Fire Pump Inspection and Test

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fire Pump Room General Observations

• Has the building been place on "Test Mode"?<br><br>

  Yes

  No

  N/A

• What time was the building put on test?

  Date

• Using the thermal meter, enter the temperature of the Fire Pump Room in degrees Fahrenheit.

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  • >105
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  • <19

• What position is the Control Valve in?

  Open

  Closed

• Locate the "Left Fire Pump Drip Tray". What is the drip rate?

  Select 0 drops per 5 seconds 1 drop per 5 seconds 2 drops per 5 seconds 3 drops per 5 seconds 4 drops per 5 seconds >5 drop per 5 seconds

  • 0 drops per 5 seconds
  • 1 drop per 5 seconds
  • 2 drops per 5 seconds
  • 3 drops per 5 seconds
  • 4 drops per 5 seconds
  • >5 drop per 5 seconds

• Locate the "Right Fire Pump Drip Tray". What is the drip rate?

  Select 0 drops per 5 seconds 1 drop per 5 seconds 2 drops per 5 seconds 3 drops per 5 seconds 4 drops per 5 seconds >5 drop per 5 seconds

  • 0 drops per 5 seconds
  • 1 drop per 5 seconds
  • 2 drops per 5 seconds
  • 3 drops per 5 seconds
  • 4 drops per 5 seconds
  • >5 drop per 5 seconds

Fire Pump Operational Inspection and Test

• What is the reading of the Pre-start PSI Gauge?

• What is the PSI Gauge reading when the fire pump started up after opening the Pre-start Valve.

• What is the PSI Gauge reading for the "Fire Pump Inlet Gauge"?

• What is the PSI Gauge reading for the "Fire Pump Outlet Gauge"?

• Subtract the "Inlet PSI" reading from the "Outlet PSI" reading (Inlet PSI - Outlet PSI). What is the difference?

• Using the thermal meter, enter the temperature of the "Left Fire Pump Bearing" in degrees Fahrenheit.

• Using the thermal meter, enter the temperature of the "Right Fire Pump Bearing" in degrees Fahrenheit.

Panel Room

• Has the ADT Panel in the Fire Panel room been reset?

  Yes

  No

  N/A

• Has the Fire Panel in the Fire Panel room been reset?

  Yes

  No

  N/A

• Has the building been placed back Online?

  Yes

  No

  N/A

• What time was the building placed back online?

  Date

Overall Inspection Details

• Based on the performed inspection and test is the system working as intended? (Please document or photograph any visible damage)

  Safe

  At Risk

  N/A

• Please sign in the space provided to verify that the above responses are accurate to the best of your knowledge,

  Sign