Title Page

  • Document No:

  • Customer

  • Site Address
  • Date

  • Arrival Time


  • System Type

  • Next Inspection due

  • % of system tested

  • False Alarms form last visit

Control Panel Items Tested & Inspected

  • General State of Panel

  • Battery Connection

  • Sounder Fault Indication

  • Zone Fault Indication

  • Fire Zone Indication

  • General Fault Indication

  • Panel Lamp Test

  • Evacuation

  • Silence Resound

  • Reset Function

  • Sounder Test

  • Reason

Remote Signalling

  • Site Connected to ARC

  • Automatic Transmission of Alarm system to ARC

Documentation for Site / System

  • System Log Book Present

  • Log Book up to Date

  • All Recorded Faults Rectified

  • Zone Chart Present & up to Date

Operation of Field Device Equipment

  • Detection on Site

  • Audio / Visual on Site

  • Call Points Unobstructed

  • Location and recommendation to stop obstruction

  • Automatic Device Undamaged

Field Circuits

  • All Circuits Respond to Fire

  • Visual State of Wiring

  • Visual State of Equipment

Battery Functions

  • Charge Voltage - V

  • Charge Current - mA

  • System Volts Mains Off - V

  • System Quiescent - mA

  • System Current in Full Alarm - mA

  • Alarm Functions with Batteries Disconnected

  • Reason

  • Battery Size - Ah

  • Battery 1 - Ah

  • Battery 2 - Ah

  • Date on Batteries


  • Engineers Signature

  • Customer Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.