#ALARMSSAVELIVES
Inspection and Servicing Certification of a Smoke/Heat Alarm System to
Grade D1/D2 or F1/F2 as defined in BS 5839-6:2019+A1:2020
Certification of servicing of the fire alarms system at:
Address:
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I/We being the competent person(s) responsible (as indicated by my/our signatures below) for the
servicing of the fire alarms 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 BS 5839-6:2019+A1:2020, Clause 26, except for variations, if any, stated in this
certificate.
Name (in block letters): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Position: . . . . . . . . . . . . . . . . . . . .
Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: . . . . . . . . . . . . . . . . . . . . . . .
For and on behalf (name of the maintenance company):
Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Post code: . . . . . . . . . . . . . . . . . .
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The extent of liability of the signatory is limited to the system described below.
Extent of the system covered by this certificate:
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Variations from the recommendations of BS 5839-6:2019+A1:2020, Clause 26 for periodic or annual
inspection and test (as applicable):
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Grade of System Category of System
The following work/action is considered necessary:
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This certificate might be required by an authority responsible for enforcement of fire safety legislation, such as building control authority or housing authority. The recipient
of this certiciate might rely on certificate as evidence of compliance with legislation. Liability could arise on the part of any organisation or person that issues a certificate
without due care in ensuring its validity.
This document is a template provided by Aico Ltd based on the Inspection and Servicing Certificate template within Annex H of British Standard BS 5839-6:2019+A1:2020.
Aico Ltd in no way provides any endorsement, approval or similar of any work carried out by the company or individual that has completed this document and accepts no re-
sponsibility or liability for any issues or damaged caused from such work. All responsibility and liability regarding the product selection, use and installation is solely assigned
to the company or individual that has completed this document. Inspection and Servicing Certificate - Pt.6 2020 with [Link] Issue 7. 08.02.21
[Link] 01691 644100
