COLDWATER FIRE DEPARTMENT FIRE ALARM SYSTEM INSPECTION REPORT - duplicate

INSPECTION TITLE:

CUSTOMER INFORMATION & PHONE NUMBER:

ADDRESS:

CONTACT PERSON:

EMAIL ADDRESS:

INSPECTOR:

FIRE ALARM SYSTEM INSTALLER/CONTRACTOR:

COMPANY CONTACT - PHONE - EMAIL:

TYPE OF INSPECTION:

• WHAT TYPE OF INSPECTION?

  Select ACCEPTANCE RE-ACCEPTANCE

  • ACCEPTANCE
  • RE-ACCEPTANCE

SUPERVISION:

• OFF SITE MONITORING?

  Yes

  No

  N/A

• TYPE OF MONITORING?

  Select LISTED CENTRAL STATION REMOTE RECEIVING PROPRIETARY

  • LISTED CENTRAL STATION
  • REMOTE RECEIVING
  • PROPRIETARY

SYSTEM INFORMATION:

• IS EQUIPMENT LISTED & CERTIFIED?

  Yes

  No

  N/A

• SYSTEM TYPE?

  Select CONVENTIONAL MULTIPLEX ADDRESSABLE MANUAL AUTOMATIC COMBINATION

  • CONVENTIONAL
  • MULTIPLEX
  • ADDRESSABLE
  • MANUAL
  • AUTOMATIC
  • COMBINATION

SYSTEM BRAND & MODEL:

COMPONENTS & HARDWARE:

• TYPES OF INITIATION DEVICES?

  Select MANUAL PULLS SMOKE DETECTION HEAT DETECTION VISUALS AUDIBLES COMBINATION

  • MANUAL PULLS
  • SMOKE DETECTION
  • HEAT DETECTION
  • VISUALS
  • AUDIBLES
  • COMBINATION

SPECIAL COMPONENTS:

• ARE THERE SPECIAL TYPES OF COMPONENTS?

  Select PROJECTION BEAM AIR SAMPLING VESDA HEAT WIRE SPECIAL HZD DETECTION WATERFLOW FIRE PUMP N/A

  • PROJECTION BEAM
  • AIR SAMPLING
  • VESDA
  • HEAT WIRE
  • SPECIAL HZD DETECTION
  • WATERFLOW
  • FIRE PUMP
  • N/A

ACCEPTANCE TESTING:

• Select WITNESSED BY CFD WITNESSED BY E.I. WITNESSED BY NSD NOT READY

  • WITNESSED BY CFD
  • WITNESSED BY E.I.
  • WITNESSED BY NSD
  • NOT READY

DEVICES & CIRCUIT TESTING:

• MANUAL PULL STATIONS?

  PASSED

  FAILED

  N/A

• SMOKE DETECTORS?

  PASSED

  FAILED

  N/A

• HEAT DETECTION?

  PASSED

  FAILED

  N/A

• CIRCUIT TROUBLE TESTED BY DEVICE / EOL?

  Yes

  No

  N/A

• SPRINKLER SYSTEM ALARMS TESTED?

  PASSED

  FAILED

  N/A

• FIRE PUMP ALARMS TESTED?

  Yes

  No

  N/A

• ALARM INITIATING DEVICES TESTED?

  PASSED

  FAILED

  N/A

• PRIMARY & SECONDARY METHOD OF COMMUNICATION TESTED?

  PASSED

  FAILED

  N/A

• ZONE INITIATION VERIFIED?

  Yes

  No

  N/A

• ANNUNCIATOR PANEL TESTED?

  Yes

  No

  N/A

• SYSTEM INTERFACE OPERATIONS WITH OTHER SYSTEMS?

  PASSED

  FAILED

  N/A

• MONITORING FACILITY TESTED & NOTIFICATION TO FD TIME?

  PASSED

  FAILED

  N/A

DEFICIENCIES & RE-INSPECTION ITEMS: (NFPA 72, 2007 EDITION)

FINAL SYSTEM STATUS:

• SYSTEM TESTING?

  PASSED

  FAILED

  N/A

• DATE OF INITIAL INSPECTION:

  Date

• REINSPECTION NEEDED?

  Yes

  No

  N/A

• REINSPECTION DATE:

  Date

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