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  • Checklist Smoke

    Uploaded by

    Riza Mahendra
    6 views17 pages
    The document contains form checklists for smoke detectors on different floors (basement, ground, 2nd, 3rd, 5th, 6th, 7th) of a building. Each form lists the smoke detectors on that floor along with columns to check their wiring connection, indicator light, connection to the main control panel, and physical condition. The purpose of the forms is to document inspection of the smoke detection system on various floors of the building.

    Original Description:

    Form Checklist Smoke Detector

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    The document contains form checklists for smoke detectors on different floors (basement, ground, 2nd, 3rd, 5th, 6th, 7th) of a building. Each form lists the smoke detectors on that floor along with columns to check their wiring connection, indicator light, connection to the main control panel, and physical condition. The purpose of the forms is to document inspection of the smoke detection system on various floors of the building.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views17 pages

    Checklist Smoke

    Uploaded by

    Riza Mahendra
    The document contains form checklists for smoke detectors on different floors (basement, ground, 2nd, 3rd, 5th, 6th, 7th) of a building. Each form lists the smoke detectors on that floor along with columns to check their wiring connection, indicator light, connection to the main control panel, and physical condition. The purpose of the forms is to document inspection of the smoke detection system on various floors of the building.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 17

    Form Checklist Smoke Detector

    Bulan :
    Lantai : Basement

    Koneksi ke MCFA
    Lampu Indikator

    Kondisi Fisik
    No Uraian Keterangan

    Wiring
    √ X √ X √ X √ X
    1 Modul Smoke Detector Zone 1
    2 Modul Smoke Detector Zone 2
    3 Smoke Detector 1
    4 Smoke Detector 2
    5 Smoke Detector 3
    6 Smoke Detector 4
    7 Smoke Detector 5
    8 Smoke Detector 6
    9 Smoke Detector 7
    10 Smoke Detector 8
    11 Smoke Detector 9
    12 Smoke Detector 10
    13 Smoke Detector 11
    14 Smoke Detector 12
    15 Smoke Detector 13
    16 Smoke Detector 14
    17 Smoke Detector 15
    18 Smoke Detector 16
    19 Smoke Detector 17
    20 Smoke Detector 18
    21 Smoke Detector 19
    22 Smoke Detector 20
    23 Smoke Detector 21
    24 Smoke Detector 22
    25 Smoke Detector 23
    26 Smoke Detector 24
    27 Smoke Detector 25
    28 Smoke Detector 26
    29 Smoke Detector 27
    30 Smoke Detector 28
    31 Smoke Detector 29
    32 Smoke Detector 30
    33 Smoke Detector 31
    34 Smoke Detector 32
    35 Smoke Detector 33
    36 Smoke Detector 34
    Catatan :

    dicek oleh

    (_________________)
    NIK.
    Form Checklist Smoke Detector
    Bulan :
    Lantai : Ground

    Koneksi ke MCFA
    Lampu Indikator

    Kondisi Fisik
    No Uraian Keterangan

    Wiring
    √ X √ X √ X √ X
    1 Modul Smoke Detector Zone 1
    2 Modul Smoke Detector Zone 2
    3 Smoke Detector 1
    4 Smoke Detector 2
    5 Smoke Detector 3
    6 Smoke Detector 4
    7 Smoke Detector 5
    8 Smoke Detector 6
    9 Smoke Detector 7
    10 Smoke Detector 8
    11 Smoke Detector 9
    12 Smoke Detector 10
    13 Smoke Detector 11
    14 Smoke Detector 12
    15 Smoke Detector 13
    16 Smoke Detector 14
    17 Smoke Detector 15
    18 Smoke Detector 16
    19 Smoke Detector 17
    20 Smoke Detector 18
    21 Smoke Detector 19
    22 Smoke Detector 20
    23 Smoke Detector 21
    24 Smoke Detector 22
    25 Smoke Detector 23
    26 Smoke Detector 24
    27 Smoke Detector 25
    28 Smoke Detector 26
    29 Smoke Detector 27
    30 Smoke Detector 28
    31 Smoke Detector 29
    32 Smoke Detector 30

    Catatan :

    dicek oleh
    (_________________)
    NIK.
    Form Checklist Smoke Detector
    Bulan :
    Lantai : 2

