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ENVIRONMENT HEALTH & SAFETY

MANAGEMENT SYSTEM
Document Type Form Document No:
SMOKE DETECTOR MONTHLY INSPECTION & TEST

Project Name: Month:

Inspection & Test Criteria


F = Functioning NF = Not Functioning R = Removed
Test Button on smoke detector to be pushed to ensure alarm function works each month. (Batteries to be replaced
every 12 months)
No SMOKE DETECTOR LOCATION DATE OF INSPECTION & TEST F NF R REMARKS

Additional Comments and Recommendation:

INSPECTED BY:
Name/ Signature Designation

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