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?

  PASSED

  FAILED

  N/A

• ALARM INITIATING DEVICES TESTED?

  PASSED

  FAILED

  N/A

• PRIMARY & SECONDARY METHOD OF COMMUNICATION TESTED?

  PASSED

  FAILED

  N/A

• ZONE INITIATION VERIFIED?

  PASSED

  FAILED

  N/A

• ANNUNCIATOR PANEL TESTED?

  PASSED

  FAILED

  N/A

• MONITORING FACILITY TESTED & TIME FOR EMERGENCY FORCES NOTIFICATION?

  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

• Add signature

  Sign

• 1610.12 APPEALS. Appeals from a decision of the Fire Marshal or other Code official shall be made to the Construction Board of Appeals, established pursuant to Chapter 1444 of these Codified Ordinances. The appeal must be filed with the Director of Police and Fire Services within twenty days from the date of the decision appealed. Appeal forms are available on the City of Coldwater Website www.coldwater.org or upon request at the Coldwater Fire Department.