Annual Scheduled Smoke Alarm Service

• Property Address
  Address

• Conducted on

  Date

• Inspected by

• Electrical Licence Number:-

• PO BOX 6170 Conder ACT 2906
  Albert: 0410 922 797
  Jason: 0410 663 681

Smoke Alarm Service

• Please add for each Smoke Alarm

Smoke Alarm

• Existing / New Alarm

  Existing

  New Alarm

• Required / Non-Required

  Required

  Non-Required

• Expired / In-Date

  Expired

  In-Date

• Appliance Type

  Select Detachable 9v Smoke Alarm Detachable 10 Year Lithium Smoke Alarm Mains 240v (9v Backup Battery) Smoke Alarm Mains 240v Rechargeable Smoke Alarm Security

  • Detachable 9v Smoke Alarm
  • Detachable 10 Year Lithium Smoke Alarm
  • Mains 240v (9v Backup Battery) Smoke Alarm
  • Mains 240v Rechargeable Smoke Alarm
  • Security

• Photoelectric or Ionisation

  Photoelectric

  Ionisation

• Manufacturer

• Location

  Select Entrance Hallway Living Room Dining Room Kitchen Office Main Bedroom Bedroom 2 Bedroom 3 Bedroom 4 Bathroom Garage End of Hallway Laundry

  • Entrance
  • Hallway
  • Living Room
  • Dining Room
  • Kitchen
  • Office
  • Main Bedroom
  • Bedroom 2
  • Bedroom 3
  • Bedroom 4
  • Bathroom
  • Garage
  • End of Hallway
  • Laundry

• Floor Level

  Select Ground Level 1 Level 2 Level 3 Level 4 Level 5 Basement

  • Ground
  • Level 1
  • Level 2
  • Level 3
  • Level 4
  • Level 5
  • Basement

• Please check with client before proceeding to take photos of the property

• Location Photo

  Media

• Battery Replacement

• Vacuumed & Cleaned

• Button Test (Above 85 Decibels)

• Decibel Test

• Smoke Test

• Insect Surface Spray Applied to Alarm Surroundings?

  Yes

  No

• Smoke Alarm Complies with AS3786-2014

  Yes

  No

• Manufacture date

  Date

• Manufacture Date Photo

  Media

• Expiry Date

  Date

• Please select the type of property

  House

  Town House

  Apartment

  Unit

  Other

• Number of bedrooms

• Does the property contain the correct number of smoke alarms (At least one alarm on each level)?

  Yes

  No

• Are the smoke alarms installed in the correct location

  Yes

  No

• Are the smoke alarms securely fixed in place?

  Yes

  No

Notes and recommendations

• undefined

Next Scheduled Service

• Select date

  Date

Tenant Terms

• • Do not deactivate a smoke alarm or interfere with its operation in any way.
  • Notify the agent or owner if a smoke alarm is faulty or not in working order.
  • Keep all smoke detectors clean and obstruction-free at all times (do not paint etc.)
  • Replace batteries when required, if you are unable to do so notify the agent or owner.
  • Test smoke detectors at least once a month according to most manufacturers guidelines. This is done by pressing the “Test Button” until an audible alarm will confirm operation. Please note, the alarm may chirp for up to 15 minutes.

• Tenant Verification of Terms and Conditions

  Sign

• Technician

  Sign

• Technician

  Sign