• Area of Refuge Two-Way Communication System Inspection Checklist

    Use this form to inspect, test, and document the condition and functionality of an area-of-refuge two-way communication system.

  • Inspection Details

  • Inspection Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Inspection Time*

  • System Condition and Component Check

  • Call Station / Pull Station Status*
    Rows
  • Master Station / Annunciator Status*
    Rows
  • Handset / Speaker Status*
    Rows
  • Microphone Status*
    Rows
  • Visual Indicators Status*
    Rows
  • Power Supply / Backup Power Status*
    Rows
  • Wiring / Terminals Status*
    Rows
  • Labels / Instructions Status*
    Rows
  • Enclosure / Panel Condition*
    Rows
  • Overall Component Condition*

  • Functional Test and Observations

  • Call Initiation Successful*
  • Able to Hear and Be Heard*
  • Noise or Interference Observed
  • Alarm or Notification Indicators Operated*

  • Corrective Action and Final Assessment

  • Overall Inspection Result*
  • Follow-Up Required*
  • Target Completion Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty:
Select theme: