Fire Alarm System Inspection Form
Client Informations
Client Name
First Name
Last Name
Client's Signature
Client's Phone Number
Format: (000) 000-0000.
Client's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Assesments
Inspection Frequency
Please Select
Monthly
Seasonally
Annually
Date of Inspection
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
GENERAL EVALUATION
Rows
Yes
No
Fire alarm control panel accessible by emergency response personnel and not obstructed.
1
2
Fire alarm control panel in normal condition.
3
4
EQUIPMENTS
Rows
Fail
Pass
N/A
Notes
Annunciators
5
6
7
Audible Alarms
8
9
10
Auto Door Releases
11
12
13
Batteries
14
15
16
Charger
17
18
19
Control Panels
20
21
22
Duct Detectors
23
24
25
Elevator Recall
26
27
28
Exterior Sprinkler Electric Alarm Bell
29
30
31
Fire Dampers
32
33
34
Fire Department Interconnection
35
36
37
Generator
38
39
40
Heat Detectors
41
42
43
Manual Stations
44
45
46
Master Alarm Box
47
48
49
Phone Jacks
50
51
52
Smoke Dampers
53
54
55
Smoke Detectors
56
57
58
Smoke Detector Sensitivity
59
60
61
Special Egress Control Devices
62
63
64
Sprinkler Gate Valve Tamper Switch
65
66
67
Sprinkler Water Flow Switch
68
69
70
Trouble Indicators
71
72
73
Ventilation Controls
74
75
76
Visual Alarms
77
78
79
Other Findings & Comments
Inspection Agency
Agency's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Inspector's Name
First Name
Last Name
Inspector's Signature
Submit
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