Smoke Detector Inspection Form.2024

Smoke Detector Inspection Form
Inspector Name*

First NameLast Name
Date*

MonthDayYear
Date
Facility*
Enter your address
Routine test and maintenanceExtended Absence of OccupantsAnnual test and maintenanceComplaintChange of tenancyOther
Click the arrrow below to expand each section. If you have more than 15 smoke detectors in your facility, please enter information in the notes section.

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Location
Example, Upstairs Living Room, Downstairs Bathroom, Bedroom 1, Bedroom 2, etc.

General Inspection (please clearly indicate in the NOTES section any care that is needed for the smoke detector. E.G. - needs replacement, battery, etc.)

Rows	Yes	No	Notes
Smoke alarm is securely fastened to the wall or ceiling.
Smoke alarm shows no evidence of physical damage, paint application or excessive grease and dirt accumulations.
Ventilation holes on the smoke alarm are clean and free of obstructions.
Smoke alarm signal sounds when the test device is operated.

Actions

Rows	Yes	No	Notes
Battery Changed?
Replaced?

Additional Notes & Comments
Date

MonthDayYear
Date
Signature

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