Fire Pump Inspection Report

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Information on this form covers the minimum requirements of NFPA 25 for centrifugal fire pumps. Separate forms are available to inspect, test and maintain the rest of the fire protection system of which the fire pump is a part. More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and water supply.

• Owner:

• Owner's phone number:

• Owner's Address:

• Property Being Inspected:

• Property address

• Date of Inspection:

  Date

• This Inspection is:

  Annual

  Quarterly

  Preliminary

• All responses refer to the current inspection performed on this date.

• Notes: 1) All questions are to be answered Yes, No, or Not Applicable. All NO answers are to be explained in Part III of this form. 2) Inspection, Testing and Maintenance are to be performed with water supplies (including fire pumps) in service, unless the impairment procedures of Chapter 11 of NFPA 25 are followed.

Part I - Owner's Section

• A. Is the pump in service?

  Yes

  No

  N/A

• B. Has the fire pump remained in service since the last inspection?

  Yes

  No

  N/A

• C. Was the system 9of which the fire pump is a part) free of actuation of devices or alarms since the last inspection?

  Yes

  No

  N/A

• Note to owner: Periodic tests of transfer switches and emergency generators are to be performed by a qualified electrical contractor in accordance with NFPA 110.

• Owner of Representative (print name):

  Sign

• Signature and Date:

  Sign

Part II - Inspector's Section

A. Inspections

• 1. Pump house/room proper temperature (at least 70 degrees F for diesels without engine heaters or 40 degrees for others)?

  Yes

  No

  N/A

• 2. Ventilating louvers free to operate?

  Yes

  No

  N/A

• 3. Suction, discharge and bypass valves open?

  Yes

  No

  N/A

• 4. Piping free from leaks?

  Yes

  No

  N/A

• 5. Suction and system pressure gauges normal?

  Yes

  No

  N/A

• 6. Suction reservoir, if provided, full?

  Yes

  No

  N/A

• 7. Electric Motor Driven Pumps

• a. Controller indicating power on, transfer switch indicating normal situation and isolation switch closed?

  Yes

  No

  N/A

• b. Reverse phase alarm indicator off or normal phase rotation indicator on?

  Yes

  No

  N/A

• c. Oil level in vertical motor sight normal?

  Yes

  No

  N/A

• 8. Diesel Engine Driven Pumps

• a. Fuel tank at least two thirds full?

  Yes

  No

  N/A

• b. Controller selector switch in Auto position?

  Yes

  No

  N/A

• c. Battery voltage and charger readings normal?

  Yes

  No

  N/A

• d. Battery indicators on or failure indicators off?

  Yes

  No

  N/A

• e. All alarm indicators off?

  Yes

  No

  N/A

• f. Record engine running time meter reading.

• Is this appropriately higher than the previous reading?

  Yes

  No

  N/A

• g. Oil level in right angle gear drive normal?

  Yes

  No

  N/A

• h. Crankcase oil level normal?

  Yes

  No

  N/A

• i. Cooling water level normal?

  Yes

  No

  N/A

• j. Electrolyte level in batteries normal?

  Yes

  No

  N/A

• k. Battery terminals free from corrosion?

  Yes

  No

  N/A

• l. Water-jacket heater operating?

  Yes

  No

  N/A

• 9. Steam pressure gauge for steam driven pump reading normal?

  Yes

  No

  N/A

• 10. Circulation relief valve flowing water while pump churns?

  Yes

  No

  N/A

• 11. Pressure relief valves operating with proper pressure downstream while pump is operational?

  Yes

  No

  N/A

B. Tests

1. Weekly Test Items

• A. Electric Motor Driven Pumps

• 1. Pump started automatically?

  Yes

  No

  N/A

• Record starting pressure. (PSI)

• 2. Pump run for at least 10 minutes?

  Yes

  No

  N/A

• Record suction & discharge pressure while running. (PSI)

• 3. Pump packing gland showing slight discharge?

  Yes

  No

  N/A

• 4. Free from unusual noises or vibrations?

  Yes

  No

  N/A

• 5. Packing boxes, bearings and pump casing free from overheating?

  Yes

  No

  N/A

• 6. Record time for motor to accelerate to full speed.

• 7. For reduced voltage or reduced current staring record time controller is on first step.

• 8. For automatic stop controllers, record time pump runs after starting.

• 9. All times and pressures in Part A acceptable?

  Yes

  No

  N/A

• B. Diesel Engine-Driven Fire Pumps

• 1. Pump started automatically?

