Handover And Instruction Report For The Operator - Siemens Sinorix al-deco STD Operating Handbook

8

Handover and Instruction Report for the Operator

To Company: _____________________________________________________________________
Person responsible: _____________________________________________________________________
Street: _____________________________________________________________________
Post Code/Town: _____________________________________________________________________
Tel. / Fax No.: _____________________________________________________________________
Extinguisher system data
Day of Installation:
Application:
Extinguisher system No.:
Number of container:
Weight of container:
Serie No. of Interface:
TM
Serie No. Lifdes
Batch No. Valve:
Machine data
Machine manufacturer:
Machine model:
Serial number:
Internal number:
The operator hereby confirms the following points for the manufacturer of the extinguisher system
and/or the machine manufacturer:

The instruction course for the employees of the operator regarding the extinguisher system was carried out
according to the Operating Handbook. The instruction course was completely understood and the
information will be passed on to the respective superiors and colleagues who were not present.

That he has taken over the extinguisher system installed by the manufacturer/installer, including any
agreed deviations from the Directives for the Planning and Installation.

That the installation took place on the machine stated in the report.

That the manufacturer/installer of the extinguisher system will accept no liability for modifications, improper
damage or repair work on the extinguisher system that is carried out by non-authorised persons.

That the manufacturer/installer also accept no liability for damage caused by an improper release of the
"EMERGENCY STOP" of the machine and the ventilation when the extinguisher system is tripped by fire

That the connection of the alarm function must be carried out by machine manufacturer.

That the legal signatory of the operator has received the Operating Handbook (A54475-A1-A2.doc),
together with all the relevant oral and written instructions that are necessary for the proper operation of the
extinguisher system. They have noted that the relevant reports are an integral component of the Operating
Handbook (Chapter 8).

The legal signatory of the operator have taken note of the information regarding the oxygen concentration
and know that this relates to a component part of DGUV Rule 105-001.

The guarantee period starts after the hand-over of the system to the operator.
Building Technologies
Fire Safety
Handover and Instruction Report for the Operator
Installation check
Fittings of the detection line:
Fittings of the extinguisher line:
Function of the pressure switch:
Alarm interface connected:
Manual Start mounted:
Ventilation shut-off valve locked:
Sealing of the system:
Information/Warning notices:
System activated:
Operating Handbook delivered:
„Alarm reset" key handed over:
230 VAC & connected:
EMERGENCY STOP connected:
Checked Remarks
A54475-A1-A2_EN_05.docx
29
01.2018