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HSE PROPERTY CHECKS Fire-Safety Compliance Specialists
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Fire-Safety Periodic Test Record

Fire Alarm Test
& MaintenancePeriodic test, inspection and maintenance of smoke, heat and CO alarms in domestic premises in line with BS 5839-6:2019+A1:2020 and the Smoke and Carbon Monoxide Alarm (England) Regulations 2022.

Property
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Reference
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Test date
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Engineer
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Confidential   Issued to the named client only FDAST Template v1.0 · Edition 2026
Section 1.0

Test Information

Form — complete all fields
1.1   Document Reference
1.2   Date of Test
1.3   Client / Managing Agent
1.4   Property Address
1.5   Type of Dwelling
1.6   Reason for Test
1.7   Engineer & Qualification
1.8   Next Test Due
Section 2.0

Executive Summary

Overall system verdict
Overall Risk
Items flagged
0
Actions required
0
Test date
Next test
Section 3.0

System Configuration

Grade & coverage category (BS 5839-6)
3.1   System Grade
3.2   Coverage Category
3.3   Interlinking
3.4   Manufacturer (predominant)
3.5   Hush / Test Button Functional?
Section 4.0

Alarm Inventory & Test

Per-device test record
# Location Type Manufacturer / Model Age (yrs) Result
Section 5.0

Functional & Maintenance Checks

System-level operational tests
# Audit point Status Observation
Smoke alarm fitted on every storey containing habitable rooms.
Heat alarm fitted in kitchen (where applicable).
CO alarm fitted in every room with a fixed combustion appliance (excl. gas cookers).
All alarms positioned in accordance with BS 5839-6 (e.g. 300mm from light fittings, on ceiling).
All alarms sounded when test button pressed on each unit.
Interlink propagation verified — all networked alarms triggered.
Mains-powered units indicate healthy mains supply (green LED).
Low-battery warning indicator functioning where present.
No false / nuisance alarm history reported by occupants.
Alarms cleaned externally and free of dust, paint or covering.
Occupant has been provided with user instructions and demonstration.
Log book / online record updated with this test.
Section 6.0

Photographic Evidence

Supporting images
No photos yet
Section 7.0

Action Plan

Items requiring follow-up
# Action required Risk Responsible Target
Section 8.0

Declaration & Sign-off

Issued by & acknowledged

8.1   Engineer

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HSE PROPERTY CHECKS © 2026   www.hsepropertychecks.co.uk FDAST Template v1.0 · Edition 2026