Annual NFPA 1910 Pump Test Report - Engine / Tender

• Type of Test:

  NFPA 1910 Annual Ch.22 Test

  RETEST NFPA 1910 Ch. 22

• Fire Department:

• Unit #:

• Pump Test Passed or Failed

  Pass

  Fail

• Is the Apparatus or the Pump System "Out of Service"?

  No

  Yes

• The entire Apparatus or Pump System?

  Entire Apparatus

  Pump System

• Test Date:

  Date
• Testing Location:
  Address

• Testing Equipment:

  Ultimate Draft System

• Who Performed Test:

  Tyler Smith

  Dale Alexander

  Bo Scott

  Adam Arrington

  Jeff Ives

• Model Year:

• Manufacturer:

• Apparatus Type:

  Engine

  Quint

  Tender

  Rescue

• Last Four of VIN #:

• Engine Make:

  Select Detroit Cummins International Caterpillar Paccar Mercedes Benz

  • Detroit
  • Cummins
  • International
  • Caterpillar
  • Paccar
  • Mercedes Benz

• Engine Model:

• Horsepower:

• Engine Hours:

• Booster Tank Size:

• Pump Certification plate Present?

  Yes

  No

• Governed RPM:

• Pump Make:

  Hale

  Waterous

  Darley

  Rosenbaur

• Pump Serial #:

• Pump Model:

  Select CSU CS CMU CM CXC Qmax Qflo DSD QSMG QSG QPAK MBP PSM LSM LDM LSP PUC End Suction N55 Other

  • CSU
  • CS
  • CMU
  • CM
  • CXC
  • Qmax
  • Qflo
  • DSD
  • QSMG
  • QSG
  • QPAK
  • MBP
  • PSM
  • LSM
  • LDM
  • LSP
  • PUC
  • End Suction
  • N55
  • Other

• Single Stage or Multi Stage Pump:

  Single Stage

  Multi Stage

• Pump GPM Capacity:

  Select 250 500 750 1000 1250 1500 1750 2000 2250

  • 250
  • 500
  • 750
  • 1000
  • 1250
  • 1500
  • 1750
  • 2000
  • 2250

Testing Conditions

• Air Temperature:

• Water Temp @ Start of Test:

• Barometric Pressure:

  30

• Elevation:

  0-500 FT ELEV

  500-1000 FT ELEV

  1000-2000 FT ELEV

  2000 PLUS FT ELEV

• ADDITIONAL INTAKES CAN BE USED FOR 1250 GPM PUMPS

  Yes

  No

• Suction Hose Configuration:

  6"

  6" & 4"

  6" & 6"

• Water Flow Measuring Equipment:

  Electromagnetic Flow Meters

• Tested From Draft:

  Yes

  No

• Engine Governed Speed:

  Pass

  Fail

Dry Vacuum Test

• Air or Electric Primer:

  Air

  Electric

• Is Primer Operational:

  Yes

  No

• Why is it not operational?

• Highest Inches of Vacuum Pulled:

• Inches of Vacuum Lost Over 5 Minutes?

• Where are the Vacuum Leaks?

Tank To Pump Flow Test

• Pump Shift Indicator Lights Working:

  Yes

  No

• Did Transmission go to 4th gear "Lock-Up"?

  Yes

  No

  Manual Transmission

  PTO

• Tank To Pump GPM Flow Rate:

• Pass or Fail

  Pass

  Fail

  Unable to Obtain

Pulling Draft

• How Many Seconds to Pull Draft:

• Pass or Fail:

  Pass

  Fail

Max Flow Test

• What is the maximum amount of GPM the pump can produce:

• Is Pump Capable of Flowing Capacity or Greater?

  Yes

  No

• Is Red Valve Partially Closed - Do you need a second Intake - Is your Vacuum gauge above 15 Inches - Is the Pressure Relief Valve Open - Is it a 2 Stage Pump that is in Pressure instead of Volume - Is there a major vacuum leak on the intake side of the pump causing air bubbles in the systems tank water - Are all the hard suction connections that are loose or missing a rubber gasket - Does the Intake flow rate match the Discharge flow rate within 50 GPM

  Yes

  No

• Then resolve the issue. If the resolution did not work select "Correction had no Effect"

  Corrected

  Correction had no effect

Pump Panel Gauge Readings (readings taken every 5 minutes and averaged)

• GPM Flow Rate:

• Master Pressure Gauge (psi):

• Test Pressure Gauge (psi):

• Test Vacuum Gauge (inches):

• NET Pump Discharge Pressure? (psi)

• Red Valve Position: It shall be assumed that the valve will remain in the same position throughout the test.

