Region Settlement Monthly Fire Alarm System Test and Inspection Record

(Reference Clauses 3.7 &4.2.1)

Building Name:
Building Asset Number
FA
DATE INSPECT FIRE ALARM SYSTEM BATTERY VOICE COMMUNICATION

INSPECT (REQUIRED ANNUNCIATOR):

ALERT/ALARM SIGNAL CONFIRMED -

ELECTROLYTE LEVEL AND SPECIFIC

EMERGENCY TELEPHONE FOR TWO-

TEST (ROTATIONAL): VOICE PAGING

OPERATION OF COMMON AUDIBLE
INSPECTION OF ONE INITATING

TESTED DEVICE ANNUNCIATES

AND VISUAL TROUBLE SIGNAL

GRAVITY TO SPECIFICATIONS
FIELD DEVICE - ROTATIONAL

TERMINAL CLAMPS SECURE

WAY COMMUNICATION AND

TERMINALS CLEANED AND
SYSTEM TROUBLE SIGNAL

POWER INDICATION LAMP

TEST (ROTATIONAL): ONE

.

INDICATOR “OFF”

OPERATION AND

PERSON DEPARTMENT

TO ONE ZONE
ROTATIONAL

LUBRICATED
CORRECTLY

CONFIRMED

INDICATION
LOCATION CONDUCTING OR COMPANY
LOCATION OF LOCATION
“ON”

TEST CONDUCTING
YEAR: 20

OF ALARM
EMERGENCY OF VOICE (SIGNATURE) TEST
INITATING
TELEPHONE PAGE ZONE
DEVICES

JAN
FEB
MAR
APR
MAY
JUNE
JULY
AUG
SEPT
OCT
NOV
DEC

√ - SATISFACTORY X – UNSATISFACTORY N/A – NOT APPLICABLE N/T – NOT TESTED

NOTE:
1. National Fire Code of Canada (NFCC) requires that these records be retained a minimum of two (2) years.
2. Tests to be conducted in accordance with this Standard (CAN/ULC-S536).
3. The monthly test is not required during the month that the annual test is completed. CAN/ULC-S536-04