FIRE DETECTION AND ALARM SYSTEM QCDD FORM

(Record of Inspection and Testing)

Pin No. Date

Location Application No.
Project Name
Owner

QCDD Approved Drawing Ref. No.

Date Test Status Passed

NOTIFICATIONS MADE PRIOR TO TESTING

Contact Date & Time
Monitoring Organization (If provided
with CAMS)
Building Management
Others

TESTING RESULTS
Control Unit and Related Equipment
Description Visual Inspection Functional Test Comments
Control Unit  
Lamps / LEDs / LCDs  
Fuses  
Trouble Signals  
Disconnect Switches  
Ground-fault Monitoring  
Supervision  
Remote Annunciators / Mimic
Panels
 
Remote Power Panels  
Others  

Control Unit and Related Equipment

Description Visual Inspection Functional Test Comments
Battery Condition  
Load Voltage  
Discharge Test  
Charger Test  
Remote Panel Batteries  

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 FIRE DETECTION AND ALARM SYSTEM QCDD FORM
(Record of Inspection and Testing)

Supervising Station Monitoring

Description Yes No Comments
Alarm Signal  
Alarm Restoration  
Trouble Signal  
Trouble Restoration  
Supervisory Signal  
Supervisory Restoration  

SYSTEM RESTORED TO NORMAL OPERATION

Date: ______________________________________ Time: ____________________________________

CERTIFICATION
This system as specified herein has been inspected and tested in accordance with latest NFPA 72, QCDD FSS, QCDD
approved drawings .

________________________________ _______________________________________________
Contractor (QCDD Certificate No. / ID No. / Mobile No.)
(Signature over Printed Name with Stamp)

CERTIFICATION
The undersigned accepted the test report for the system as specified herein.

________________________________ _______________________________________________
Consultant (UPDA No. / ID No. / Mobile No.)
(Signature over Printed Name with Stamp)

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