Please enable JavaScript in your browser to complete this form.Smoke Alarm InspectionInspector NameNameAli EshaghiArmando BarbaritoInspection TypeChoose OneAnnual Smoke InspectionMonthly Smoke InspectionAddress *UnitCity *— Select Choice —Fort EriePort ColborneNiagara FallsWellandThoroldSt. CatharinesGrimsbyBeamsvilleHamiltonBurlingtonWoodstockTorontoTenant is home? *— Select Choice —NOYESTotal Alarms *— Select Choice —01234567Total number of alarms in the apartmentTotal Extinguishers12Total number of fire extinguishers in the apartmentExtinguisher LocationKitchenUtility RoomClosetFire extinguisher locationNextSave and Resume Later Alarm 1 Physical location of Alarm 1 being tested— Select Choice —BedroomBathroomLiving RoomHallwayStairwayType of Alarm *— Select Choice —Carbon dioxide (CO2)Carbon monoxide (CO)CO2 + CO (combination)Main power source of Alarm 1 *— Select Choice —BatteryWiredWired (with backup battery)Type of battery *— Select Choice —9VAAAAA10 yearNot applicableCheckboxesAlarm is securely fastened to the wall, ceiling, or receptacle.Alarm shows no evidence of physical damage, paint application, or excessive grease and dirt accumulations.Ventilation openings on the alarm are clean and free of obstructionsCheckboxesAlarm has been cleaned of dust.Alarm signal sounds when the alarm is tested using the test button.Alarm Strobe lights when the alarm is tested using the test button.The following has been completed during this inspection of Alarm 1 *— Select Choice —Replacement of alarm due to expired alarmReplacement of batteries after testing alarmReplacement of alarm due to damage and/or tamperingAlarm 1 Photos * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Please make sure the photo shows the expiry date printed on the alarm.Damage or Expired Alarm 1 Photo (Original) * Drag & Drop Files, Choose Files to Upload This is the old alarm that you removed. Please ensure the photo shows the expiry date. Alarm 2 Physical location of Alarm 2 being tested— Select Choice —BedroomBathroomLiving RoomHallwayStairwayType of Alarm *— Select Choice —Carbon dioxide (CO2)Carbon monoxide (CO)CO2 + CO (combination)Main power source of Alarm 2 *— Select Choice —BatteryWiredWired (with backup battery)Type of battery *— Select Choice —9VAAAAA10 yearNot applicableCheckboxesAlarm is securely fastened to the wall, ceiling, or receptacle.Alarm shows no evidence of physical damage, paint application, or excessive grease and dirt accumulations.Ventilation openings on the alarm are clean and free of obstructionsCheckboxesAlarm has been cleaned of dust.Alarm signal sounds when the alarm is tested using the test button.Alarm Stobe lights when the alarm is tested using the test button.The following has been completed during this inspection of Alarm 2 *— Select Choice —Replacement of alarm due to expired alarmReplacement of batteries after testing non-expired alarmReplacement of alarm due to damage and/or tamperingAlarm 2 Photos * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Damage or Expired Alarm 2 Photo (Original) * Drag & Drop Files, Choose Files to Upload This is the old alarm that you removed. Please ensure the photo shows the expiry date. Alarm 3 Physical location of Alarm 3 being tested— Select Choice —BedroomBathroomLiving RoomHallwayStairwayType of Alarm *— Select Choice —Carbon dioxide (CO2)Carbon monoxide (CO)Combination CO2 + COMain power source of Alarm 3 *— Select Choice —BatteryWiredWired (with backup battery)Type of battery *— Select Choice —9VAAAAA10 yearNot applicableCheckboxesAlarm is securely fastened to the wall, ceiling, or receptacle.Alarm shows no evidence of physical damage, paint application, or excessive grease and dirt accumulations.Ventilation openings on the alarm are clean and free of obstructionsCheckboxesAlarm has been cleaned of dust.Alarm signal sounds when the alarm is tested using the test button.Alarm Strobe lights when the alarm is tested using the test button.The following has been completed during this inspection of Alarm 3 *— Select Choice —Replacement of alarm due to expired alarmReplacement of batteries after testing non-expired alarmReplacement of alarm due to damage and/or tamperingAlarm 3 Photos * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Damage or Expired Alarm 3 Photo (Original) * Drag & Drop Files, Choose Files to Upload This is the old alarm that you removed. Please ensure the photo shows the expiry date. Alarm 4 Physical location of Alarm 4 being tested— Select Choice —BedroomBathroomLiving RoomHallwayStairwayType of Alarm *— Select Choice —CO2COCombination CO2 + COMain power source of Alarm 4 *— Select Choice —BatteryWiredWired (with backup battery)Type of battery *— Select Choice —9VAAAAA10 yearNot applicableCheckboxesAlarm is securely fastened to the wall, ceiling, or receptacle.Alarm shows no evidence of physical damage, paint application, or excessive grease and dirt accumulations.Ventilation openings on the alarm are clean and free of obstructionsCheckboxesAlarm has been cleaned of dust.Alarm signal sounds when the alarm is tested using the test button.Alarm Strobe lights illuminates when the alarm is tested using the test button.The following