PROJECT NAME & LOGOS
CHECK LIST FOR:
Addressable Fire alarm & Voice evacuation system Testing & commissioning Form No:
(Commissioning Check list) Rev. No : 0
Page : 1 of 6
SUBCONTRACTOR X CONTRACTOR
SECTION OF WORK:Electrical LOCATION:
LEVEL: WIR No.:
Project :
Service Provider :
Details
Fire Alarm control unit manufacturer :
Model No. :
Software Rev :
Building Name :
Panel location :
Testing and Commissioning will be done using the Tools Kit with Screw driver, Cutter, Calibrated
Multi meter, DB Meter and True start tool etc
ALARM INITIATING DEVICES AND CIRCUIT INFORMATION
Qty of Devices
Device Circuit Style Qty of Devices Tested
Installed
Manual Fire Alarm Call Points
Photo Detectors
Heat Detectors
Water Flow Switches
Combined Detector
Photo Detectors w/sounder base
Disabled Enabled
Alarm verification feature is
Horns
Strobes
Speakers
Sound Pressure Level
Comments: _____________________________________________________________
________________________________________________________________________
No. of Alarm notification appliance circuits :
For S/C QA/QC: Date: FOR CONTRACTOR Date: For Cons. Rep.: Date:
QA/QC:
Name: Sign: Name: Sign: Name: Sign:
Page 1 of 6
PROJECT NAME & LOGOS
CHECK LIST FOR:
Addressable Fire alarm & Voice evacuation system Testing & commissioning Form No:
(Commissioning Check list) Rev. No : 0
Page : 2 of 6
SUBCONTRACTOR X CONTRACTOR
SECTION OF WORK:Electrical LOCATION:
LEVEL: WIR No.:
Are circuits monitored for integrity : Yes No
SUPERVISORY SIGNAL INITIATING DEVICES AND CIRCUIT INFORMATION
Device Qty of Circuit Qty of Devices Tested
Devices Style
Installed
Sprinkler Valve
Fire Pump Running Status
Fire Pump/Controller Trouble
Other (specify)
CONTROL SIGNAL - CONTROL MODULES AND CIRCUIT INFORMATION
Elevator
Smoke Extract Fans
HVAC Control
Staircase Pressurization
Lift Pressurization
Damper Control
Other (specify)
SYSTEM POWER SUPPLY
a ) Primary (main) : Nominal voltage __230 VAC__ Amps__12________
Over current protection : Type __Fuse______Amps__13__________
Location (Primary Supply Panel Board)
Type of Battery : Lead Acid
b) Secondary (Standby) :
Storage Battery : Amp __50__Hr. Rating ___20__Calculated capacity in___36__Amp__20__ Hr to operate
system for __24Hrs Standby & 30 Mins. Alarm. __
Comments:
For S/C QA/QC: Date: FOR CONTRACTOR Date: For Cons. Rep.: Date:
QA/QC:
Name: Sign: Name: Sign: Name: Sign:
Page 2 of 6
PROJECT NAME & LOGOS
CHECK LIST FOR:
Addressable Fire alarm & Voice evacuation system Testing & commissioning Form No:
(Commissioning Check list) Rev. No : 0
Page : 3 of 6
SUBCONTRACTOR X CONTRACTOR
SECTION OF WORK:Electrical LOCATION:
LEVEL: WIR No.:
----------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------
CHECK LIST : PRIOR TO ANY TESTING
Description Yes No Comments
Notifications are made to
Building Occupants
Building Management
Others (specify)
SYSTEM TESTS AND INSPECTIONS
Type Visual Functional Comments
Control Panel
Interface Equipment
Lamps/LEDs
Fuses
Primary Power Supply
Trouble Signals
Supervisory Signals
Ground Fault Monitoring
SECONDARY POWER Visual Functional Comments
For S/C QA/QC: Date: FOR CONTRACTOR Date: For Cons. Rep.: Date:
QA/QC:
Name: Sign: Name: Sign: Name: Sign:
Page 3 of 6
PROJECT NAME & LOGOS
CHECK LIST FOR:
Addressable Fire alarm & Voice evacuation system Testing & commissioning Form No:
(Commissioning Check list) Rev. No : 0
Page : 4 of 6
SUBCONTRACTOR X CONTRACTOR
SECTION OF WORK:Electrical LOCATION:
LEVEL: WIR No.:
Battery condition
Load Voltage
Charger Test
Remote Annunciators
NOTIFICATION APPLIANCES
Audible
Visible
Speakers
Voice Clarity
ALARM INITIATING, SUPERVISORY AND CONTROL DEVICE TESTS & INSPECTIONS
Location/Address Device Type Visual Functional Test
Check
Device Loop details attached Smoke
Detector
Device Loop details attached Heat Detector
Device Loop details attached Pull Station
EMERGENCY COMMUNICATIONS EQUIPMENT
Device Visual Functional Comments
Phone Set
Phone Jacks
For S/C QA/QC: Date: FOR CONTRACTOR Date: For Cons. Rep.: Date:
QA/QC:
Name: Sign: Name: Sign: Name: Sign:
Page 4 of 6
PROJECT NAME & LOGOS
CHECK LIST FOR:
Addressable Fire alarm & Voice evacuation system Testing & commissioning Form No:
(Commissioning Check list) Rev. No : 0
Page : 5 of 6
SUBCONTRACTOR X CONTRACTOR
SECTION OF WORK:Electrical LOCATION:
LEVEL: WIR No.:
Off Hook Indicator
Amplifier(s)
Call in Signal
System Performance
COMMENTS
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
INTERFACE EQUIPMENT
Device Visual Device Simulated Operation
Operational
Elevator
SED
BMS
CCTV
ACS
LCS
CBS
GAS PANEL
SPF
LPF
AHU
FAHU
All devices functions as per
Approved cause and Effect
For S/C QA/QC: Date: FOR CONTRACTOR Date: For Cons. Rep.: Date:
QA/QC:
Name: Sign: Name: Sign: Name: Sign:
Page 5 of 6
PROJECT NAME & LOGOS
CHECK LIST FOR:
Addressable Fire alarm & Voice evacuation system Testing & commissioning Form No:
(Commissioning Check list) Rev. No : 0
Page : 6 of 6
SUBCONTRACTOR X CONTRACTOR
SECTION OF WORK:Electrical LOCATION:
LEVEL: WIR No.:
SUPERVISORY STATION MONITORING
Device Visual Functional Comments
Alarm Signal
Alarm Restoration
Trouble Signal
Trouble Signal Restoration
Supervisory Signal
Supervisory Restoration
NOTIFICATION OF TESTING COMPLETION
Yes No Name Time
Building Management
Building Occupants
Others
THE FOLLOWING DID NOT OPERATE CORRECTLY
________________________________________________________________________________________________
______________________________________________________________________________________________
SYSTEM RESTORED TO NORMAL OPERATION
Date _______________________ Time________________________
The testing was performed in accordance with applicable NFPA and local civil defense standards.
For S/C QA/QC: Date: FOR CONTRACTOR Date: For Cons. Rep.: Date:
QA/QC:
Name: Sign: Name: Sign: Name: Sign:
Page 6 of 6
