Title Page
-
Site Address
-
Client
-
Conducted on
-
Engineer
Unit Location Guidance Notes
-
The regulations require a smoke alarm to be installed on every storey of the premises on which there is a room used wholly or partly as living accommodation.
A carbon monoxide alarm must be installed in any room which is used wholly or partly as living accommodation and contains a fixed combustion appliance (except gas cookers).
In general, a room is classed as ‘living accommodation’ if it is used for the primary purposes of living, or is a room in which a person spends a significant amount of time.
The regulations specifically stipulate that a bathroom or lavatory would be classed as living accommodation.
Smoke Detector 1
-
Smoke Detector location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
-
Is the location satisfactory?
-
Type of Smoke Detector?
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
-
Is the detector operating correctly when the test button is activated?
-
Battery replaced?
-
Expiry date of Smoke Detector
-
Image of Smoke Detector
undefined
Smoke Detector 2
-
Smoke Detector location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
-
Is the location satisfactory?
-
Type of Smoke Detector?
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
-
Is the Smoke Detector operating correctly when the test button is activated?
-
Battery replaced?
-
Expiry date of Smoke Detector
-
Image of Smoke Detector
Smoke Detector 3
-
Smoke Detector location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
-
Is the location satisfactory?
-
Type of Smoke Detector
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
-
Is the Smoke Detector operating correctly when the test button is activated?
-
Battery replaced?
-
Expiry date of Smoke Detector
-
Image of Smoke Detector
Important Information Regarding Mains Powered Smoke Detectors
-
Mains powered Smoke Detectors that are wired to a central control panel have NOT been tested. We recommend that these type of alarms are tested on a regular basis by a suitably qualified person or organisation in line with BS5839.
Carbon Monoxide Detector 1
-
What type of detection system is installed at the property?
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
-
Carbon Monoxide Detector location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
-
Is the location satisfactory?
-
Type of Detector
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
-
Is the Detector operating correctly when the test button is activated?
-
Battery replaced?
-
Expiry date of Carbon Monoxide Detector
-
Image of detector
Carbon Monoxide Detector 2
-
Carbon Monoxide Detector location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
-
Is the location satisfactory?
-
Type of Detector
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
-
Is the Detector operating correctly when the test button is activated?
-
Battery replaced?
-
Expiry date of Carbon Monoxide Detector
-
Image of Detector
Carbon Monoxide Detector 3
-
Carbon monoxide detector location
- Hallway
- Landing
- Living Room
- Bedroom
- Kitchen
- Other
- Roof Space
- Garage
- N/A
-
Is the location satisfactory?
-
Type of Detector
- Battery Operated (9v)
- Hard Wired (Mains)
- Hard Wired with Battery Backup
- Mixed
- Battery Operated (lithium type)
- N/A
-
Is the Detector operating correctly when the test button is activated?
-
Battery replaced?
-
Expiry date of Carbon Monoxide Detector
-
Image of Detector
Installation Of New/Replacement Smoke Alarms and Carbon Monoxide Dectectors
-
The below sections details how many Smoke Detectors 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 in the most suitable location in order to provide the best possible protection.
-
Quantity of new/replacement Smoke Detectors installed?
-
Quantity of new/replacement Carbon Monoxide detectors installed?
Replacement batteries
-
Total number of Smoke Detectors batteries replaced
-
Total number of Carbon Monoxide Detectors batteries replaced
-
Add signature
-
Select date