................................................................Wiring has been tested in accordance with the recommendations of Clause 38 of BS 5839-1:2017.

Test results have been recorded and provided to: ............................................................................................................................

Unless supplied by others, the as-fitted drawings have been supplied to the person responsible for commissioning the system ......................................................................................................................................................................................

G.3 Commissioning certificate

Certificate of commissioning for the fire detection and fire alarm system at:

Address: ..................................................................................................................................................................................................................................I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the commissioning of the fire detection and fire alarm system, particulars of which are set out below, CERTIFY that the said work for which I/we have been responsible complies to the best of my/our knowledge and belief with the recommendations of Clause 39 of BS 5839-1:2017, 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 systems described below.

Extent of system covered by this certificate:

..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................Variations from the recommendations of Clause 39 of BS 5839-1:2017 (see BS 5839-1:2017, Clause 7):

…………………………………………………………………………………………………………………………........................................................................................................................................................................................

● All equipment operates correctly.

● Installation work is, as far as can reasonably be ascertained, of an acceptable standard.

● The entire system has been inspected and tested in accordance with the recommendations of 39.2c) of BS 5839-1:2017.

● The system performs as required by the specification prepared by:..............................................................a copy of which I/we have been given.

● Taking into account the guidance contained in Section 3 of BS 5839-1:2017, I/we have not identified any obvious potential for an unacceptable rate of false alarms.

● The documentation described in Clause 40 of BS 5839-1:2017 has been provided to the user.

The following work should be completed before/after (delete as applicable) the system becomes operational:

................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

The following potential causes of false alarms should be considered at the time of the next service visit:

............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Before the system becomes operational, it should be soak tested in accordance with the recommendations of 35.2.6 of BS 5839-1:2017 for a period of: (Enter a period of either one week, such period as required by the specification, or such period as recommended by the signatory to this certificate, whichever is the greatest, or delete if not applicable.)

G.4 Acceptance certificate

Certificate of acceptance for the fire detection and fire alarm system at:

Address:

........................................................................................................................................................................................................................................................................................................................................................................

I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the acceptance of the fire detection and fire alarm system, particulars of which are set out below, ACCEPT the system on behalf of:...............................................................................................................................................................................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 system covered by this certificate: ..........................................................................................................................................................................................

All installation work appears to be satisfactory.

● The system is capable of giving a fire alarm signal.

● The facility for remote transmission of alarms to an alarm receiving centre operates correctly. (Delete if not applicable.)

● A suitable zone plan (or other suitable diagrammatic representation) of the premises is provided on or adjacent to all control and indicating equipment.(Delete if not applicable.)

The following documents have been provided to the purchaser or user:

● As-fitted drawings.

● Operating and maintenance instructions.

● Certificates of design, installation and commissioning.

● A log book.

● Electrical Installation Certificate in accordance with BS 7671 for the supply to all mains related wiring.

● Sufficient representatives of the user have been properly instructed in the use of the system, including, at least, all means of triggering fire signals, silencing and resetting the system and avoidance of false alarms.

● All relevant tests, defined in the purchasing specification, have been witnessed. (Delete if not applicable.)

The following work is required before the system can be accepted:

............................................................................................................................................................................................................................................................................................................................................

G.5 Commissioning certificate (optional)

Certificate of verification for the fire detection and fire alarm system at:

Address:

..............................................................................................................................................................................................................................................................................................................................................................................

I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the verification of the fire detection and fire alarm system, particulars of which are set out below, CERTIFY that the verification work for which I/we have been responsible complies to the best of my/our knowledge and belief with the recommendations of Clause 43 of BS 5839-1:2017.

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 system covered by this certificate:

..............................................................................................................................................................................................................................................................................................................................................................................

Scope and extent of the verification work:

..............................................................................................................................................................................................................................................................................................................................................................................

● In my/our opinion, that as far as can reasonably be ascertained from the scope of work described above, the system complies with, and has been commissioned in accordance with, the recommendations of BS 5839-1:2017, other than in respect of variations already identified in the certificates of design, installation or commissioning.

● In my/our opinion, there is no obvious potential for an unacceptable rate of false alarms.

The following non-compliances with the recommendations of BS 5839-1:2017, have been identified (other than those recorded as variations in the certificates of design, installation or commissioning):

..............................................................................................................................................................................................................................................................................................................................................................................

G.6 Inspection and servicing certificate

Certificate of servicing for the fire detection and fire alarm system at:

Address:

..............................................................................................................................................................................................................................................................................................................................................................................

I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the servicing of the fire detection and fire alarm system, particulars of which are set out below, CERTIFY that the said work for which I/we have been responsible complies to the best of my/our knowledge and belief with the recommendations of Clause 45 of BS 5839-1:2017 quarterly inspection of vented batteries/periodic inspection and test/inspection and test over a 12 month period (delete as applicable), 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 system covered by this certificate: ………………………………………………………………………...

Variations from the recommendations of Clause 45 of BS 5839-1:2017 for periodic or annual inspection and test (as applicable):

.....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

● Relevant details of the work carried out and faults identified have been entered in the system log book.

During the past 12 months, ………….false alarms have occurred.

The above number of false alarms equates to false alarms per 100 automatic fire detectors per annum (for Category M systems enter “Not applicable”).

The following work/action is considered necessary:

............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

G.7 Modification certificate

Certificate of modification for the fire detection and fire alarm system at:

Address:..............................................................................................................................................................................................................................................................................................................................................................

I/we being the competent person(s) responsible (as indicated by my/our signatures below) for the modification of the fire detection and fire alarm system, particulars of which are set out below, CERTIFY that the said modification work for which I/we have been responsible has to the best of my/our knowledge and belief been carried out in accordance with the recommendations of 46.4 of BS 5839-1:2017, 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 system covered by this certificate:

..............................................................................................................................................................................................................................................................................................................................................................................

Variations from the recommendations of 46.4 of BS 5839-1:2017:

..............................................................................................................................................................................................................................................................................................................................................................................

● Following the modifications, the system has been tested in accordance with the recommendations of 46.4.2 of BS 5839-1:2017.

● Following the modifications, as-fitted drawings and other system records have been updated as appropriate.

I/we the undersigned confirm that the modifications have introduced no additional variations from the recommendations of BS 5839-1:2017, other than those recorded below:

Signed: .......................................................................................................................................................................................

Capacity: .......................................................................................................................................................................................

(e.g. maintenance organization, system designer, consultant or user representative)

Annex G (informative) Model certificates