For Year: _________ SMOKE ALARM MAINTENANCE LOG Name of Occupancy: _________________________________________________________ Address: __________________________________ Community: ____________________ Main Building: ____ ____ Name of Ancillary Building: _________________________ Yes No (if applicable) SMOKE ALARM LOCATION OR NUMBER: __________________________________ MONTH DATE SMOKE CONDITION REMEDIAL ACTION INITIALS ALARM Satisfactory Un- LOCATION/ satisfactory NUMBER January February March April May June July August September October November December Annual Test Date: _______________________ Done By: ____________________________
For Year: _________ SMOKE ALARM MAINTENANCE LOG Name of Occupancy: _________________________________________________________ Address: __________________________________ Community: ____________________ Main Building: ____ ____ Name of Ancillary Building: _________________________ Yes No (if applicable) MONTH DATE SMOKE ALARM LOCATION/ NUMBER CONDITION REMEDIAL ACTION INITIALS Satisfactory Un- satisfactory January February March April May June July August September October November December SMOKE ALARM LOCATION OR NUMBER: __________________________________ Annual Test Date: _______________________ Done By: ____________________________
fpml_smoke_alarm_2011.docx