5 YEARLY SERVICE SCHEDULE FIRE PUMPSET

• Site conducted

  Select

• SITE NAME

• SITE ADDRESS
  Address

• Date and Time

  Date

• Pump-set Type

  Diesel

  Electric

• Pump-set Fire Service

  Hydrtant

  Sprinkler

  Hose Reel

• Photo of the Pump Set

  Media

• Inspected by:

  Select

• What is Your Name?

CHECKING of RELIEF, ENGINE COOLING AND PRESSURE REGULATING VALVES

• Circulating Relief Valves

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Pressure Relief valves

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Engine Cooling Valve

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Pressure Regulating Valve

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

STOP VALVES

• Fit new gland packing and lubricate spindles

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Please describe work you did.

• For ball and butterfly valves, CHECK for leakage and replace if necessary

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Please describe work you did.

COMPRESSION IGNITION ENGINE

• Engine air filter

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

PUMPSET SERVICING RECORDS

• Fuel Filter

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Oil Filter

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Engine Oil

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Coolant Liquid

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Fuel Lines

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Electric Wires

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Bealts

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Hoses

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Fuel Tank

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

• Rubber Mounts

  Select Replaced and Checked Checked (In good working order) Other N/A

  • Replaced and Checked
  • Checked (In good working order)
  • Other
  • N/A

Restoration To Operational Condition

• After Completion Of Service, Return All Equipment To The Operational Condition.

  Yes

  No

  N/A

Inspected By:

• Technicians Name

  Sign

• Date and Time

  Date