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Authentic Sample Deliverable:

This interactive report illustrates how VigilAMC compiles field GPS readings, timestamped photo evidence, and itemized defect quotes into official client certificates ready for licensed contractor signature. Click “Download / Save as A4 PDF” above to print or save a clean, watermark-free A4 document.

Apex Fire Protection & Safety Engineers Pvt. Ltd.

Licensed Fire Protection Agency • Lic: DL/FIRE/LIC/2026/042

Plot 18, Commercial Tech Zone, Okhla Phase III, New Delhi 110020 • Phone: +91 83838 90483 • Email: service@apexfireengineers.in

Ref: FORM-B/2026/APEX-042
Inspection Date: 15 Jan 2026
Statutory Filing Cycle: Jan 2026 – Jun 2026 (Biannual Period 01)
[ See Section 3(3) and Rule 4(2) of Maharashtra Fire Prevention and Life Safety Measures Act, 2006 ]

FORM 'B' • CERTIFICATE BY LICENSED AGENCY

Certificate regarding maintenance of fire prevention and life safety measures in good repair and efficient condition

Client Facility / Premise:
Apex Business Towers (Tower B)
Plot 14, Commercial Tech Park, Sector 24, Sample City, India 110001
Occupancy Classification: Group E (Business / IT Complex, B2+G+14 Floors)
Client Authorized Representative:
Apex Tech Park Facility Management Services
Mr. R. K. Sharma (Head of Facility Operations)
Contact: facilities@apextechpark.com • Phone: +91 98200 45678
Physical Inspection & Pressure Verification Summary

Every unit verified on site with GPS coordinates, reading logs, and photographic defect evidence.

7 Operational1 Due Soon2 Defects Quoted

Schedule of Fire Safety Equipment & Inspection Dates

IS 2190 / NBC 2016 Part 4 Audit Schedule
S.NoAsset ID / SerialEquipment TypePremise Floor & GPS LocationTest Reading / ParametersNext DueResult
1VIGIL-DP-0101
ABC Dry Powder
6 KG (Stored Pressure)
Ground Floor Reception Lobby
28.4595° N, 77.0266° E
14.2 Bar (Green Zone)
14 Jan 2027PASS
2VIGIL-CO-0102
Carbon Dioxide (CO2)
4.5 KG High-Pressure
Ground Floor Server & UPS Room
28.4594° N, 77.0268° E
Tare 10.20kg / Full Gross 14.70kg / Measured Gross 14.00kg
Net Gas: 3.80kg vs 4.50kg • Loss: -0.70kg / -15.5% > 10% IS 2190 threshold — Immediate Refill Required
IMMEDIATEDEFECT FLAGGED
3VIGIL-HY-0103
Single Landing Valve Hydrant
63mm Gunmetal IS 5290
1st Floor North Staircase Riser
28.4596° N, 77.0265° E
Static 7.0 Bar / Leak @ 5.2 Bar
Gland rubber flange washer leaking under pressure. Immediate washer replacement required.
IMMEDIATEDEFECT FLAGGED
4VIGIL-HR-0104
First-Aid Hose Reel Drum
30m x 20mm Braided Hose
1st Floor Passenger Lift Corridor
28.4595° N, 77.0267° E
Jet Flow & Shut-Off Verified
14 Jul 2026PASS
5VIGIL-DP-0105
ABC Dry Powder
6 KG (Stored Pressure)
2nd Floor Open Office Workstations
28.4597° N, 77.0266° E
14.0 Bar (Green Zone)
14 Jan 2027PASS
6VIGIL-WM-0106
Water Mist / Clean Agent
9 Litre Stainless Steel
2nd Floor Executive Boardroom
28.4596° N, 77.0268° E
13.8 Bar Normal
14 Jan 2027PASS
7VIGIL-CA-0107
Clean Agent FE-36
4 KG Ceiling/Wall Mounted
3rd Floor Core Network Switch Room
28.4598° N, 77.0265° E
13.5 Bar (Refill Due Soon)
Annual statutory refilling deadline within 28 days. Scheduled for upcoming batch refill.
12 Feb 2026 (<30d)REFILL DUE (<30d)
8VIGIL-AP-0108
Addressable Fire Alarm Panel
4 Loop / 508 Address Points
Ground Security Control Command Desk
28.4594° N, 77.0264° E
Loop 1-4 Normal • Float 27.2V
14 Apr 2026PASS
9VIGIL-PM-0109
Main Electric Fire Pump
2280 LPM @ 7.0 Bar Head
Basement Sub-level 2 Main Pump House
28.4592° N, 77.0262° E
Auto-Cut 7.0 Bar / Cut-In 5.5 Bar
14 Feb 2026PASS
10VIGIL-PD-0110
Diesel Standby Fire Pump
2280 LPM @ 7.0 Bar Head
Basement Sub-level 2 Main Pump House
28.4592° N, 77.0263° E
Battery 25.4V • Diesel Tank 88%
14 Feb 2026PASS

