Title Page

  • Technician

  • Address
    Smoke Alarm Check
  • Is there a Smoke Alarm Check?

  • Unit location

  • Unit brand?

  • Unit expiration date

  • Hard wired or battery powered?

  • Test battery. Required replacement?

  • Interconnecting units?

  • • Unit placed within 400mm of an air-conditioning vent?<br>• Unit placed within 300mm of a corner of a ceiling or wall?

  • General condition of unit:

  • Unit required in location?

  • Have the following tests been completed?<br>- Push button test<br>- Smoke simulation test<br>- Decible test

  • Detail non-compliance:

  • Reason for not completing test(s)

  • Cleaned detector and surrounding areas?

  • Overall Smoke Alarm unit result?

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