  Select 100% 75% 70% 65% 60% 55% 50% 45% 35%

  • 100%
  • 75%
  • 70%
  • 65%
  • 60%
  • 55%
  • 50%
  • 45%
  • 35%

• Engine RPM:

• Engine Temperature Range: (Average)

• Engine Oil Pressure Range: (Average)

• Transmission Temperature Range: (Average)

Cab Gauge Readings

• Are the Emergency Lights on:

  Yes

  No

• Engine RPM:

• Engine Temperature Range: (Average)

• Engine Oil Pressure Range: (Average)

• Voltage:

  11 or Less

  12

  13

  14

• Apparatus Pass or Fail this portion:

  Pass

  Fail

• Is the pump capacity 750 GPM or Greater?

  Yes

  No

• Then this stage of the test is not required!

  OK

Pump Panel Gauge Readings (readings taken every 5 minutes and averaged)

• GPM Flow Rate:

• Master Pressure Gauge (psi):

• Test Pressure Gauge (psi):

• Test Vacuum Gauge (inches):

• NET Pump Discharge Pressure? (psi)

• Engine RPM:

• Engine Temperature Range: (Average)

• Engine Oil Pressure Range: (Average)

• Transmission Temperature Range: (Average)

Cab Gauge Readings

• Engine RPM:

• Engine Temperature Range: (Average)

• Engine Oil Pressure Range: (Average)

• Voltage:

  11 or Less

  12

  13

  14

• Apparatus Pass or Fail this portion:

  Pass

  Fail

  Not Required

Pump Panel Gauge Readings (readings taken every 5 minutes and averaged)

• GPM Flow Rate:

• Master Pressure Gauge (psi):

• Test Pressure Gauge (psi):

• Test Vacuum Gauge (inches):

• NET Pump Discharge Pressure? (psi)

• Engine RPM:

• Engine Temperature Range: (Average)

• Engine Oil Pressure Range: (Average)

• Transmission Temperature Range: (Average)

Cab Gauge Readings

• Engine RPM:

• Engine Temperature Range: (Average)

• Engine Oil Pressure Range: (Average)

• Voltage:

  11 or Less

  12

  13

  14

• Apparatus Pass or Fail this portion:

  Pass

  Fail

Pump Panel Gauge Readings (readings taken every 5 minutes and averaged)

• GPM Flow Rate:

• Master Pressure Gauge (psi):

• Test Pressure Gauge (psi):

• Test Vacuum Gauge (inches):

• NET Pump Discharge Pressure? (psi)

• Engine RPM:

• Engine Temperature Range: (Average)

• Engine Oil Pressure Range: (Average)

• Transmission Temperature Range: (Average)

Cab Gauge Readings

• Engine RPM:

• Engine Temperature Range: (Average)

• Engine Oil Pressure Range: (Average)

• Voltage:

  11 or Less

  12

  13

  14

• Apparatus Pass or Fail this portion:

  Pass

  Fail

• Did Apparatus or Pump meet any of the NFPA 1910 Chapter 6 "Out of Service" Criteria?

