Owner’s Advice of Smoke Alarm Compliancy

PROPERTY ADDRESS: __________________________________________________

I/We ________________________________________________________________

have checked the Smoke Alarms at the abovementioned property on _____________

date

The details of the alarms in place are as follows;

Expiry Date of Location of Alarm Type of Alarm Have you replaced

Alarm (240V or battery?
Alarm 1 Yes No

Alarm 2 Yes No

Alarm 3 Yes No

Alarm 4 Yes No

Alarm 5 Yes No

Alarm 6 Yes No

Alarm 7 Yes No

Alarm 8 Yes No

I/We ____________________________________________________________________ hereby

confirm that the property complies with Queensland Government legislation, Australian standards
and that the smoke alarms are located to meet the positioning requirements of the Building Code
of Australia.

Signed ……………………………………………………………… Date …………………………………...