Title Page
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Technician
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Address
- Smoke Alarm Check
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Is there a Smoke Alarm Check?
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Unit location
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Unit brand?
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Unit expiration date
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Hard wired or battery powered?
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Test battery. Required replacement?
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Interconnecting units?
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• Unit placed within 400mm of an air-conditioning vent?<br>• Unit placed within 300mm of a corner of a ceiling or wall?
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General condition of unit:
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Unit required in location?
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Have the following tests been completed?<br>- Push button test<br>- Smoke simulation test<br>- Decible test
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Detail non-compliance:
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Reason for not completing test(s)
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Cleaned detector and surrounding areas?
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Overall Smoke Alarm unit result?
- Compliant
- Compliant - Unit Replaced
- Compliant - Unit Relocated
- Compliant - New Installation
- Non-Compliant - Requires Replacement
- Non-Compliant - Requires Relocation
- Non-Compliant - Requires New Installation
- Compliant - Recommended Works