5 Yearly Fire Pump Inspection

• Order number

• Works carried out as per AS 1851- 2005 Section 3.4.3

• 5 Yearly Fire Pump Service

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Scope of works

• Strip pump

• Change oil / repack bearings

• Inspect bearing housing for wear

• Inspect shaft and shaft sleeves for damage

• Inspect casing

• Inspect mechanical seal or packings

• Reassemble pump with new gaskets / orings

Model number

• Add media

  Media

Inspection report

• Bearing condition

• Ok

• Require replacement

• Add media

  Media

• Shaft condition

• Ok

• Requires repair

• Require replacement

• Add media

  Media

• Packing / Mechanical seal

• Ok

• Changed

• Requires repair

• Require replacement

• Housing condition

• Ok

• Badly corroded

• Requires repair

• Require replacement

• Add media

  Media

• Impeller condition

• Ok

• Requires repair

• Require replacement

• Add media

  Media

• Oil / Grease

• Replaced

Pump serviced to AS 1851-2005 Section 3.4.3

• Add signature

  Sign