Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Monthly Inspection and Test

  • CIE is clearly visible, readily accessible and any covering door is correctly labelled?

  • Simulated ALARM condition (via alarm zone) at CIE: activates all required indicators and outputs?

  • Simulated ALARM condition (via alarm zone) at CIE: received by monitoring service?

  • Simulated ALARM condition (via alarm zone) at CIE: acknowledged by other means, if needed?

  • Simulated ALARM condition (where CIE is sub-CIE) is indicated at main CIE?

  • Simulated FAULT condition (via an alarm zone) is indicated?

  • Simulated FAULT condition (where CIE is sub-CIE) is indicated at main CIE?

  • Initiated ISOLATE/DISABLE condition at the CIE is processed by monitoring service?

  • Initiated ISOLATE/DISABLE condition at the CIE (where CIE is a sub-CIE) is indicated at main CIE?

  • RESET function operates correctly?

  • All VISUAL INDICATORS operate correctly?

  • All AURAL indicators operate correctly?

  • LOCAL ALARM INDICATOR operates correctly?

  • SUB-CIE/REPEATER PANEL/MIMIC PANEL controls and indicators operate correctly?

  • ALL CONTROLS returned to their normal condition?

  • Comments:

Six Monthly Inspection and Test

  • All previously identified items requiring CORRECTIVE ACTION attended to and recorded?

  • Perform all MONTHLY inspection, test and maintenance actions?

  • External local ALARM indicator (strobe/bell) clearly indicates designated entry point?

  • Battery enclosure (where batteries are vented) shows no signs of corrosion?

  • Simulated alarm condition initiates WARNING SYSTEM?

  • All required controls operate correctly?

  • Comments:

Annual Inspection and Test

  • ALARM SOUNDERS:<br>(where bells are used, inspect to ensure they are marked in accordance with AS 1603.6)

  • VISUAL WARNING DEVICES:<br>(inspect all devices to ensure they are marked in accordance with AS 1603.11)

  • OTHER WARNING DEVICES:<br>(inspect all devices to ensure they are in place and operational)

  • BLOCK PLANS:<br>(inspect block plans and zone drawings to ensure they are legible and current)

  • MONITORING CONNECTION:<br>(inspect records of monitoring reliability)

  • VISUAL INDICATORS:<br>(test the operation of CIE LED and alphanumerical indicators)

  • WARNING SYSTEMS:<br>(test the correct operation of the warning systems)

  • BATTERY:<br>(test capacity if item has not been replaced within 2 years)

  • REQUIRED BATTERY CAPACITY IN Ah:

  • ACTUAL BATTERY CAPACITY IN Ah:

  • ANCILLARY CONTROLS:<br>(test the operation and ensure that each controlled device can be correctly initiated)

  • ACTUATING DEVICES:<br>Collective Systems - (remove the last detector on each zone and confirm CIE registers a fault)

  • SMOKE ALARMS:<br>(disconnect the last detector from each zone to confirm CIE registers a fault)

  • ADDRESSABLE CIRCUITS:<br>(remove one addressable device on each addressable zone and confirm that CIE registers a fault)

  • For a CONVENTIONAL system, how many zones are monitored by CIE?

  • For an ADDRESSABLE system, how many detectors are monitored by the loop?

  • POINT TYPE HEAT DETECTORS:<br>(test the operation of 20% of point type heat detectors utilizing a heat source)

  • How many point type heat detectors were tested?

  • LINEAR HEAT DETECTORS:<br>(test the operation using a heat source)

  • POINT TYPE SMOKE DETECTORS:<br>(test the operation of 50% of point type smoke detectors using smoke or a suitable aerosol)

  • How many point type smoke detectors were tested?

  • LINEAR SMOKE DETECTORS:<br>(test the operation using neutral density light filters of the appropriate obscuration)

  • ASPIRATING SMOKE DETECTORS:<br>(test 50% of sampling points using smoke or suitable aerosol)

  • How many aspirating smoke detection systems are present on the site?

  • FLAME DETECTORS:<br>(test the operation of 50% of flame detectors using flame or simulated flame)

  • How many flame detectors were present?

  • CARBON MONOXIDE DETECTORS:<br>(test the operation of 50% of CO detectors using CO or a suitable gas)

  • How many carbon monoxide detectors were tested?

  • MANUAL CALL POINTS:<br>(test the operation of ALL manual call points and ensure that at least ONE replacement element is available)

  • How many manual call points were tested?

  • FUNCTIONAL TEST:<br>(test that the WARNING SYSTEM tones are audible in ALL areas of the building)

  • INTERFACE AND CONTROL TEST:<br>(conduct a functional test with other interface systems and verify with the building interface schematic)

  • Comments:

Interface Control Test Results

  • SPRINKLER SYSTEM:

  • HVAC:

  • EWS or EWIS:

  • STAIR PRESSURIZATION SYSTEMS:

  • OTHER:<br>(please detail...)

  • BATTERY:<br>(replace if older than TWO years unless it satisfactorily passes a battery capacity test)

  • ACTUATING DEVICES:<br>(all device spacing and location requirements in accordance with AS 1670.1)

  • UNPROTECTED AREAS:<br>(all areas in building inspected)

  • UNPROTECTED AREAS:<br>(all detectors installed in accordance with AS 1670.1)

  • CHANGE OF USE:<br>(actuating devices in all areas of the building are appropriate for the hazard?)

  • Comments:

Five Yearly Test

  • POWER SUPPLY:<br>(if monitored, reduce voltage to trigger a power supply fault)

  • OCCUPANT WARNING SYSTEM:<br>(test, in all areas of the building, the sound pressure level meets the requirements of the standard to which the system has been installed)<br>Document details:

  • SMOKE, FLAME and CARBON MONOXIDE DETECTORS:<br>(check the sensitivity of all detectors to ensure within required sensitivity range)

  • MONITORING CONNECTION:<br>(test the loss of each monitoring link indicated at the monitoring site)

  • Comments:

  • Technician signature

  • Client representative 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.