Gas Safe Bristol & Somerset Smoke & Carbon Monoxide Detector Report - Residential Properties V1.5

• Site Address

• Client

• Conducted on

  Date

• 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

  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

• 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

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 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

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

• Battery replaced?

  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 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

Carbon Monoxide 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 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 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

• Battery replaced?

  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

• Battery replaced?

  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

Replacement batteries

• Total number of Smoke Detectors batteries replaced

  1

  2

  3

  4

  0

• Total number of Carbon Monoxide Detectors batteries replaced

  1

  2

  3

  4

  0

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