BSK-EN fire damper
INSTALLATION, MOUNTING AND OPERATING INSTRUCTIONS
Maintenance or functional test
Construction subject to change
No return possible
Version: 2018-11-14 | Page 20
SAMPLE OF FUNCTIONAL TEST PROTOCOL
Functional test protocol for fire dampers
Cons.
no.
____________________
Fire damper no.
:____________________________
Declaration of performance no.
:____________________________
Series
:____________________________
Release device
:____________________________
The following function steps have
been carried out according to the
documents
Installation,
mounting and operating instruc-
tions
before
commis
si
oning
Next
functional check
in:
_____
___
___
__
____
Next
functional check
in:
_____
___
___
__
____
Next
functional check
in:
_____
___
___
__
____
Next
functional check
in:
_____
___
___
__
____
External check:
Sys-
tem:_____________________
Item:
_______________________
Internal check:
Sys-
tem:_____________________
Item:
_______________________
Additional check:
Sys-
tem:_____________________
Item:
_______________________
without defects
Date / Tester
with defects (see back)
Date / Tester
without defects
Date / Tester