Fire Pump Inspection Report

• Weekly/Monthly Fire Pump Inspection & Test Report

• Document No.

• Building Name

• Address
  Address

• Conducted on

  Date

• Inspection Report Prepared by

• Personnel

General Information

• Information on this form covers the minimum requirements of NFPA 25 (2014) for electric-driven vertical 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.

• Building Name

• Add location
  Address

• Type of fire pump

• Diesel Powered

• Electric (Horizontal)

• Electric (Vertical)

• Date of Inspection:

  Date

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

• 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

Weekly Electric Fire Pump Inspections

• Date of weekly inspection.

  Date

• 1) Is pump room heated to at least 40 degrees?

  Yes

  No

  N/A

• 3) Valves are open and free of leaks?

  Yes

  No

  N/A

• 4) Piping is free of leaks?

  Yes

  No

  N/A

• 5) Controller is in automatic start mode?

  Yes

  No

  N/A

• 6) Transfer switch is in normal position?

  Yes

  No

  N/A

• 7) Suction and system pressure gauges normal?

  Yes

  No

  N/A

• Record suction pressure while pump is NOT running.

• Record discharge pressure while pump is NOT running.

• 8) Oil level in vertical motor sight is normal?

  Yes

  No

  N/A

• Record notes here.

• Include photos here if necessary.

  Media

Fire Pump Churn Test (No Flow)

• Weekly for diesel pumps for 30 minutes.

• Weekly for vertical electric pump for 10 minutes.

• Monthly for horizontal electric pumps for 10 minutes.

• Date of test.

  Date

• Notify monitoring company prior to test.
  

• 1) Fire Pump is in auto position?

  Yes

  No

  N/A

• 2) Jockey pump is in auto position?

  Yes

  No

  N/A

• Record jockey pump start-up PSI

• Record jockey pump shut-off PSI

• 3) Fire Pump started automatically?

  Yes

  No

  N/A

• 4) Fire pump operated for at least 10 minutes?

  Yes

  No

  N/A

• Record suction pressure while running.

• Record discharge pressure while running.

• 5) Did suction tank overflow to indicate it was full?

  Yes

  No

  N/A

• 6) Pump packing gland showing slight discharge?

  Yes

  No

  N/A

• 7) Pump is free from unusual noises or vibrations?

  Yes

  No

  N/A

• 8) Packing boxes, bearings and pump casing free from overheating?

  Yes

  No

  N/A

• 9) Were relevant alarms successfully received by the monitoring company?

  Yes

  No

  N/A

• 10) Was pump successfully reset to auto start mode and was monitoring company notified when test was completed?

  Yes

  No

  N/A

• Record notes here.

• Include photos here if necessary.

  Media

Monthly Electric Fire Pump Inspections

• Date of monthly inspection.

  Date

• 1) Circuit breakers, boxes and panels of electrical system are clean?

  Yes

  No

  N/A

• 2) Circuit breakers and isolation switch exercised?

  Yes

  No

  N/A

• 3) Electrical wires are free of chafing?

  Yes

  No

  N/A

• 4) Transfer switch is exercised?

  Yes

  No

  N/A

• Record notes here.

Weekly Diesel Powered Fire Pump Inspections

• Date of Weekly Inspection

  Date

• Fuel level is at least two-thirds full.

  Yes

  No

  N/A

• Tank float switch operates properly.

  Yes

  No

  N/A

• Solenoid valve operates properly.

  Yes

  No

  N/A

• Fuel system is free of water.

  Yes

  No

  N/A

• Flexible hoses and connections are in good condition.

  Yes

  No

  N/A

• Oil levels are satisfactory.

  Yes

  No

  N/A

• Lube oil heater is in good condition.

  Yes

  No

  N/A

• Cooling system fluid levels are satisfactory and system is working properly.

  Yes

  No

  N/A

• Jacket water heater is in good condition.

  Yes

  No

  N/A

• Water pump is good condition.

  Yes

  No

  N/A

• Exhaust system is free of leaks.

  Yes

  No

  N/A

• Drain condensate trap is in good condition.

  Yes

  No

  N/A

• Battery electrolyte levels are satisfactory.

  Yes

  No

  N/A

• Cranking volts exceeds 9 volts on a 12 volt system.<br>(18 volts on a 24 volt system)

  Yes

  No

  N/A

• Battery terminals are free of corrosion.

  Yes

  No

  N/A

• Electrical system wires, connections and other components are in good condition.

  Yes

  No

  N/A

• Circuit breakers or fuses are in good condition.

  Yes

  No

  N/A

Inspector's Information

• Company: MacKenzie Services

• 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.

• Add signature

  Sign

• Select date

  Date