  No

  Yes

• FD Member PLEASE Read: Chapter 6 Out-of-Service Criteria<br><br>6.1 General.<br>6.1.1 It shall be the responsibility of the AHJ to take the apparatus<br>or the defective portion of the apparatus out of service if any<br>of the deficiencies defined in this chapter are encountered.<br>6.1.2 Where a technician conducts an evaluation of the apparatus<br>to determine if the apparatus or a component should be<br>taken out of service, the technician shall report the findings to<br>the AHJ in writing, with one of the following recommendations:<br>(1) The apparatus shall be taken out of service.<br>(2) The apparatus shall be retained in service with specified<br>limitations.<br>(3) The apparatus shall be retained in service without<br>limitations.<br>6.1.3 In addition to the defects defined in this chapter, the<br>AHJ shall include out-of-service criteria based on state, provincial,<br>and local regulations; specific manufacturer’s recommendations;<br>and requirements established by the fire department.<br>6.1.4 The apparatus shall be returned to service only after the<br>defects and deficiencies that caused the apparatus to be taken<br>out of service have been corrected and the defective component<br>retested to the component manufacturer’s specification<br>and the requirements of this document.<br>6.1.5 The AHJ shall establish a means to immediately identify<br>that the apparatus is out of service for any operator who might<br>have reason to use the apparatus.<br>6.1.5.1 Out-of-service apparatus shall be identified by one of<br>the following means:<br>(1) Sign on the outside of the driver’s door near the door<br>handle<br>(2) Special bag that covers the steering wheel<br>(3) Large sign on the driver’s window<br>(4) Highly visible mechanism at the driver’s position on the<br>fire apparatus that all members of the fire department<br>recognize as an out-of-service indicator<br><br>6.4 Engine Systems.<br>6.4.1* The following defects and deficiencies of the engine<br>system shall cause the apparatus to be taken out of service:<br>(1) Engine that will not crank or start<br>(2) Engine system that has Class 3 leakage of oil<br>(3) Engine that is overheating<br>(4) Oil that contains coolant<br>(5) Oil that is diluted with fuel<br>(6) Fuel system component that has Class 2 leakage of fuel<br>(7) Stop-engine light that fails to turn off after engine is started<br>6.4.2 If there are deficiencies of the following systems or components,<br>a qualified technician shall conduct an out-of-service<br>evaluation and make a written report, including recommendations<br>to the AHJ:<br>(1) Air filter restriction<br>(2) Fuel tank, mountings, or straps<br><br>6.5 Engine Cooling System.<br>6.5.1 The following deficiencies of the engine cooling system<br>shall cause the apparatus to be taken out of service:<br>(1) Cooling system component that has Class 3 leakage<br>(2) Coolant that contains oil<br>(3) Cooling system that exceeds maximum operating<br>temperature<br>6.5.2 If there are deficiencies with the following systems or<br>components, a qualified technician shall conduct an out-of service<br>evaluation and make a written report, including recommendations<br>to the AHJ:<br>(1) Radiator<br>(2) Water pump bearing<br>(3) Cooling fan<br>(4) Coolant system components<br>6.5.2 If there are deficiencies with the following systems or<br>components, a qualified technician shall conduct an out-of service<br>evaluation and make a written report, including recommendations<br>to the AHJ:<br>(1) Radiator<br>(2) Water pump bearing<br>(3) Cooling fan<br>(4) Coolant system components<br><br>6.6 Transmission and Clutch.<br>6.6.1 The following defects and deficiencies of the transmission<br>and clutch shall cause the apparatus to be taken out of service:<br>(1) Automatic transmission that overheats in any range<br>(2) Automatic transmission that has a “do not shift” light on<br>(3) Transmission components that have Class 3 leakage of<br>transmission oil<br>(4) Transmission oil contaminated with coolant<br>6.6.2 If there are deficiencies of the following systems or components,<br>a qualified technician shall conduct an out-of-service<br>evaluation and make a written report, including recommendations<br>to the AHJ:<br>(1) Clutch components<br>(2) Transmission components<br>(3) Shift linkages<br><br>6.9 Fire Pump System.<br>6.9.1 The following deficiencies of the fire pump system shall<br>cause the pumping system to be taken out of service:<br>(1) Pump that will not engage<br>(2) Pump shift indicators in cab and on operator’s panel that<br>do not function properly<br>(3) Pressure control system that is not operational<br>(4) Pump transmission components that have Class 3 leakage<br>of fluid<br>(5) Pump operator’s panel throttle that is not operational<br>(6)*Pump operator’s engine speed advancement interlock<br>that is not operational <br>6.9.2 If there are deficiencies of the following systems or components,<br>a qualified technician shall conduct an out-of-service<br>evaluation and make a written report, including recommendations<br>to the AHJ:<br>(1) Pump transmission lubricant<br>(2) Valves<br>(3) Valve controls<br>(4) Pump piping<br>(5) Pressure-indicating devices<br>(6) Water tank<br>(7) Water level indicator<br>6.9.3 If pump shaft seals leak beyond the manufacturer’s<br>specifications, a qualified technician shall conduct an out-of service<br>evaluation of the problem and make a written report,<br>including recommendations to the AHJ.<br>6.9.4 If the pump test indicates a deficiency, a qualified technician<br>shall conduct an out-of-service evaluation and make a<br>written report, including recommendations to the AHJ.<br>

  OK

• Additional Notes for "NON Out Of Service" Items

  No

  Yes

• Are ALL discharges gauges in proper working order?

  Yes

  No

• Dry Vacuum Test:

  Pass

  Fail

  Unable to Obtain

• Tank To Pump Flow Test:

  Pass

  Fail

  Unable to Obtain

• 100%, 70% & 50% Capacity Flow Test:

  Pass

  Fail

• Pressure Relief Valve / Governor Test:

  Pass

  Fail

• Engine Governed Speed:

  Pass

  Fail

• Replaced Intake Screens?

  No

  Yes

• Did the Engine Overheat?

  No

  Yes

• Was Engine Cooler Turned On?

  No

  Yes

• Did the Transmission Overheat?

  No

  Yes

• Picture of Trend?

  Yes

  No

• Damage to FD Property or Apparatus

  No

  Yes