PT.

PARTSINDO SERVICATAMA
Jl. Mulawarman Komplek Kota Hijau Ruko No. 18-19
Balikpapan 76115, East Kalimantan, Indonesia
Phone : 62 (0) 542 - 746001
Fax : 62 (0) 542 - 746002
e-mail : info@partsindo.co.id

Inspection and Maintenance Report Chubb PEFS VS Control

Date : _________________________
Customer Name : _________________________ Location : _________________________

Equipment Make : _________________________ Equipment Model : _________________________

Equipment Serial No. : _________________________ HM / KM : _________________________
Equipment No. : _________________________

Operating Mode : ROP LOP Control Module S/N:_____________________

Cylinder Size : _________ Cylinder Quantity : _________ Serial Number : _____________________
Nozzles Quantity : _________ Manual Actuators Qty : _________ Manual Release Qty : _________

No. Service 6 month 12 month 5 year Defect Report

1 System pressure – Check (1250 kPa - 1500 kPa)
2 Cylinder valves, pullpin & security ties – Check
3 Cylinders – Check
4 Cylinder brackets & mounting – Check
5 Labels – Check
6 Manual release, pull pin & security ties – Check
7 Display panels – Test
8 Battery condition - Check
9 Manual actuators, pull pin & security ties – Check
10 Actuation hoses and fittings – Check
11 Detection systems - Check
12 Discharge pipework – Check & clean.
13 Nozzle orientation & coverage -Check
14 Nozzle caps – Check
15 Actuation line - Leak test
16 Equipment shutdown - Test Discharge Time : sec.
17 Discharge test
18 Cylinder valve & solenoid – Refurbish
19 Refill and pressurise system
20 Replace manual actuators cartridge

Record all repair : ___________________________________________________________________________

___________________________________________________________________________
Record of parts used : ___________________________________________________________________________
___________________________________________________________________________

Technician : _______________________ Signature : __________________________

Customer : _______________________ Signature : __________________________