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 this installation?

Next test due date
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 or Authorized Representative
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.