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    Smoke Alarm Maintenance Checklist

    Uploaded by

    ananthu.u
    This document contains checklists for routine and annual maintenance of smoke alarms and carbon monoxide detectors. Section A of each checklist addresses routine testing to ensure the devices are securely mounted, undamaged, and trigger audible alarms when tested. Section B covers annual maintenance including vacuuming, battery replacement, and testing using smoke or the test button. Section C is for documenting any necessary servicing or device replacement. The checklists require sign off by the inspector and tenant to confirm testing was completed.

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    © All Rights Reserved
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    Smoke Alarm Maintenance Checklist

    Uploaded by

    ananthu.u
    2K views2 pages
    This document contains checklists for routine and annual maintenance of smoke alarms and carbon monoxide detectors. Section A of each checklist addresses routine testing to ensure the devices are securely mounted, undamaged, and trigger audible alarms when tested. Section B covers annual maintenance including vacuuming, battery replacement, and testing using smoke or the test button. Section C is for documenting any necessary servicing or device replacement. The checklists require sign off by the inspector and tenant to confirm testing was completed.

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    Original Title

    SMOKE_ALARM-CO_DETECTOR_MAINTENANCE_CHECKLIST

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    This document contains checklists for routine and annual maintenance of smoke alarms and carbon monoxide detectors. Section A of each checklist addresses routine testing to ensure the devices are securely mounted, undamaged, and trigger audible alarms when tested. Section B covers annual maintenance including vacuuming, battery replacement, and testing using smoke or the test button. Section C is for documenting any necessary servicing or device replacement. The checklists require sign off by the inspector and tenant to confirm testing was completed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views2 pages

    Smoke Alarm Maintenance Checklist

    Uploaded by

    ananthu.u
    This document contains checklists for routine and annual maintenance of smoke alarms and carbon monoxide detectors. Section A of each checklist addresses routine testing to ensure the devices are securely mounted, undamaged, and trigger audible alarms when tested. Section B covers annual maintenance including vacuuming, battery replacement, and testing using smoke or the test button. Section C is for documenting any necessary servicing or device replacement. The checklists require sign off by the inspector and tenant to confirm testing was completed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    SMOKE ALARM MAINTENANCE CHECKLIST

    Address/Suite Number: ________________________ Date: _____________________

    Smoke alarm has been tested as a result of:

    Routine test and maintenance Extended Absence of Occupants


    Annual test and maintenance Complaint
    Change of tenancy Other: _______________________

    A. ROUTINE TEST AND MAINTENANCE YES NO


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

    B. ANNUAL TEST AND MAINTENANCE YES NO


    1. Smoke alarm is securely fastened to the wall or ceiling
    2. Smoke alarm shows no evidence of physical damage, paint
    application or excessive grease and dirt accumulations
    3. Smoke alarm has been vacuumed
    4. Smoke alarm is powered by: AC Wiring Standard Battery Long Life
    Battery that expires in the year __________. For battery operated smoke alarms:
    Battery has been replaced and securely connected to the clips.
    Battery is of the type ___________________ as recommended
    by the manufacturer.
    Battery terminals are free of corrosion and signs of leakage.
    5. Smoke alarm signal sounds when the smoke alarm is tested using
    smoke produced from a burning incense stick punk stick
    smoke other_____________
    6. Has tenant been provided with maintenance instructions for the device(s)

    C. SERVICING AND REPLACEMENT (complete this section if “NO” is checked in sections A or B)

    Smoke alarm has been serviced as follows: ________________________________________________________

    ____________________________________________________________________________________________

    Smoke alarm has been replaced as a result of:

    Failure to sound alarm during test Frequent false alarms


    Physical damage Battery leakage
    Painted exterior case Age
    Excessive stains, grease or dirt accumulations Other: _______________________________________

    Name and Title (please print): ____________________________


    Agency (please print): ______________________________
    Signature: ______________________________
    Tenant Signature: ______________________________
    CARBON MONOXIDE DETECTOR MAINTENANCE CHECKLIST

    Address/Suite Number: ________________________ Date: _____________________

    Carbon monoxide detector has been tested as a result of:

    Routine test and maintenance Extended Absence of Occupants


    Annual test and maintenance Complaint
    Change of tenancy Other: _______________________

    A. ROUTINE TEST AND MAINTENANCE YES NO


    1. Carbon monoxide detector is securely fastened to the wall or ceiling
    2. Carbon monoxide detector shows no evidence of physical damage, paint
    application or excessive grease and dirt accumulations
    3. Ventilation holes on the carbon monoxide detector are clean and free of obstructions
    4. Carbon monoxide detector signal sounds when the test device is operated

    B. ANNUAL TEST AND MAINTENANCE YES NO


    5. Carbon monoxide detector is securely fastened to the wall or ceiling
    6. Carbon monoxide detector shows no evidence of physical damage, paint
    application or excessive grease and dirt accumulations
    7. Carbon monoxide detector has been vacuumed
    8. Carbon monoxide detector is powered by: AC Wiring Standard Battery Long Life
    Battery that expires in the year __________. For battery operated carbon monoxide detectors:
    Battery has been replaced and securely connected to the clips.
    Battery is of the type ___________________ as recommended
    by the manufacturer.
    Battery terminals are free of corrosion and signs of leakage.
    9. Carbon monoxide detector signal sounds when the carbon monoxide detector
    was tested using the test button
    10. Has tenant been provided with maintenance instructions for the device(s)

    C. SERVICING AND REPLACEMENT (complete this section if “NO” is checked in sections A or B)

    Carbon monoxide detector has been serviced as follows: _____________________________________________

    ____________________________________________________________________________________________

    Carbon monoxide detector has been replaced as a result of:

    Failure to sound alarm during test Frequent false alarms


    Physical damage Battery leakage
    Painted exterior case Age
    Excessive stains, grease or dirt accumulations Other: _______________________________________

    Name and Title (please print): ____________________________


    Agency (please print): ______________________________
    Signature: ______________________________
    Tenant Signature: ______________________________

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