Smoke Detector Test - Rowland & Briggs

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Testing of Detectors

• Have all Smoke Detectors in the installation been tested with BCA requirements?

  Yes

  No

  N/A

• How many Smoke Detectors were tested?

  Select One Two Three Four Five Six Seven Eight Nine Ten

  • One
  • Two
  • Three
  • Four
  • Five
  • Six
  • Seven
  • Eight
  • Nine
  • Ten

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

  Yes

  No

  N/A

• How many Smoke Detectors failed the compliance test?

  Select None, all passed One Two Three Four Five Six Seven Eight Nine Ten

  • None, all passed
  • One
  • Two
  • Three
  • Four
  • Five
  • Six
  • Seven
  • Eight
  • Nine
  • Ten

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

  Yes

  No

  N/A

• Is any further action required to meet compliance of this installation?

  Yes

  No

  N/A

Next test due date

• Your next test is due on:

  Date

Compliance Statement

• 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 with AS 3786-1993 and clause 3.7.2.3 of BCA and that they have been hard wired to the electrical system in accordance with the above standards.

Signed off by

• Signed by R&B Representative

  Sign