System Interface Testing

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• This template was created by Fire Safety Australia, please visit www.firesafetyaustralia.com.au
  http://www.firesafetyaustralia.com.au

List of Devices Tested

• TEST 1:

• Location, FIP Zone & Device Number

• Smoke Zone

• HVAC Status?

  Pass

  Fail

  N/A

• SSF Status?

  Pass

  Fail

  N/A

• TEST 2:

• Location, FIP Zone & Device Number

• Smoke Zone

• HVAC Status?

  Pass

  Fail

  N/A

• SSF Status?

  Pass

  Fail

  N/A

• TEST 3:

• Location, FIP Zone & Device Number

• Smoke Zone

• HVAC Status?

  Pass

  Fail

  N/A

• SSF Status?

  Pass

  Fail

  N/A

• TEST 4:

• Location, FIP Zone & Device Number

• Smoke Zone

• HVAC Status?

  Pass

  Fail

  N/A

• SSF Status?

  Pass

  Fail

  N/A

• TEST 5:

• Location, FIP Zone & Device Number

• Smoke Zone

• HVAC Status?

  Pass

  Fail

  N/A

• SSF Status?

  Pass

  Fail

  N/A

• TEST 6:

• Location, FIP Zone & Device Number

• Smoke Zone

• HVAC Status?

  Pass

  Fail

  N/A

• SSF Status?

  Pass

  Fail

  N/A

• TEST 7:

• Location, FIP Zone & Device Number

• Smoke Zone

• HVAC Status?

  Pass

  Fail

  N/A

• SSF Status?

  Pass

  Fail

  N/A

• TEST 8:

• Location, FIP Zone & Device Number

• Smoke Zone

• HVAC Status?

  Pass

  Fail

  N/A

• SSF Status?

  Pass

  Fail

  N/A

• TEST 9:

• Location, FIP Zone & Device Number

• Smoke Zone

• HVAC Status?

  Pass

  Fail

  N/A

• SSF Status?

  Pass

  Fail

  N/A

• TEST 10:

• Location, FIP Zone & Device Number

• Smoke Zone

• HVAC Status?

  Pass

  Fail

  N/A

• SSF Status?

  Pass

  Fail

  N/A

In Attendance

• SIT testing Rep

  Sign

• Building Rep

  Sign

• HVAC Contractor Rep

  Sign

• Fire Detection & Alarm System Contractor Rep

  Sign