    Koneksi ke MCFA
    Lampu Indikator

    Kondisi Fisik
    No Uraian Keterangan

    Wiring
    √ X √ X √ X √ X
    1 Modul Smoke Detector Zone 1
    2 Modul Smoke Detector Zone 2
    3 Smoke Detector 1
    4 Smoke Detector 2
    5 Smoke Detector 3
    6 Smoke Detector 4
    7 Smoke Detector 5
    8 Smoke Detector 6
    9 Smoke Detector 7
    10 Smoke Detector 8
    11 Smoke Detector 9
    12 Smoke Detector 10
    13 Smoke Detector 11
    14 Smoke Detector 12
    15 Smoke Detector 13
    16 Smoke Detector 14
    17 Smoke Detector 15
    18 Smoke Detector 16
    19 Smoke Detector 17
    20 Smoke Detector 18
    21 Smoke Detector 19
    22 Smoke Detector 20
    23 Smoke Detector 21
    24 Smoke Detector 22
    25 Smoke Detector 23
    26 Smoke Detector 24
    27 Smoke Detector 25
    28 Smoke Detector 26
    29 Smoke Detector 27
    30 Smoke Detector 28
    31 Smoke Detector 29
    32 Smoke Detector 30
    33 Smoke Detector 31
    34 Smoke Detector 32
    35 Smoke Detector 33
    36 Smoke Detector 34
    Catatan :

    dicek oleh

    (_________________)
    NIK.
    Form Checklist Smoke Detector
    Bulan :
    Lantai : 3

    Koneksi ke MCFA
    Lampu Indikator

    Kondisi Fisik
    No Uraian Keterangan

    Wiring
    √ X √ X √ X √ X
    1 Modul Smoke Detector Zone 1
    2 Modul Smoke Detector Zone 2
    3 Smoke Detector 1
    4 Smoke Detector 2
    5 Smoke Detector 3
    6 Smoke Detector 4
    7 Smoke Detector 5
    8 Smoke Detector 6
    9 Smoke Detector 7
    10 Smoke Detector 8
    11 Smoke Detector 9
    12 Smoke Detector 10
    13 Smoke Detector 11
    14 Smoke Detector 12
    15 Smoke Detector 13
    16 Smoke Detector 14
    17 Smoke Detector 15
    18 Smoke Detector 16
    19 Smoke Detector 17
    20 Smoke Detector 18
    21 Smoke Detector 19
    22 Smoke Detector 20
    23 Smoke Detector 21
    24 Smoke Detector 22
    25 Smoke Detector 23
    26 Smoke Detector 24
    27 Smoke Detector 25
    28 Smoke Detector 26
    29 Smoke Detector 27
    30 Smoke Detector 28
    31 Smoke Detector 29
    32 Smoke Detector 30
    33 Smoke Detector 31
    34 Smoke Detector 32

    Catatan :
    dicek oleh

    (_________________)
    NIK.
    Form Checklist Smoke Detector
    Bulan :
    Lantai : 5

    Koneksi ke MCFA
    Lampu Indikator

    Kondisi Fisik
    No Uraian Keterangan

    Wiring
    √ X √ X √ X √ X
    1 Modul Smoke Detector Zone 1
    2 Modul Smoke Detector Zone 2
    3 Smoke Detector 1
    4 Smoke Detector 2
    5 Smoke Detector 3
    6 Smoke Detector 4
    7 Smoke Detector 5
    8 Smoke Detector 6
    9 Smoke Detector 7
    10 Smoke Detector 8
    11 Smoke Detector 9
    12 Smoke Detector 10
    13 Smoke Detector 11
    14 Smoke Detector 12
    15 Smoke Detector 13
    16 Smoke Detector 14
    17 Smoke Detector 15
    18 Smoke Detector 16
    19 Smoke Detector 17
    20 Smoke Detector 18
    21 Smoke Detector 19
    22 Smoke Detector 20
    23 Smoke Detector 21
    24 Smoke Detector 22
    25 Smoke Detector 23
    26 Smoke Detector 24
    27 Smoke Detector 25
    28 Smoke Detector 26
    29 Smoke Detector 27
    30 Smoke Detector 28
    31 Smoke Detector 29
    32 Smoke Detector 30
    33 Smoke Detector 31
    34 Smoke Detector 32
    35 Smoke Detector 33
    36 Smoke Detector 34
    37 Smoke Detector 35
    38 Smoke Detector 36

    Catatan :

    dicek oleh

    (_________________)
    NIK.
    Form Checklist Smoke Detector
    Bulan :
    Lantai : 6

