D500-07-00
12
I56-432-11R
©
2001 System Sensor
DETECTOR TEST LOG
Detector Identification Information
Manufacturer and
Serial
Date
Detector Model:______________________ Number: ______________________ Installed: ___________________
Description of Detector Location:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Test Results and Maintenance Data
Date
Test
Test
Maintenance
Tested
Description
Results
Performed
Comments
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________
_______
_________
______
__________
______________________