Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Building

Owners Section

  • Is The Fire Pump In Service

  • Has The Pump Remained In Service Since The Last Inspection

  • Was The System ( Of Which The Fire Pump Is A Part) Free From Actuation of Devices Since The Last Inspection

Inspector's Section

  • Pump house/room at least 40 degrees F

  • Ventilating louvers free to operate

  • Suction, discharge and bypass valves open

  • Piping free of leaks

  • Suction and pressure gauge is normal

  • Controller indicating power is on

  • Transfer switch indicating normal power

  • Isolation switch closed

Tests

  • Pump started automatically

  • What was the starting pressure

  • Photo

  • Did the pump run for 10 minutes

  • Suction pressure when running

  • Photo

  • Discharge Pressure when running

  • Photo

  • Pump packing gland showing slight discharge. Make adjustments if necessary

  • Free of unusual noise or vibrations

  • Packing boxes bearings and pump casings free from overheating

  • All times and pressures acceptable

Summery Report

  • Did you find any issues with the fire system that will need repaired or a contractor to look at?

  • Photos

  • Date And Time Completed

  • Initials

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