LUX READING TEST QCDD FORM

Pin No. Date

Location Application No.
Project Name
Owner

QCD Approved Drawing Ref. No.

Date Test Status Passed
System Information
FIRE DETECTION AND ALARM SYSTEM

Initial Illumination (lux) Reading Illumination Reading (lux) within 90 minutes duration
Area Men Prayer Femal Prayer Men Prayer Femal Prayer
Room Room Abulution Toilets Lobby Lobby Abulution Toilets Lobby Lobby
Room Room

Ground Floor Level

First Floor Level

Other Essential Rooms

Fire Command
Center
Fire Pump room
Generator Room
Test status :  Passed

Provide additional information if necessary

Instrument Used Calibrated by Calibration Certificate No. Certificate Expiration Date

CERTIFICATION
The system as specified above has been installed and tested, in accordance with latest edition of NFPA, QCDD FSS and QCDD
approved drawings

________________________________ _______________________________________________
Contractor (QCDD Certificate No. / ID No. / Mobile No.)
(Signature over Printed Name with Stamp)

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 LUX READING TEST QCDD FORM
CERTIFICATION
The undersigned accepted the testing report for the system as specified herein.

________________________________ _______________________________________________
Consultant (UPDA No. / ID No. / Mobile No.)
(Signature over Printed Name with Stamp)

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