SCDF-FSC02-FSRP

FIRE SAFETY ACT

(CHAPTER 109A)
FIRE SAFETY (BUILDING AND PIPELINE FIRE SAFETY) REGULATIONS

(Regulation 13)

REGULATED FIRE SAFETY PRODUCTS INSTALLATION CERTIFICATE

The Commissioner
Singapore Civil Defence Force
91 Ubi Avenue 4
Singapore 408827
Attn: Director, Fire Safety Department

Project Title:      

SCDF Approved Plan Number:      

Approved Date:      

*To attach floor plans indicating the locations of Regulated Fire Safety Product installed and endorsed by the same
appointed Appropriate QP.

Updated as of 16 Oct 2020

Page 1 of 6
 SCDF-FSC02-FSRP
FIRE SAFETY ACT
(CHAPTER 109A)
FIRE SAFETY (BUILDING AND PIPELINE FIRE SAFETY) REGULATIONS

(Regulation 13)

REGULATED FIRE SAFETY PRODUCTS INSTALLATION CERTIFICATE

Type of Regulated Fire Safety Products & Materials:      

*Storey *Room type *Gridlines in SCDF Installed size / area Fire resistance Inspection Date
(E.g. Office, approved plans rating (hrs) /
Classroom, etc.) Thickness
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
Inspected by Appropriate QP appointed by Choose an item. of the Regulated Fire Safety Product

*To attach floor plans indicating the locations of Regulated Fire Safety Product installed and endorsed by the same appointed Appropriate QP.

Updated as of 16 Oct 2020

Page 2 of 6
 SCDF-FSC02-FSRP
FIRE SAFETY ACT
(CHAPTER 109A)
FIRE SAFETY (BUILDING AND PIPELINE FIRE SAFETY) REGULATIONS

(Regulation 13)

REGULATED FIRE SAFETY PRODUCTS INSTALLATION CERTIFICATE

Type of Regulated Fire Safety Products & Materials:      

*Storey *Room type *Gridlines in SCDF Installed size / area Fire resistance Inspection Date
(E.g. Office, approved plans rating (hrs) /
Classroom, etc.) Thickness
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
Inspected by Appropriate QP appointed by Choose an item. of the Regulated Fire Safety Product

*To attach floor plans indicating the locations of Regulated Fire Safety Product installed and endorsed by the same appointed Appropriate QP.

Updated as of 16 Oct 2020

Page 3 of 6
 SCDF-FSC02-FSRP
FIRE SAFETY ACT
(CHAPTER 109A)
FIRE SAFETY (BUILDING AND PIPELINE FIRE SAFETY) REGULATIONS

(Regulation 13)

REGULATED FIRE SAFETY PRODUCTS INSTALLATION CERTIFICATE

Type of Regulated Fire Safety Products & Materials:      

*Storey *Room type *Gridlines in SCDF Installed size / area Fire resistance Inspection Date
(E.g. Office, approved plans rating (hrs) /
Classroom, etc.) Thickness
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
Inspected by Appropriate QP appointed by Choose an item. of the Regulated Fire Safety Product

*To attach floor plans indicating the locations of Regulated Fire Safety Product installed and endorsed by the same appointed Appropriate QP.

Updated as of 16 Oct 2020

Page 4 of 6
 SCDF-FSC02-FSRP
FIRE SAFETY ACT
(CHAPTER 109A)
FIRE SAFETY (BUILDING AND PIPELINE FIRE SAFETY) REGULATIONS

(Regulation 13)

REGULATED FIRE SAFETY PRODUCTS INSTALLATION CERTIFICATE

Type of Regulated Fire Safety Products & Materials:      

*Storey *Room type *Gridlines in SCDF Installed size / area Fire resistance Inspection Date
(E.g. Office, approved plans rating (hrs) /
Classroom, etc.) Thickness
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
                              Click or tap to
enter a date.
Inspected by Appropriate QP appointed by Choose an item. of the Regulated Fire Safety Product

*To attach floor plans indicating the locations of Regulated Fire Safety Product installed and endorsed by the same appointed Appropriate QP.

Updated as of 16 Oct 2020

Page 5 of 6
 SCDF-FSC02-FSRP
FIRE SAFETY ACT
(CHAPTER 109A)
FIRE SAFETY (BUILDING AND PIPELINE FIRE SAFETY) REGULATIONS

(Regulation 13)

REGULATED FIRE SAFETY PRODUCTS INSTALLATION CERTIFICATE

Certificate of Conformity (CoC) Number      
Validity Period      
Certification Body      
Test Report(s) No      
     
     
Supplier Full Name      
Designation      
Company Name      
Company UEN      
Installer Full Name      
Designation      
Company Name      
Company UEN      

I, Click or tap here to enter text. , (full name of Appropriate QP, as per NRIC/FIN), being an
appropriate qualified person have supervised the installation of the aforesaid regulated fire safety products
and certify that all installation works have been carried out in accordance with the approved plans of fire
safety works for the project, the provisions of prevailing Fire Code, the Fire Safety Act and any regulations
made under this Act and any terms and conditions imposed by the Commissioner.

                 

Full Name of Appropriate QP BOA or PE Number Company Name
appointed by Choose an item.

      Click or tap to enter a date.

Designation Signature Date

*To attach floor plans indicating the locations of Regulated Fire Safety Product installed and endorsed by the same
appointed Appropriate QP.

Updated as of 16 Oct 2020

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