Project: ENGINEERING DESIGN DIVISION

INTERNATIONAL ENERGY SERVICES LIMITED Ref No.:

Rev No.:
Date: 31/03/2022 Time: 4:30pm
Fire Alarm Test Sounding Checklist Page: 1 of 1

Check One
Equipment /Qty Floor Wing Yes No N/A Recommendation Action Taken Date
Alarm
sounders Y
2 Ground Y
Y
7 WA Y
1st WB Y
TA Y

6 WA Y
2nd WB Y
TA Y

5 WA Y
3rd WB Y
TA Y

7 WA1 Y
WA2 Y
4th WB1 Y
WB2 Y
TA Y
Sounder
1 0 Y
1 1st Y
1 2nd Y
1 3rd Y
2 4th Y
Smoke Detectors
0 Y
1st Y
2nd Y
3rd Y
4th Y

Safety representative for First/ second Floor Sign/Date: 31/3/2022

Witnessed by:
Safety representative for third/ fourth floor Sign/Date 31/3/2022

Safety representative for ground floor Sign/Date 31/3/2022

Test By: Fire alarm System Contractor Sign/Date 31/3/2022

Confirmed by: HSE Coordinator Sign/Date 31/3/2022