FIRE ALARM INSPECTION REPORT

• SERVICETRADE #

• FIRE ALARM INSPECTION REPORT

• Client / Site

• Conducted on

  Date

• INSPECTOR

• Location
  Address

• CUSTOMER POINT OF CONTACT

MONITORING ENTITY

• MONITORING COMPANY:

• TELEPHONE NUMBER:

• MONITORING ACCOUNT REFERENCE NUMBER:

TRANSMISSION TYPE

• TYPE OF MONITORING TRANSMISSION

  MCCULLOH

  MULTIPLEX

  DIGITAL

  REVERSE PRIORITY

  RF

• PANEL MAKE & MODEL

• CIRCUIT STYLE

  A

  B

• NUMBER OF CIRCUITS

• ARE THERE ANY ANNUNCIATOR PANELS INSTALLED ON THIS FIRE ALARM PANEL?

  Yes

  No

  N/A

SERVICE

• Inspection schedule

  Weekly

  Monthly

  Quarterly

  Semi-Annual

  Annual

• UPON ARRIVAL, WERE THERE ANY ALARM, SUPERVISORY OR TROUBLE CONDITIONS PRESENT ON THE FIRE ALARM PANEL?

  Yes

  No

  N/A

• WHOM WAS NOTIFIED PRIOR TO TESTING ANY DEVICES?

• NOTIFIED PRIOR TO TESTING:

  Select MONITORING ENTITY BUILDING OCCUPANTS BUILDING MANAGEMENT AHJ NOTIFIED OF IMPAIRMENTS

  • MONITORING ENTITY
  • BUILDING OCCUPANTS
  • BUILDING MANAGEMENT
  • AHJ NOTIFIED OF IMPAIRMENTS

• LAST DATE SYSTEM HAD ANY SERVICE PERFORMED?

  Date

• LAST DATE THAT ANY SOFTWARE OR CONFIGURATION WAS REVISED?

ALARM-INITIATING DEVICES & CIRCUIT INFORMATION

• HOW MANY OF THE FOLLOWING DEVICES ARE INSTALLED ON SYSTEM?

• MANUAL PULL STATIONS

• ION DETECTORS

• PHOTO DETECTORS

• DUCT DETECTORS

• HEAT DETECTORS

• WATERFLOW SWITCHES

• TAMPER SWITCHES

• SUPERVISORY SWITCHES

• PRESSURE SWITCHES

• WERE ALL DEVICES TESTED DURING THIS INSPECTION?

  Yes

  No

  N/A

• DID ANY DEVICES FAIL?

  Yes

  No

  N/A

• FAILED DEVICES WILL BE LISTED IN COMMENTS

• ALARM VERIFICATION FEATURE

  Off

  On

ALARM NOTIFICATION APPLIANCES & CIRCUIT INFORMATION

• HOW MANY OF THE FOLLOWING ARE INSTALLED ON THE SYSTEM?

• BELLS

• HORNS

• CHIMES

• STROBES

• SPEAKERS

• HORN/STROBES

• DID ANY NOTIFICATION DEVICES FAIL?

  Yes

  No

  N/A

• FAILED DEVICES WILL BE LISTED IN COMMENTS

• NUMBER OF ALARM NOTIFICATION APPLIANCE CIRCUITS:

• ARE CIRCUITS MONITORED FOR INTEGRITY?

  Yes

  No

  N/A

SIGNALING LINE CIRCUITS

• QUANTITY AND STYLE OF SIGNALING LINE CIRCUITS CONNECTED TO SYSTEM (SEE NFPA 72, TABLE 6.6.1):

• QUANTITY

• STYLE

  A

  B

SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION

• ARE ANY OF THE FOLLOWING SUPERVISORY FEATURES PRESENT?

  Select BUILDING TEMP. SITE WATER TEMP. SITE WATER LEVEL FIRE PUMP POWER FIRE PUMP RUNNING FIRE PUMP AUTO POSITION FIRE PUMP OR PUMP CONTROLLER TROUBLE GENERATOR IN AUTO POSITION GENERATOR OR CONTROLLER TOUBLE SWITCH TRANSFER GENERATOR ENGINE RUNNING INDUSTRIAL FAN SHUTDOWN SWITCH

  • BUILDING TEMP.
  • SITE WATER TEMP.
  • SITE WATER LEVEL
  • FIRE PUMP POWER
  • FIRE PUMP RUNNING
  • FIRE PUMP AUTO POSITION
  • FIRE PUMP OR PUMP CONTROLLER TROUBLE
  • GENERATOR IN AUTO POSITION
  • GENERATOR OR CONTROLLER TOUBLE
  • SWITCH TRANSFER
  • GENERATOR ENGINE RUNNING
  • INDUSTRIAL FAN SHUTDOWN SWITCH

SYSTEM POWER SUPPLIES

• PRIMARY NOMINAL VOLTAGE

• PRIMARY AMPS

• OVERCURRENT TYPE

  BREAKER

  FUSE

• LOCATION OF PRIMARY SUPPLY PANELBOARD

• BREAKER NUMBER

• NUMBER OF PANEL BATTERIES

• VOLTAGE AND AMPERAGE OF BATTERIES

• WHAT DATE WERE THE CURRENT BATTERIES INSTALLED IN THE FIRE ALARM PANEL?

• WHAT AMPERAGE DID THE PANEL BATTERIES TEST AT TODAY?

TYPE BATTERY

• WHAT TYPE OF BATTERIES ARE INSTALLED?

  DRY CELL

  NICKEL-CADMIUM

  SEALED LEAD ACID

  LEAD-ACID

  OTHER (SPECIFY BELOW)

• OTHER BATTERY STYLE (IF NOT LISTED IN DROP DOWN SCREEN)

SUMMARY OF TESTS AND INSPECTIONS

• SYSTEM TESTS AND INSPECTIONS

• THE FOLLOWING WERE TESTED VISUALLY AND/OR FUNCTIONALLY

  Select FIRE ALARM PANEL INTERFACE EQUIPMENT LAMPS/LEDS FUSES PRIMARY POWER SUPPLY TROUBLE SIGNALS DISCONNECT SWITCHES GROUND FAULT MONITORING

  • FIRE ALARM PANEL
  • INTERFACE EQUIPMENT
  • LAMPS/LEDS
  • FUSES
  • PRIMARY POWER SUPPLY
  • TROUBLE SIGNALS
  • DISCONNECT SWITCHES
  • GROUND FAULT MONITORING

NOTIFICATION THAT TESTING IS COMPLETE

• DID THE MONITORING COMPANY RECEIVE ALL ALARM AND TROUBLE SIGNALS?

  Yes

  No

  N/A

• WAS THE SYSTEM RESTORED TO NORMAL OPERATION?

  Yes

  No

  N/A

• INSPECTION COMMENTS

• CUSTOMER WAS MADE AWARE OF ALL DEFICIENCIES & IMPAIRMENTS FOUND ON THE FIRE ALARM SYSTEM, DURING THIS CURRENT INSPECTION? (IF ANY WERE FOUND AT ALL)

• INSPECTOR SIGNATURE

  Sign

• DATE & TIME OF INSPECTION COMPLETION

  Date