Annexure 1: Field Photographic Evidence & GPS Time-Stamps

3 Verified Samples Attached
VIGIL-CO-0102DEFECT
DIGITAL SCALE VERIFICATION14.00 KG GROSSTare: 10.20kg • Full: 14.70kg • Net: 3.80kg (-0.70kg / -15.5%)
15/01/26 10:28 AM

Location: Server Room (GF)

GPS: 28.4594° N, 77.0268° E

Loss -15.5% (>10% IS 2190) • Immediate Refill Required

VIGIL-HY-0103DEFECT
HYDRANT LEAKAGE PROOF5.2 BAR PRESSUREFlange Washer Seepage Detected
15/01/26 10:45 AM

Location: 1st Floor North Staircase

GPS: 28.4596° N, 77.0265° E

Washer Worn • Replacement Quoted

VIGIL-PM-0109PASS
MAIN PUMP AUTO-START RUN7.0 BAR PRESSUREAuto Cut-In 5.5 Bar / Cut-Out 7.0 Bar
15/01/26 12:10 PM

Location: Pump Room Sub-Level 2

GPS: 28.4592° N, 77.0262° E

Fully Operational • Verified

Annexure 2: Actionable Defect Remediation & Refill Estimate

Estimate Ref: EST-2026-APEX-042

The following parts and services are recommended based on the physical inspection findings above. Client authorization below authorizes immediate remediation to ensure full statutory compliance.

Item DescriptionEquipment TagQtyUnit Rate (₹)Subtotal (₹)
4.5kg CO2 Gas Refill (IS 2878) + Safety Pin & Tamper Seal ReplacementVIGIL-CO-01021 Unit₹1,450.00₹1,450.00
63mm Gunmetal Landing Valve Heavy-Duty Rubber Flange Washer & Gland RepackingVIGIL-HY-01031 Unit₹680.00₹680.00
4kg Clean Agent FE-36 Advance Annual Refilling & Leak TestVIGIL-CA-01071 Unit₹2,400.00₹2,400.00
Total Net Estimate (Excl. 18% GST):₹4,530.00
Total Including 18% GST (CGST 9% + SGST 9%):₹5,345.40
1. Client Facility Manager Authorization:

I acknowledge inspection findings and approve the itemized defect repair/refill estimate outlined in Annexure 2.

R. K. Sharma
Authorized Signatory • Facility Operations
For Apex Tech Park Facility Management Services
Date: 16 Jan 2026
2. Licensed Fire Agency Seal & Declaration:

Certified that all fire fighting installations have been physically inspected and recorded as per state fire act provisions.

V. P. Deshmukh
Chief Fire Safety Engineer (B.E. Fire)
For Apex Fire Protection & Safety Engineers Pvt. Ltd.
Licensed Agency No: DL/FIRE/LIC/2026/042

Statutory Compliance Disclaimer: Requirements, statutory report formats, and inspection cadences vary by state, municipal fire directorate, building occupancy type, and applicable fire safety acts. VigilAMC is pure software for organizing service records and workflow documentation. Final compliance filings must be reviewed, sealed, and endorsed by authorized licensed fire safety agencies.