Appendix C Sample Smoke Detector Test Report - Gemini 501-B User Manual

APPENDIX C: Sample Smoke Detector Test Report
SMOKE DETECTOR TEST REPORT
Annual Inspection & Function Test
Bi-Annual Sensitivity Test
Instrument used:
Property Name:
Property Address:
Property Contact Person:
Building:
Detector ID
Location Number
Tested By: Name
Gemini 501-B S/N:
Location:
Serial Brand/
Number Model
Signature
Other:
Listed
Type
Sensitivity
P/I
Range
20
Room/Zone:
Alarm Pass (P)
Point Fail (F)
Date
Comments
Page
of