has been completed during this inspection of Alarm 4 *— Select Choice —Replacement of alarm due to expired alarmReplacement of batteries after testing non-expired alarmReplacement of alarm due to damage and/or tampering Photos this this Alarm 4 Photos * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Damage or Expired Alarm 4 Photo (Original) * Drag & Drop Files, Choose Files to Upload This is the old alarm that you removed. Please ensure the photo shows the expiry date. Alarm 5 Physical location of Alarm 5 being tested— Select Choice —BedroomBathroomLiving RoomHallwayStairwayType of Alarm *— Select Choice —CO2COCombination CO2 + COMain power source of Alarm 5 *— Select Choice —BatteryWiredWired (with backup battery)Type of battery *— Select Choice —9VAAAAA10 yearNot applicableCheckboxesAlarm is securely fastened to the wall, ceiling, or receptacleAlarm shows no evidence of physical damage, paint application, or excessive grease and dirt accumulations.Ventilation openings on the alarm are clean and free of obstructionsCheckboxesAlarm has been cleaned of dust.Alarm signal sounds when the alarm is tested using the test button.Alarm Strobe lights illuminates when the alarm is tested using the test button.The following has been completed during this inspection of Alarm 5 *— Select Choice —Replacement of alarm due to expired alarmReplacement of batteries after testing non-expired alarmReplacement of alarm due to damage and/or tamperingAlarm 5 Photos * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Damage or Expired Alarm 5 Photo (Original) * Drag & Drop Files, Choose Files to Upload This is the old alarm that you removed. Please ensure the photo shows the expiry date. Alarm 6 Physical location of Alarm 6 being tested— Select Choice —BedroomBathroomLiving RoomHallwayStairwayType of Alarm *— Select Choice —CO2COCombination CO2 + COMain power source of Alarm 6 *— Select Choice —BatteryWiredWired (with backup battery)Type of battery *— Select Choice —9VAAAAA10 yearNot applicableCheckboxesAlarm is securely fastened to the wall, ceiling, or receptacle.Alarm shows no evidence of physical damage, paint application, or excessive grease and dirt accumulations.Ventilation openings on the alarm are clean and free of obstructionsCheckboxesAlarm has been cleaned of dust.Alarm signal sounds when the alarm is tested using the test button.Alarm Strobe lights when the alarm is tested using the test button.The following has been completed during this inspection of Alarm 6 *— Select Choice —Replacement of alarm due to expired alarmReplacement of batteries after testing non-expired alarmReplacement of alarm due to damage and/or tamperingAlarm 6 Photos * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Please upload a photo of the current alarm that is being tested.Damage or Expired Alarm 6 Photo (Original) * Drag & Drop Files, Choose Files to Upload This is the old alarm that you removed. Please ensure the photo shows the expiry date. Alarm 7 Physical location of Alarm 7 being tested— Select Choice —BedroomBathroomLiving RoomHallwayStairwayType of Alarm *— Select Choice —CO2COCombination CO2 + COMain power source of Alarm 7 *— Select Choice —BatteryWiredWired (with backup battery)Type of battery *— Select Choice —9VAAAAA10 yearNot applicableCheckboxesAlarm is securely fastened to the wall, ceiling, or receptacle.Alarm shows no evidence of physical damage, paint application, or excessive grease and dirt accumulations.Ventilation openings on the alarm are clean and free of obstructionsCheckboxesAlarm has been cleaned of dust.Alarm signal sounds when the alarm is tested using the test button.Alarm Strobe lights when the alarm is tested using the test button.The following has been completed during this inspection of Alarm 7 *— Select Choice —Replacement of alarm due to expired alarmReplacement of batteries after testing non-expired alarmReplacement of alarm due to damage and/or tamperingAlarm 7 Photos * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Please upload a photo of the current alarm that is being tested.Damage or Expired Alarm 7 Photo (Original) * Drag & Drop Files, Choose Files to Upload This is the old alarm that you removed. Please ensure the photo shows the expiry date.NextSave and Resume LaterAcknowledgementsTenant Name *FirstLastTenant Signature * Clear Signature As a Radar employee and landlord representative, I understand and agree that all of the information I’ve provided is true and complete to the best of my knowledge. I understand that falsifying records is grounds for immediate termination. Inspector Signature * Clear Signature As a Radar employee and landlord representative, I understand and agree that all of the information I’ve provided is true and complete to the best of my knowledge. I understand that falsifying records is grounds for immediate termination.SubmitSave and Resume Later Your form entry has been saved and a unique link has been created which you can access to resume this form. Enter your email address to receive the link via email. Alternatively, you can copy and save the link below. Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted. Copy Link Email * Send Link
