Delta Company Ltd.

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

FIRE ALARM TEST SCHEDULE AND REGISTER

• Year of Test:

• Note: Alarm to be tested a 3 monthly

• Site Location:

  Yes

  No

  N/A

Fire alarm testing

• Location of alarm:

• Month

  Select January February March April May June July August September October November December

  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • August
  • September
  • October
  • November
  • December

• Date Scheduled: Every 1st Saturday of the Month

  Select 1st Week 2nd Week 3rd Week 4th Week

  • 1st Week
  • 2nd Week
  • 3rd Week
  • 4th Week

• Date tested:

  Date

• Comments:

  Select A-Sound not unique B-Akarm can't heard in all area C-Back up alarm not working D-Sound not loud enough E-Alarm OK F-Alarm not working G-Alarm for repair

  • A-Sound not unique
  • B-Akarm can't heard in all area
  • C-Back up alarm not working
  • D-Sound not loud enough
  • E-Alarm OK
  • F-Alarm not working
  • G-Alarm for repair

• Signature of fire coordinator:

  Sign