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This Compliance Schedule should be viewed in conjunction with the following:

exemplar-compliance-schedule.pdf

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Compliance schedule number *<enter number>***** Anniversary date *<enter date>*

*<insert picture>                                                                                      <insert picture>*

General building information 1

SS 1 Automatic systems for fire suppression 3

SS 2 Automatic or manual emergency warning systems for fire or other dangers 5

SS 3/1 Automatic doors 7

SS 4 Emergency lighting systems 9

SS 7 Automatic back-flow preventers connected to a potable water supply 11

SS 8/1 Passenger-carrying lifts 13

SS 9 Mechanical ventilation or air conditioning systems 15

SS 12/2 FM radio frequency systems & infra-red beam transmission systems 17

SS 13/1 Mechanical smoke control 19

SS 14/2 Signs relating to a system or feature specified in any of clauses 1 to 13 21

SS 15/2 Final exits 23

SS 15/3 Fire separations 25

SS 15/4 Signs for communicating information intended to facilitate evacuation 28

Appendices/attachments 30

The owner
Name of owner
Contact person
Mailing address
Street address/registered office
Phone number Mobile
E-mail address Website
Street address of building
Legal description of land
Building name
Location of building within site/block number *<insert picture>*

Description: | | | | Levels or unit numbers | | | | | | Year of first construction | | | | | | Intended life of the building | | | | | | Highest fire hazard category | | | | | | Risk group(s) | | | | | | Compliance schedule is kept at: | | | | | | Building use & occupancy (current lawfully established use) | | | | | | Level | Classified use from NZBC A1 (plus description) | | Use  (NZBRegs 2005 Schedule 2) | Occupancy load | | | | | | | | | | | | | | | | | | | | | | | | $XXX$ <Total> |