Smoke Alarms

• Document No.

• Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Test Procedure. Is it Compliant with the Work Procedure?

• Is the Smoke Alarm a Battery Operated Type Only?

  Yes

  No

  N/A

• Check Smoke Alarm For Damage. Photo Required on ceiling with Label filled out if Damaged Smoke Alarm is to be Replaced

  Yes

  No

  N/A

• Check for Missing Smoke Alarm.If Missing then Photo Required of missing Smoke Alarm on ceiling with label filled out.

  Yes

  No

  N/A

• Is there a STROBE SMOKE ALARM on the premises?

  Yes

  No

  N/A

• Check Smoke Alarm for 240 volt Operation.

  Yes

  No

  N/A

• Remove Smoke Alarm from ceiling to continue with procedure.

  Yes

  No

  N/A

• Are there any repairs to be made to the Smoke Alarm Wiring or Mounting Bracket?

  Yes

  No

  N/A

• Check Smoke Alarm for Vermin Infestation.

  Yes

  No

  N/A

• Check Smoke Alarm for Being Out of Date.

  Yes

  No

  N/A

• Check Smoke Alarm for Battery Back Up./. Plug in Test Lead and Test

  Yes

  No

  N/A

• Wipe Down Smoke Alarm.

  Yes

  No

  N/A

• Remove Any Old Labels.

  Yes

  No

  N/A

• Place new label in correct position on Smoke Alarm .DO NOT COVER ANY VENTS.

  Yes

  No

  N/A

• Sprayed Area With Insect Surface Spray.

  Yes

  No

  N/A

• Refit Smoke Alarm

  Yes

  No

  N/A

• More than 1 Smoke Alarms in the property.

  Yes

  No

  N/A

• Is there an Wall Mounted HUSH Button fitted. If yes does it work?

  Yes

  No

  N/A

• Completed Paperwork

  Yes

  No

  N/A

• Explained what Was Done.

  Yes

  No

  N/A

• Householder Signed off Paperwork.

  Yes

  No

  N/A

• ALL REPLACEMENT SMOKE ALARMS MUST BE IONISATION TYPE SMOKE ALARMS NOT PHOTOELECTRIC.

  Yes

  No

  N/A

LOCATION OF SMOKE ALARMS

• Hallway

  Serviced

  Replaced

  No Alarm

• Hallway Upstairs

  Serviced

  Replaced

  No Alarm

• Bedroom 1

  Serviced

  Replaced

  No Alarm

• Bedroom 2

  Serviced

  Replaced

  No Alarm

• Bedroom 3

  Serviced

  Replaced

  No Alarm

• Bedroom 4

  Serviced

  Replaced

  No Alarm

• Lounge Room

  Serviced

  Replaced

  No Alarm

• Dining Room

  Serviced

  Replaced

  No Alarm

• Other

  Serviced

  Replaced

  No Alarm

• Other

  Serviced

  Replaced

  No Alarm

Feedback Information

• Are They Wearing The Correct Uniform? Tucked in properly No Plumbers Butt or Budha Bellies.

  Yes

  No

  N/A

• Is The Work Area Neat and Tidy?

  Yes

  No

  N/A

• Are They Working Efficiently?

  Yes

  No

  N/A

• Are They Working Safely?

  Yes

  No

  N/A

Compliance.

• Does The Vehicle Have a Fully Charged Fire Extinguisher?

  Yes

  No

  N/A

• Are they Carrying a Fist Aid Kit!

  Yes

  No

  N/A

• Are they carrying a Van Pack?

  Yes

  No

  N/A

• Are their MATERIAL DATA SHEETS up to date?

  Yes

  No

  N/A

Performance Rating.

• Overall Performance.

• Add signature

  Sign