Name of Signatory Applicant: Applicant Organisation: Applicant Signature: Technical Expert Name: Technical Expert Signature: Date: Installation and Technical Expert Review Modification (repairs and Commissioning maintenance) Inspection Inspection Sig Appln TE Sig Appln TE Review Witness / Scope Category Type of System Standard Interview Initial / Review Initial / / Disagree Comments W / I Reassess / Reassess Y / N I / R Disagree I / R Y / N Inspection of Fire Alarm Systems for compliance with: Level 1 - Manual fire NZS 4512 alarm systems - Type 2 Manual – conventional or analogue Type 6 NZS 4512 Manual & Sprinklers1 – addressable Type 3 NZS 4512 Manual & Heat – Level 2 Level 1 – Type 4 NZS 4512 plus Conventional Manual, Smoke (& Heat) – automatic systems NZS 4512 Type 7 Man./Smoke/Sprinklers1 – AS 1670 EWIS NZS 4512 Level 3 Levels 1 – Staged evacuation NZS 4512 and 2 plus – Type 5 Type 4 variation for Specialist detection – NZS 4512 sleeping accommodation and complex fire Type 7e - NZS 4512 matrix interfacing Suppression control NZS 4512 Carbon Monoxide detectors NZS 4512 Aspirating smoke detection NZS 4512 Beam smoke detection NZS 4512 Flame detection NZS 4512 Detention facilities NZS 4512 Secure care facilities NZS 4512 Hazardous zone environments2 NZS 4512
Name of Signatory Applicant: Applicant Organisation: Applicant Signature: Technical Expert Name: Technical Expert Signature: Date: Scope Category Type of System Standard Installation and Commissioning Inspection Modification (repairs and maintenance) Inspection Technical Expert Review Sig Appln Initial / Reassess I / R TE Review / Disagree Y / N Sig Appln Initial / Reassess I / R TE Review / Disagree Y / N Witness / Interview W / I Comments Inspection of Fire Alarm Systems for compliance with: Level 1 - Manual fire alarm systems - conventional or analogue addressable Type 2 – Manual NZS 4512 Type 6 – Manual & Sprinklers1 NZS 4512 Level 2 – Level 1 plus Conventional automatic systems Type 3 – Manual & Heat NZS 4512 Type 4 – Manual, Smoke (& Heat) NZS 4512 Type 7 – Man./Smoke/Sprinklers1 NZS 4512 AS 1670 Level 3 – Levels 1 and 2 plus – Specialist detection and complex fire matrix interfacing EWIS NZS 4512 Staged evacuation NZS 4512 Type 5 – Type 4 variation for sleeping accommodation NZS 4512 Type 7e - NZS 4512 Suppression control NZS 4512 Carbon Monoxide detectors NZS 4512 Aspirating smoke detection NZS 4512 Beam smoke detection NZS 4512 Flame detection NZS 4512 Detention facilities NZS 4512 Secure care facilities NZS 4512 Hazardous zone environments2 NZS 4512