Gas Safe Bristol & Somerset Smoke & Carbon Monoxide Alarm Report - Residential Properties

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Unit Location Guidance Notes

• A smoke alarm should be equipped on each story of the premises in which there is a room used wholly or partly used as living accommodation.
  
  A Carbon Monoxide Detector should be equipped in any room of the premises which is wholly or partly used as living accommodation and contains a solid fuel combustible appliance.

Property Type

• This section details information about the property being assessed.

• Property Type

  Select Multi Storey House Flat Bungalow Mobile Home Multi Storey House - Multi Occupancy

  • Multi Storey House
  • Flat
  • Bungalow
  • Mobile Home
  • Multi Storey House - Multi Occupancy

Smoke Alarm Installation Type

• What type of detection system is installed at the property

  Select Battery Operated (9v) Hard Wired (Mains) Hard Wired with Battery Backup Mixed Battery Operated (lithium type) N/A

  • Battery Operated (9v)
  • Hard Wired (Mains)
  • Hard Wired with Battery Backup
  • Mixed
  • Battery Operated (lithium type)
  • N/A

Smoke Alarm 1

• Smoke alarm location

  Select Hallway Landing Living Room Bedroom Kitchen Other Roof Space Garage N/A

  • Hallway
  • Landing
  • Living Room
  • Bedroom
  • Kitchen
  • Other
  • Roof Space
  • Garage
  • N/A

• Is the location satisfactory?

  Yes

  No

  N/A

• Type of smoke alarm

  Select Battery Operated (9v) Hard Wired (Mains) Hard Wired with Battery Backup Mixed Battery Operated (lithium type) N/A

  • Battery Operated (9v)
  • Hard Wired (Mains)
  • Hard Wired with Battery Backup
  • Mixed
  • Battery Operated (lithium type)
  • N/A

• Is the alarm operating correctly?

  Yes

  No

  N/A

• Image of alarm

  Media

Smoke Alarm 2

• Smoke alarm location

  Select Hallway Landing Living Room Bedroom Kitchen Other Roof Space Garage N/A

  • Hallway
  • Landing
  • Living Room
  • Bedroom
  • Kitchen
  • Other
  • Roof Space
  • Garage
  • N/A

• Is the location satisfactory?

  Yes

  No

  N/A

• Type of smoke alarm?

  Select Battery Operated (9v) Hard Wired (Mains) Hard Wired with Battery Backup Mixed Battery Operated (lithium type) N/A

  • Battery Operated (9v)
  • Hard Wired (Mains)
  • Hard Wired with Battery Backup
  • Mixed
  • Battery Operated (lithium type)
  • N/A

• Is the alarm operating correctly?

  Yes

  No

  N/A

• Image of alarm

  Media

Smoke Alarm 3

• Smoke alarm location

  Select Hallway Landing Living Room Bedroom Kitchen Other Roof Space Garage N/A

  • Hallway
  • Landing
  • Living Room
  • Bedroom
  • Kitchen
  • Other
  • Roof Space
  • Garage
  • N/A

• Is the location satisfactory?

  Yes

  No

  N/A

• Type of smoke alarm

  Select Battery Operated (9v) Hard Wired (Mains) Hard Wired with Battery Backup Mixed Battery Operated (lithium type) N/A

  • Battery Operated (9v)
  • Hard Wired (Mains)
  • Hard Wired with Battery Backup
  • Mixed
  • Battery Operated (lithium type)
  • N/A

• Is the alarm operating correctly?

  Yes

  No

  N/A

• Image of alarm

  Media

Important Information Regarding Mains Powered Smoke Alarms

• Mains powered smoke alarms have not been tested. We recommend that these type of alarms are tested on a regular basis by a suitably qualified person or organisation.

Carbon Monoxide Detector Installation Type

• What type of detection system is installed at the property?

  Select Battery Operated (9v) Hard Wired (Mains) Hard Wired with Battery Backup Mixed Battery Operated (lithium type) N/A

  • Battery Operated (9v)
  • Hard Wired (Mains)
  • Hard Wired with Battery Backup
  • Mixed
  • Battery Operated (lithium type)
  • N/A

Carbon Monoxide Detector 1

• Carbon monoxide detector location

  Select Hallway Landing Living Room Bedroom Kitchen Other Roof Space Garage N/A

  • Hallway
  • Landing
  • Living Room
  • Bedroom
  • Kitchen
  • Other
  • Roof Space
  • Garage
  • N/A

• Is the location satisfactory?

  Yes

  No

  N/A

• Type of detector

  Select Battery Operated (9v) Hard Wired (Mains) Hard Wired with Battery Backup Mixed Battery Operated (lithium type) N/A

  • Battery Operated (9v)
  • Hard Wired (Mains)
  • Hard Wired with Battery Backup
  • Mixed
  • Battery Operated (lithium type)
  • N/A

• Is the detector operating correctly?

  Yes

  No

  N/A

• Image of detector

  Media

Carbon Monoxide Detector 2

• Carbon monoxide detector location

  Select Hallway Landing Living Room Bedroom Kitchen Other Roof Space Garage N/A

  • Hallway
  • Landing
  • Living Room
  • Bedroom
  • Kitchen
  • Other
  • Roof Space
  • Garage
  • N/A

• Is the location satisfactory?

  Yes

  No

  N/A

• Type of detector

  Select Battery Operated (9v) Hard Wired (Mains) Hard Wired with Battery Backup Mixed Battery Operated (lithium type) N/A

  • Battery Operated (9v)
  • Hard Wired (Mains)
  • Hard Wired with Battery Backup
  • Mixed
  • Battery Operated (lithium type)
  • N/A

• Is the detector operating correctly?

  Yes

  No

  N/A

• Image of detector

  Media

Installation Of New/Replacement Smoke Alarms and Carbon Monoxide Dectectors

• The below sections details how many smoke alarms and carbon monoxide detectors have been installed by the assessor whilst at the property in order to satisfy current regulations. The alarms and detectors will be installed to the most suitable location in order to provide the best possible protection.

• Quantity of new/replacement smoke alarms installed?

  1

  2

  3

  4

  0

• Quantity of new/replacement Carbon Monoxide detectors installed?

  1

  2

  3

  4

  0

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