    Koneksi ke MCFA
    Lampu Indikator

    Kondisi Fisik
    No Uraian Keterangan

    Wiring
    √ X √ X √ X √ X
    1 Modul Smoke Detector Zone 1
    2 Modul Smoke Detector Zone 2
    3 Smoke Detector 1
    4 Smoke Detector 2
    5 Smoke Detector 3
    6 Smoke Detector 4
    7 Smoke Detector 5
    8 Smoke Detector 6
    9 Smoke Detector 7
    10 Smoke Detector 8
    11 Smoke Detector 9
    12 Smoke Detector 10
    13 Smoke Detector 11
    14 Smoke Detector 12
    15 Smoke Detector 13
    16 Smoke Detector 14
    17 Smoke Detector 15
    18 Smoke Detector 16
    19 Smoke Detector 17
    20 Smoke Detector 18
    21 Smoke Detector 19
    22 Smoke Detector 20
    23 Smoke Detector 21
    24 Smoke Detector 22
    25 Smoke Detector 23
    26 Smoke Detector 24
    27 Smoke Detector 25
    28 Smoke Detector 26
    29 Smoke Detector 27
    30 Smoke Detector 28
    31 Smoke Detector 29
    32 Smoke Detector 30
    33 Smoke Detector 31

    Catatan :

    dicek oleh
    (_________________)
    NIK.
    Form Checklist Smoke Detector
    Bulan :
    Lantai : 7

    Koneksi ke MCFA
    Lampu Indikator

    Kondisi Fisik
    No Uraian Keterangan

    Wiring
    √ X √ X √ X √ X
    1 Modul Smoke Detector Zone 1
    2 Modul Smoke Detector Zone 2
    3 Smoke Detector 1
    4 Smoke Detector 2
    5 Smoke Detector 3
    6 Smoke Detector 4
    7 Smoke Detector 5
    8 Smoke Detector 6
    9 Smoke Detector 7
    10 Smoke Detector 8
    11 Smoke Detector 9
    12 Smoke Detector 10
    13 Smoke Detector 11
    14 Smoke Detector 12
    15 Smoke Detector 13
    16 Smoke Detector 14
    17 Smoke Detector 15
    18 Smoke Detector 16
    19 Smoke Detector 17
    20 Smoke Detector 18
    21 Smoke Detector 19
    22 Smoke Detector 20
    23 Smoke Detector 21
    24 Smoke Detector 22
    25 Smoke Detector 23
    26 Smoke Detector 24
    27 Smoke Detector 25
    28 Smoke Detector 26
    29 Smoke Detector 27
    30 Smoke Detector 28
    31 Smoke Detector 29
    32 Smoke Detector 30
    33 Smoke Detector 31
    34 Smoke Detector 32
    35 Smoke Detector 33
    35 Smoke Detector 34
    35 Smoke Detector 35
    Catatan :

    dicek oleh

    (_________________)
    NIK.
    Form Checklist Smoke Detector
    Bulan :
    Lantai : 8

    Koneksi ke MCFA
    Lampu Indikator

    Kondisi Fisik
    No Uraian Keterangan

    Wiring
    √ X √ X √ X √ X
    1 Modul Smoke Detector Zone 1
    2 Modul Smoke Detector Zone 2
    3 Smoke Detector 1
    4 Smoke Detector 2
    5 Smoke Detector 3
    6 Smoke Detector 4
    7 Smoke Detector 5
    8 Smoke Detector 6
    9 Smoke Detector 7
    10 Smoke Detector 8
    11 Smoke Detector 9
    12 Smoke Detector 10
    13 Smoke Detector 11
    14 Smoke Detector 12
    15 Smoke Detector 13
    16 Smoke Detector 14
    17 Smoke Detector 15
    18 Smoke Detector 16
    19 Smoke Detector 17
    20 Smoke Detector 18
    21 Smoke Detector 19
    22 Smoke Detector 20
    23 Smoke Detector 21
    24 Smoke Detector 22
    25 Smoke Detector 23
    26 Smoke Detector 24
    27 Smoke Detector 25
    28 Smoke Detector 26
    29 Smoke Detector 27
    30 Smoke Detector 28
    31 Smoke Detector 29
    32 Smoke Detector 30
    33 Smoke Detector 31
    34 Smoke Detector 32
    35 Smoke Detector 33
    35 Smoke Detector 34
    35 Smoke Detector 35
    Catatan :

    dicek oleh

    (_________________)
    NIK.
    Form Checklist Smoke Detector
    Bulan :
    Lantai : 9

    Koneksi ke MCFA
    Lampu Indikator

    Kondisi Fisik
    No Uraian Keterangan

    Wiring
    √ X √ X √ X √ X
    1 Modul Smoke Detector Zone 1
    2 Modul Smoke Detector Zone 2
    3 Smoke Detector 1
    4 Smoke Detector 2
    5 Smoke Detector 3
    6 Smoke Detector 4
    7 Smoke Detector 5
    8 Smoke Detector 6
    9 Smoke Detector 7
    10 Smoke Detector 8
    11 Smoke Detector 9

    Catatan : dicek oleh

    (_________________)
    NIK.

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