  Yes

  No

  N/A

• Record starting pressure. (PSI)

• 2. Pump run for at least 30 minutes?

  Yes

  No

  N/A

• Record suction & discharge pressure while running.

• 3. Pump packing gland showing slight discharge?

  Yes

  No

  N/A

• 4. Free from unusual noises or vibrations?

  Yes

  No

  N/A

• 5. Packing boxes, bearings and pump casing free from overheating?

  Yes

  No

  N/A

• 6. Record time for engine to crank.

• 7. Record time for engine to reach running speed.

• 8. Engine oil pressure gauge, speed indicator, water and oil temperature indicator all reading normal?

  Yes

  No

  N/A

• 9. Cooling water flowing from heat exchanger?

  Yes

  No

  N/A

• 10. All times and pressures in Part B acceptable?

  Yes

  No

  N/A

• C. Steam Turbine-Driven Pumps

• 1. Record pump starting pressure, suction and discharge pressures while running,

• 2. Pump packing gland showing slight discharge?

  Yes

  No

  N/A

• 3. Free from unusual noises or vibrations?

  Yes

  No

  N/A

• 4. Packing boxes, bearings and pump casing free from overheating?

  Yes

  No

  N/A

• 5. Record steam pressure gauge reading.

• 6. Record time for turbine to reach running speed.

• 7. All times and pressures in Part C acceptable?

  Yes

  No

  N/A

2. Annual Tests

• Annual pump test was run using the following method.

• Method A:<br>Discharge of flow through hose steams. Flow readings taken at each hose steam.

  Yes

  No

  N/A

• Method B:<br>Discharge through by-pass flow meter to drian or suction reservoir. Flow readings taken by flow meter.

  Yes

  No

  N/A

• Method C:<br>Discharge through by-pass flow meter directly returned to pump suction. Flow readings taken by flow meter.

  Yes

  No

  N/A

• NOTE: At least once every three years method A or B must be used.

PUMP TEST RESULTS

• Suction Pressure:

• No Flow

• Rated Flow

• Peak Flow

• Discharge Pressure:

• No Flow

• Rated Flow

• Peak Flow

• Flow Pressure:

• No Flow

• Rated Flow

• Peak Flow

• Electric Voltage and Current:

• No Flow

• Rated Flow

• Peak Flow

• Pump Speed:

• No Flow

• Rated Flow

• Peak Flow

• See Attached:

  Yes

  No

  N/A

• A. Are the values in the above table acceptable?

  Yes

  No

  N/A

• B. NO-FLOW (chum) test run for 30 min.?

  Yes

  No

  N/A

• C. Circulation relief valve and pressure relief valve operated properly during all flow tests?

  Yes

  No

  N/A

• D. No alarm indicators or other visible abnormalities observed during no flow test?

  Yes

  No

  N/A

• E. Suction screens cleaned after flow?

  Yes

  No

  N/A

• F. Low Suction Throttling Devise Test

• 1. Low suction pressure simulated?

  Yes

  No

  N/A

• 2. Free from abnormalities in throttling action?

  Yes

  No

  N/A

• 3. Free from abnormalities in return to full flow?

  Yes

  No

  N/A

• G. Automatic Transfer Switch Test

• 1. Power Failure simulated during peak flow?

  Yes

  No

  N/A

• 2. Connection made to alternate power source?

  Yes

  No

  N/A

• 3. After termination of simulated power failure did motor reconnect to the normal power source?

  Yes

  No

  N/A

• H. Alarm Condition Test

• 1. All Alarm Conditions Simulated?

  Yes

  No

  N/A

• 2. All Alarms operated?

  Yes

  No

  N/A

C. Maintenance

• A maintenance schedule must be established in accordance with the manufacturer instructions. In the absence of such a schedule, the following must be used:

• 1. Weekly Maintenace Items for Diesel Engine Systems:

• A. Fuel tank level, tank float switch, and solenoid valve operation acceptable?

  Yes

  No

  N/A

• B. Diesel fuel system free of water?

  Yes

  No

  N/A

• C. Flexible hoses and connectors in fuel and coolant systems acceptable?

  Yes

  No

  N/A

• D. Oil level and lube oil heater acceptable?

  Yes

  No

  N/A

• E. Coolant level acceptable?

  Yes

  No

  N/A

• F. Water pump for coolant system operating?

  Yes

  No

  N/A

• G. Jacket water heater for coolant system acceptable?

