Sprinkler PDF
Sprinkler PDF
Sprinkler PDF
3/03
DATE _______________
REV. 3/03 Report of Inspection, Testing & Maintenance of Wet Pipe Fire Sprinkler Systemscontinued
Inspecting Firm: Name of Inspected Property: Inspector Name: Inspection Frequency: Monthly Quarterly Annually Date: Other Inspection Contract#
C.3.3 Supply water gauge reading before flow (static) C.3.4 Gauge reading during stable flow (residual) C.3.5 C.4.0 C.5.0 C.6.0 C.7.0 Time for supply pressure to return to normal Pertinent parties notified of test conclusion ALARM PANEL CLEAR SYSTEM RETURNED TO SERVICE COMMENTS:
DATE _______________
REV. 3/03 Report of Inspection, Testing & Maintenance of Wet Pipe Fire Sprinkler Systemscontinued
Inspecting Firm: Name of Inspected Property: Inspector Name: Inspection Frequency: Monthly Quarterly Annually Date: Other Inspection Contract#
F F
G.4.4 Time for supply pressure to return to normal G.5.0 Pertinent parties notified after conclusion of maintenance G.6.0 ALARM PANEL CLEAR G.7.0 SYSTEM RETURNED TO SERVICE G.8.0 COMMENTS:
sec
DATE _______________
REV. 3/03 Report of Inspection, Testing & Maintenance of Wet Pipe Fire Sprinkler Systemscontinued
Inspecting Firm: Name of Inspected Property: Inspector Name: Inspection Frequency: Monthly Quarterly Annually Date: Other Inspection Contract#
H.5.2 H.5.3 Check valve internal components in good condition H.5.4 Check valve internal components cleaned/repaired/replaced as necessary H.5.5 Check valve internal inspection/maintenance date: H.6.0 Adequate drainage provided before flow testing H.6.1 PRV control valves full flow tested by opening sectional drain valve H.6.2 Supply side static pressure H.6.3 System side static pressure H.6.4 Supply side residual pressure H.6.5 H.6.6 H.6.7 H.7.0 H.7.1 H.7.2 H.7.3 H.7.4 H.7.5 H.7.6 H.8.0 System side residual pressure Results compared to previous full flow test Adjustments made as necessary Extra high temp solder type sprinklers tested/replaced date: Sprinklers in harsh environment tested/replaced date: Dry sprinklers tested/replaced (10 years) date: Sprinklers with fast response elements tested/replaced (at 20 years, 10 thereafter) date: All sprinklers tested/replaced (at 50 years, 10 thereafter) date: All sprinklers tested/replaced (at 75 years, 5 thereafter) date: All sprinklers manufactured before 1920 replaced date: Obstruction investigation conducted (see AFSA Form 114A) date: Pertinent parties notified after conclusion of tasks ALARM PANEL CLEAR SYSTEM RETURNED TO SERVICE
DATE _______________