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    01-Borang Senarai Semak Permohonan Pemeriksaan

    Uploaded by

    Samsudin Ahmad
    bomba

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    01-Borang Senarai Semak Permohonan Pemeriksaan

    Uploaded by

    Samsudin Ahmad
    385 views2 pages
    bomba

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

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    bomba

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    385 views2 pages

    01-Borang Senarai Semak Permohonan Pemeriksaan

    Uploaded by

    Samsudin Ahmad
    bomba

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Bahagian Keselamatan Kebakaran

    Jabatan Bomba dan Penyelamat Malaysia


    BORANG SENARAI SEMAK PERMOHONAN PEMERIKSAAN
    Nama projek : _______________________________________________________________
    ________________________________________________________________
    No. Fail

    : _______________________________________________________________

    Senarai Semak Rujukan dan Dokumen :


    (Tandakan / jika lengkap dan TB jika tiada berkaitan)
    1.

    Pelan Arkitektural telah diperaku.

    2.

    Pelan M & E telah diperaku.

    3.

    Perakuan Pemasangan, Sistem Kebombaan & Elemen Struktur


    daripada Arkitek.

    4.

    Perakuan Pemasangan, Sistem Kebombaan & Elemen Struktur


    daripada Jurutera M & E.

    5.

    Lampiran C1, C2, C3 dan salinan Perakuan Bahan JBPM


    Senarai seperti pada Lampiran 1.

    6.

    Borang A (pemasangan semburan automatik).

    7.

    Borang B (pemasangan tetap dan sistem penggera kebakaran).

    UNTUK DIISI OLEH PSP / SP SEBAGAI PEMOHON


    Dengan ini saya memperakukan bahawa semua dokumen yang ditanda ( / ) dikemukakan dan
    segala keperluan bagi tujuan pemeriksaan telah dipatuhi.
    Tandatangan : ...................................................

    Tarikh : ........................................................

    Nama PSP/SP : .............................................................................................................................


    Nama dan Alamat Syarikat : ..........................................................................................................
    .................................................................................. No. Telefon : ................................................
    SEMAKAN JBPM

    TERIMA / TOLAK *

    Ulasan Pegawai Penyemak : ..........................................................................................................


    Nama Pegawai Penyemak : .................................................... Tandatangan : ..............................
    Tarikh : .......................................

    1.

    Lampu tanda KELUAR

    2.

    Lampu kecemasan

    3.

    Pintu rintangan api

    4.

    Fire damper

    5.

    Fire roller shutter

    6.

    Cement snad brick

    7.

    Bahan-bahan kelas O

    8.

    Firestop

    9.

    Drywall construction

    10.

    Hollow concrete block

    11.

    Lift landing door (fire rated)

    12.

    Smoke detector

    13.

    Heat detector

    14.

    Manual call point

    15.

    Alarm bell

    16.

    Fire resistant cable

    17.

    Hose reel

    18.

    Sprinkler head

    19.

    Fire resistant duct

    20.

    Smoke curtain

    21.

    Smoke extractor system

    22.

    Fire alarm panel

    23.

    Clean agent system/gas

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