| 厂区(Site)： 检测区域(Area)： | |||
| 设备代号(Equipment NO.)： | |||
| 项次 Item | 检查内容 (Questions) | 危害风险 (Hazardous Risk) | 异常状况改善措施 （Explain） |
| A | 排烟区划(防烟垂壁)是否完整(The smoke barrier is complete) | □(0) □(1) □(2) □(N) | |
| B | 排烟手动开关是否仍在(The manual switch is in place) | □(0) □(1) □(2) □(N) | |
| C | 排烟闸门仍在且无阻挡 (The smoke damper is in place and unobstructed) | □(0) □(1) □(2) □(N) | |
| D | 防火闸门是否仍在(The fire damper is in place) | □(0) □(1) □(2) □(N) | |
| E | 排烟风机外观无损坏且无阻挡 (The de-smoke fan free of damage or obstruction) | □(0) □(1) □(2) □(N) | |
| F | 气体灭火系统排气风机运转是否正常(The exhaust fan of Gas Fire Extinguishing System is operating normally) | □(0) □(1) □(2) □(N) | |
| G | 有正确之标示Provided with appropriate identification | □(0) □(1) □(2) □(N) | |
| H | 值班室是否收到正确讯号 (Did alarm supervisory company receive signal | □(0) □(1) □(2) □(N) | |
| I | 警报面盘是否复归 (Did alarm panel reset:) | □(0) □(1) □(2) □(N) | |
| J | 警报面盘无异常讯号(Alarm panel clear:) | □(0) □(1) □(2) □(N) | |
| K | 检查完系统回复正常使用(Systems left in service) | □(0) □(1) □(2) □(N) | |
