Fire-resistant damper model BKA-Ü
Technical documentation
Commissioning and maintenance
Construction subject to change
No return possible
Version: 2021-07-01 | Page 36
SAMPLE OF FUNCTIONAL TEST PROTOCOL
SCHAKO KG
Steigstrasse 25-27
D-78600 Kolbingen
Phone: +49- (0)7463 / 980-0
Fax: +49- (0)7463 / 980-200
Sample
Functional test protocol for _________________
Cons. No. ____________________
Usability certificate:
Series:
Release device:
The following functional steps have
been carried out according to the
documents installation, mounting
and operating instructions
Prior to commis-
sioning
Next functional
check in:
_____________
Next functional
check in:
_____________
Next functional
check in:
_____________
Next functional
check in:
_____________
External check:
System: _____________________
Item: _______________________
Internal check:
System: _____________________
Item: _______________________
Additional check:
System: _____________________
Item: _______________________
without defects
Date / tester
with defects (see back)
Date / tester
without defects
Date / tester