  Yes

  No

  N/A

• H. Exhaust system free of leakage?

  Yes

  No

  N/A

• I. Drain condensate trap on exhaust system operational?

  Yes

  No

  N/A

• J. Electrolyte level in batteries acceptalbe?

  Yes

  No

  N/A

• K. Connections to electrical system acceptalbe?

  Yes

  No

  N/A

• 2. Monthly Maintenace Items:

• A. Isolation switch and circuit breaker exercised?

  Yes

  No

  N/A

• B. Battery case clean, dry and free of corrosion and battery's specific gravity or state of charge passed test?

  Yes

  No

  N/A

• C. Charger and charge rate passed visual inspection and battery charge being equalized?

  Yes

  No

  N/A

• D. Circuit breakers appear clean?

  Yes

  No

  N/A

• 3. Quarterly Maintenace Items:

• A. Cleaned strainer, filter or dirt leg in diesel fuel system?

  Yes

  No

  N/A

• B. Cleaned or replaced crank case breather in lubrication system?

  Yes

  No

  N/A

• C. Cleaned water strainer in coolant system?

  Yes

  No

  N/A

• D. Insulation acceptable and fire hazard eliminated from exhaust system?

  Yes

  No

  N/A

• E. Battery terminals clean and tight?

  Yes

  No

  N/A

• F. Electrical system free of wire chafing?

  Yes

  No

  N/A

• 4. Semiannual Maintenace Items:

• A. Manual starting means on electrical systems operated and boxes, panels and cabinets cleaned?

  Yes

  No

  N/A

• B. Antifreeze tested in coolant systems?

  Yes

  No

  N/A

• C. Flexible exhaust section acceptable?

  Yes

  No

  N/A

• D. Alarms operated on electrical portions of diesel engine systems?

  Yes

  No

  N/A

• 5. Annual Maintenance Items

• A. Changed pump bearing lubrication?

  Yes

  No

  N/A

• B. Shaft end play acceptable?

  Yes

  No

  N/A

• C. Transmission coupling right angle gear drive and mechanical moving parts lubricated?

  Yes

  No

  N/A

• D. Circuit breakers passed trip test?

  Yes

  No

  N/A

• E. Emergency manual starting means operated without power?

  Yes

  No

  N/A

• F. Electrical connections secure?

  Yes

  No

  N/A

• G. Pressure switch settings calibrated?

  Yes

  No

  N/A

• H. Motor bearing greased?

  Yes

  No

  N/A

• I. Fuel tank free of water and foreign material, tank vents and overflow pipes free of obstructions, fuel piping acceptable, and oil and filters changed in diesel systems?

  Yes

  No

  N/A

• M. Antifreeze changed in coolant systems?

  Yes

  No

  N/A

• N. Heater exchanger cleaned out?

  Yes

  No

  N/A

• O. Duct work & louvers (combustion air) acceptable?

  Yes

  No

  N/A

• P. Exhaust system free of back pressure?

  Yes

  No

  N/A

• Q. Exhaust system hangers and supports acceptable?

  Yes

  No

  N/A

• R. Control and power wiring tight?

  Yes

  No

  N/A

Part III

• Notes:

Part IV - Inspector's Information

• Inspector Name:

• Company:

• Address:

• I state that the information on this form is correct at the time and place of inspection, and that all equipment tested at this time was left in operational condition upon completion of this inspection except as noted in Part III above.

• Inspector:

  Sign

• Select date

  Date

• License or Certification Number (if applicable):

  Sign

Backflow Preventer

• Tested for NFPA 25 Requirements ONLY. Certification DOSE NOT fall within the scope of this inspection.

Fire Alarm

• Inspection & Certification is to be performed by an Alarm Contractor.

Fire Extinguisher(s)

• Inspection & Certification is to be performed by Others.

NFPA 25 2008:4.1.5 "Changes in Occupancy, Use, Process, or Materials"

• The property owner or occupant shall not make changes in the occupancey, the use or the material used or stored in the building without evaluation of the fire protection systems for their capability to protect the new occupancies, use or materials.

NFPA 25 2008:4.1.6 "Addressing Changes in Hazard"

• Where changes in the occupancy, hazard, water supply, storage commodity, storage arrangement, building modification or other condition that affects the installation criteria of the system are identified, the property owner or occupant shall promptly take steps, such as contacting a qualified contractor, consultant or engineer, and authority having jurisdiction, to evaluate the adequacy of the installed system in order protect the building or hazard in question.