• Location
  • Conducted on

  • Prepared by

Smoke Detector Inspection

  • Location

  • Serial Number

  • Is the smoke detector securely fastened to the wall or ceiling?

  • Does the smoke detector show no evidence of physical damage, paint application, or excessive grease and dirt accumulations?

  • What is the expiration date of the smoke detector's battery?

  • Does the battery need replacement?

  • Date Replaced

  • Who performed the replacement?

Testing of Detectors

  • Have all Smoke Detectors in the installation been tested?

  • How many Smoke Detectors were tested?

  • Have all detectors that were tested passed the operational test procedures?

  • How many Smoke Detectors were tested?

  • Have all Smoke Detectors that failed the tests been replaced?

  • Is any further action required to meet compliance of these installations

Next Due Date for Smoke Detector Inspection

  • Your next test is due on:


  • Further to the installation of smoke detectors at the listed address above, this compliance certificate is to confirm the installation of smoke detectors and state their installation and operational compliance, and that they have been hard wired to the electrical system in accordance with the above standards.

  • Full Name and Signature of Inspector

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.