Smoke Detector Inspection Form

Smoke Detector Inspection Form
Inspector Name
First NameLast Name
Inspection Date & Time
MonthDayYear
Date
Hour MinutesAM/PM Option
Location
Smoke Detector ID
Reason for Inspection
Other
Last Inspection Date
MonthDayYear
Date
Hour MinutesAM/PM Option

General Inspection

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?
Take Photo or Upload a Photo
Additional Notes & Comments
Date
MonthDayYear
Date
Signature
Clear
Should be Empty:

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