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  It is the installer’s responsibility to ensure the installation is done as 

per the installation method provided.

  This  document  must  be  completed  when  installing  any  HVC  Fire 

Damper.

  By  signing  this  document  you  are  declaring  that  the  correct 

installation method has been followed.

Check:

Yes/No

Is the installed damper the correct type?

Is the damper installed correctly?

Has the damper been correctly identified?

Has the correct orientation been used?

Are there sufficient access routes installed?

Has a check of the damper been carried out for:

  Internal cleanliness?

  Damage?

  Obstructing debris?

Has a drop test been carried out?

At the time of handover is the fire barrier and penetration seal complete?

I hereby confirm that the damper detailed above has been 
installed in accordance with HVC Supplies (Stourbridge) Ltd’s 
tested installation method, and has been tested as above.

Damper unique system I.D. (If applicable):

Damper location:

Installation address:

Damper type: 

e.g. S100BGP

Link rated temperature:

Notes:

Installer’s name:

Company name:

Company address:

Company telephone number:

Installation guide: Series 100 fire damper c/w plate frame

Approved installation method, operation and installation declaration
Page 2 of 2 - Issue D - 26/02/2018

Installation Declaration for Series 100 Fire Dampers

Installer’s signature:

Date:

Reviews: