Title Page

  • Document No:

  • Customer

  • Site Address
  • Date

  • Arrival Time

  • System Type

  • % of system tested

Control Panel Items Tested & Inspected

  • General State of Panel

  • Battery Connection

  • General Fault Indication

  • Panel Lamp Test

  • Silence Resound

  • Reset Function

  • Sounder Test

  • Reason

Field Circuits

  • All Circuits Respond

  • Visual State of Wiring

  • Visual State of Equipment

Battery Functions

  • Charge Voltage - V

  • Alarm Functions with Batteries Disconnected

  • Battery Size - Ah

  • Battery 1 - Ah

  • Battery 2 - Ah

  • Date on Batteries

Test Completion

  • Test result


  • 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.