Fire Prevention Equipment Inspection Log

Instructions:

• Complete this form while conducting the inspection. The report should be maintained for one year and made available for review by Global Risk Loss Prevention Consultants.

Valve Inspections

• Each locked valve must be tested monthly and visually inspected weekly. Each unlocked valve must be tested weekly. All inspections should be documented on this form.

• Site:

  JBS GREELEY LAMB PLANT

• Date:

  Date

• Type:

  Weekly

  Monthly

Valves

• Main Valve - Fire Sprinkler Cage - Main Plant

• Status?

  Open

  Closed

  Locked

  Sealed

• #1 Valve - Fire Sprinkler Cage - Main Plant/Back Flow

• Status?

  Open

  Closed

  Locked

  Sealed

• #2 Valve - Fire Sprinkler Cage - Main Plant/Back flow Isolation

• Status?

  Open

  Closed

  Locked

  Sealed

• #3 Valve - Fire Sprinkler Cage - Wet System 2nd Level

• Status?

  Open

  Closed

  Locked

  Sealed

• #4 Valve - Fire Sprinkler Cage - Dry system box storage shipping

• Status?

  Open

  Closed

  Locked

  Sealed

• The Global Risk Fire Protection Impairment Policy is used to guard against delayed reopening of valves. The "Red Tag Permit" should be used every time a sprinkler control valve is closed. When the valve is reopened, the 2 inch drain should be flowed wide open o be sure there is no obstruction in the piping. The valve should then be relocked.

• Were any valves closed since the last inspection?

  Yes

  No

• Were Global Risk Red Tag Permits used?

  Yes

  No

• Was the valve(s) reopened fully and a 2 inch drain test made before the valve(s) was relocked or resealed?

  Yes

  No

Comments:

• Additonal comments, remarks, etc.

Sprinklers (automatic)

• Spare heads available?

  Yes

  No

• Obstructed by high piling?

  Yes

  No

• Any heads disconnected or needed?

  Yes

  No

• Heat greater or equal to 40 degrees?

  Yes

  No

• Min. Temp:

• Water pressure at yard level:

• Comments:

Dry Pipe Valves

• Air Pressure?

• Valve room properly heated? (min. 42 degrees fahrenheit)

  Yes

  No

• Temperature (fahrenheit):

Housekeeping

• Acceptable in flammable storage areas?

  Yes

  No

• Flammable liquids not in-use properly stored?

  Yes

  No

• Waste properly stored?

  Yes

  No

  N/A

Fire Doors

• Close properly?

  Yes

  No

• Obstructed?

  Yes

  No

• Blocked open?

  Yes

  No

  N/A

Fire Extinguishers:

• Charged?

  Yes

  No

• All Acccessible?

  Yes

  No

• Any Missing?

  Yes

  No

Egress

• Routes Unobstructed?

  Yes

  No

• Exit Doors Clearly Marked?

  Yes

  No

• Emergency Lighting Working?

  Yes

  No

Fire Alarms

• Test conducted?

  Yes

  No

• Alarms audible throughout facility?

  Yes

  No

Sign Off:

• Inspected By:

  Sign

• Date:

  Date

• Reviewed By:

  Sign

• Date:

  Date