Information

  • Document No.

  • Customer Name:

  • Site Address:

  • Conducted on

General Inspection

  • Does the property contain the correct number of smoke alarms? (At least one alarm on each level)

  • Is the existing smoke alarm photoelectric? If no, then smoke alarm must be replaced.

  • Are the smoke alarms installed in the correct locations?

  • Are the smoke alarms securely fixed in place?

Smoke Alarms

  • Please add for each Smoke Alarm

  • Smoke Alarm
  • Smoke alarm location

  • Smoke Alarm Expiry Date

  • Hard wired or 10 year lithium battery?

  • Smoke alarm complies with AS3786-1993

  • Smoke alarm cleaned and vacuumed?

  • 9 Volt battery replaced?

  • Audible Test (Mains Power)

  • Audible Test (Battery / Battery Backup)

  • Visual Test (Mains Power)

  • Visual Test (Battery / Battery Backup)

  • Full function test using artificial smoke

  • Did the smoke alarm pass testing?

  • If Smoke Alarm replaced, replaced with?

  • TPE sticker applied over battery?

  • Date written on smoke alarm?

  • Insect surface spray applied to alarm surround?

Notes and recommendations

  • undefined

Next test due date

  • Select date

Compliance Statement

  • This compliance certificate is to confirm the installation and operational compliance of the smoke detectors with AS3786:2014 at the above listed address and state that they have been hard wired to the electrical system &/or are 10-year lithium battery and interconnected in accordance with the Queensland Fire and Emergency Services legislation.

Completed By:

  • Electrician:

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