LIFE’S CHECKLISTS · FREE WORKSHEET
Smoke and CO alarm test log
Use each alarm’s actual manual and replacement label.
First read the completed example. Then write your own answers in the blank sections. If you do not know an answer, write what you need to ask. Official applications may require their own forms.
Completed example
This is a fictional practice entry. Write your own details in the blank sections below.
- Location
- Hallway
- Smoke / CO / both
- Smoke alarm
- Model
- Practice model Example S1
- Battery type or sealed
- Sealed battery; do not open
- Replace-by date
- Example label: replace October 2036
- Last test
- October 23; test passed
- Action
- Follow this alarm's actual manual; schedule next test
Date: ____________________
Hallway
Smoke / CO / both
Model
Battery type or sealed
Replace-by date
Last test
Action
Sleeping area
Smoke / CO / both
Model
Battery type or sealed
Replace-by date
Last test
Action
Other required location
Smoke / CO / both
Model
Battery type or sealed
Replace-by date
Last test
Action
Notes: