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wT R Pilot/ i?g j-Ripon #618 !!yUS IWE"Ifunift OW& Form Rev.0811412010 1 0 :o arra ❑pm Siren OK . %All bulbs light 'nom N* ❑ming alarms) 2 ni ❑pm IgSiren OKi bulbi light Wring works AFN* ❑On-going (s) 3 ❑pm fjMirw OK bulbs light tPrinter works N` ❑On-going alarms) 4 Z, 1�Oam ❑pm qSjren OK All bulbs light EXPtinter works N* ❑On-going alarm(s) 5 ❑pm ren OK Upkil bulbs light PlOrinter works IR AFI*. ❑Orr-going (s) $ V:'} 0 am: ❑pm 0 Siren OK OW bulbs fight Ip Prince works UWW ❑On-Ong alarms) 7 ❑pm ren OK All bulbs fight A Nnter works AAFW ❑ ng alarm(s) . 8 &7 Aarn ❑pm ASiren OK COJ bulbs fight P:rInIer works w ❑On-ming alarm(s) 9 am ❑pm OK AA bulbs light Prim works FN*. ❑On-going s) 10 0SAn ❑pm ren OK bulbs fight ter works WN* ❑On-going alarm(s) 11 am ❑pm ren OK bum light ' ter works AFI*. ❑On-going alaim(s) 12 b)d'am: f❑pm Siren OK All bulbs fight [YRrin�r worksLAFI*. 13 On-going (s} S 13 -D f) [ am ❑pm Siren OK VAR bulbs light Wilinter works I4 WN* ❑On-going alarm(s) 14 ❑pm Qareta OK bulbs light Inter works t1}'AFN* ❑Orr-ung (s) 15 .,J> Warn. Q pm 'ren OK 19W bulbs light DfIrinter works N*. ❑On-going alarm(s) 16 m ❑pm OK VIM bulbs light 130riter works AFN* g (s) LA - 1t 17 p Vam ❑pm Noren OK AH bulbs light l4iinter works AFI* ❑On-going alarm(s) 18 J01 50 40am ❑pm Siren OK gI AN bulbs fight !pP Ppnter works ❑AFN* Or going alarm(s) L 7 )4,c\ 4-01- 19 Ju1g am ❑pm 14Siren OK V AD bulbs light nter works AFN* ' g alarm(s) L A G 20 10,CUJ §kam . ❑pm ren OK NAN bulbs lit Porter works ❑AFN* ` 0 On-going alarm(s) . 21 PQn C]pm ren OK bins light Printer works N* ❑ ng alarms) 227115- [1pm lVSren OK OAR bulbs light " ter works N* ❑On-going alarm(s) 23 am . ❑pm Al Siren OK =An bulbs light Zftter works ,i111LAFN* 14 On-Ong alarm(s) T /I G7 24 Vem 0 pm a Siren OK OfAll bulbs tight Wiinter works JgAFN* ng alarm(s) 0,)-i 25 10'.S5 Wm ❑pm Siren OKbulbs fight Prm�r works FN* 13On-going alarm(s) 26 •5 am 13 pin Osiren OK [AM bulbs fight Prkhter works N* EJg afarm(s) 27 O: am Elpm Siren OK tins light minter works AFN* ®On-going alarms) 28 =-j (3pm OKbins light rater works AFN* ® g alarms) 29 am :❑pm XSVen OK gAll bulbs light JWttnter works AAFW ❑Ong alarm(s) 30 fpm .❑pm OK bulbs light ter worksAFN* ❑On-going (s) 31 ❑pin ren OK A bulbs light ter works WWW 13 On-going alarms) 'AFN=ALL FUNCTIONS NORMAL(go current alarms) InsMuctform Press the alarm test button on the UST It ng system(MS)and record the results under i fie"Dally Monitoring SysNm Tess Resale'column, theere are no current ar ahecic the "AERN'box.If an alarm is occurring at the time of the day Ari tem,check the"On-bWng Aferm(sf box and the sensor ID(s)and the alarm panel screen r�ng(s)�xfer the'it , column. the separate L for ch MS emrironmental alahn note!(a8 alarm except"Paper Out'or"Fuel De ry 1.Only a trained"Facility >` Er(hpkhyes*should complete this form or the Alarm Response Log.The FE should initial each entry mace Into this form using the last c:*mn.