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

• Site Address

• Client

• Conducted on

  Date

• Prepared by

• Location
  Address

• Engineer

Unit Location Guidance Notes

• A Smoke Detector 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 used as living accommodation which contains a fixed combustion appliance (excluding gas cookers).

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 Detached House Semi Detached House End of Terrace House House of Multiple Occupancy Terrace

  • Multi Storey House
  • Flat
  • Bungalow
  • Mobile Home
  • Multi Storey House - Multi Occupancy
  • Detached House
  • Semi Detached House
  • End of Terrace House
  • House of Multiple Occupancy
  • Terrace

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 Detector 1

• Smoke 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 Smoke 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 when the test button is activated?

  Yes

  No

  N/A

• Battery replaced?

  Yes

  No

  N/A

• Expiry date of Smoke Detector

  Date

• Image of Smoke Detector

  Media

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Smoke Detector 2

• Smoke 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 Smoke 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 Smoke Detector operating correctly when the test button is activated?

  Yes

  No

  N/A

• Battery replaced?

  Yes

  No

  N/A

• Expiry date of Smoke Detector

  Date

• Image of Smoke Detector

  Media

Smoke Detector 3

• Smoke 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 Smoke 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 Smoke Detector operating correctly when the test button is activated?

  Yes

  No

  N/A

• Expiry date of Smoke Detector

  Date

• Image of Smoke Detector

  Media

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 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 when the test button is activated?

  Yes

  No

  N/A

• Expiry date of Carbon Monoxide Detector

  Date

• 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 when the test button is activated?

  Yes

  No

  N/A

• Expiry date of Carbon Monoxide Detector

  Date

• Image of Detector

  Media

Carbon Monoxide Detector 3

• 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 when the test button is activated?

  Yes

  No

  N/A

• Expiry date of Carbon Monoxide Detector

  Date

• Image of Detector

  Media

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?

  1

  2

  3

  4

  0

• Quantity of new/replacement Carbon Monoxide detectors installed?

  1

  2

  3

  4

  0

Total number of batteries replaced?

• Smoke Detectors

  1

  2

  3

  4

  0

• Carbon Monoxide Detectors

  1

  2

  3

  4

  0

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