LifeSafety4You

Home Inspection Database

Property ID 🛈

Date Installed - Inspected * +

First Name *

Last Name *

Street # *

Street Name *

City *

Zip Code *

Phone Number

Email Address

Occupants age 14 or under *

Occupants age 65 or older *

Occupants with hearing impairments *

Occupants with Mobility Issues * 🛈

Notes (See Instructions) 🛈

Installer 1 *

Installer 2

Other Installer Name

Number of Current SA in Home * 🛈

Current SA's meet current code 🛈

Yes

# SA's more than 10 yrs old *

Disconnected Battery *

Missing Battery *

Dead Battery *

Faulty Alarm *

Year of the Oldest SA (19xx) * 🛈

Faulty Alarm Notes: 🛈

# of batteries installed * 🛈

# of 10Yr SA's installed *

# of hard wired SA's installed * 🛈

# of CO/SA's installed * 🛈

# of Hardwired CO/SA's installed * 🛈

# of hearing impaired SA's installed *