Fire Alarm Commissioning Certificate

Fire Alarm Commissioning Certificate
Complete this form to certify the commissioning of a fire alarm system, ensuring all checks and compliance requirements are met.
Premises/Building Name and Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
System Type
Date of Commissioning
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Installation Company
Commissioning Engineer Full Name
First NameLast Name
Contact Phone Number of Commissioning Engineer
Please enter a valid phone number.Format: (000) 000-0000.
Email Address of Commissioning Engineer
example@example.com
System Checks and Test Results
Rows Pass Fail
Control panel functional
Sounders operational
Manual call points tested
Detectors activated and reset
Zone indicators correct
Power supply checked
Battery backup tested
Additional Notes or Observations
Signature of Commissioning Engineer
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Rows	Pass	Fail
Control panel functional
Sounders operational
Manual call points tested
Detectors activated and reset
Zone indicators correct
Power supply checked
Battery backup tested