M & K Plumbing NFPA 25 2015.003

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date
• Location
  Address

• Personnel

• Technician's Name

• Prepared for

Owners information

• Is the building occupied

  Yes

  No

  N/A

• Has the occupancy/hazard changed sine the last inspection?

  Yes

  No

  N/A

• Are all the systems in service?

  Yes

  No

  N/A

• Has there been any modifications to the system since the last inspection?

  Yes

  No

  N/A

• Was there an actuation of device or alarm since the last inspection?

  Yes

  No

  N/A

Inspectors section

Sprinkler

• Are all sprinklers in good condition?

  Yes

  No

  N/A

• Are all sprinklers free of obstruction?

  Yes

  No

  N/A

• Are all sprinklers and wrenches available?

  Yes

  No

  N/A

• In spray coating area, are all sprinklers free of accumulation?

  Yes

  No

  N/A

• Is the hydraulic nameplate in place and firmly attached?

  Yes

  No

  N/A

• Are alarm devices provided and in good condition?

  Yes

  No

  N/A

• Any sprinklers requiring testing have been tested?

  Yes

  No

  N/A

• Any sprinklers requiring replacement have been replaced?

  Yes

  No

  N/A

Piping

• Is all sprinkler piping in good condition?

  Yes

  No

  N/A

Hangers/seismic bracing

• Are all hangers and seismic bracing in good condition, firmly attached, and free of corrosion?

  Yes

  No

  N/A

Fire department connections

• Are the fire department connections visible and in good condition?

  Yes

  No

  N/A

• Are caps and plugs in place?

  Yes

  No

  N/A

Water Supply

• What is the water supply pressure? (Psi)

Wet Systems

• In area protected by wet system, it the building properly heated?

  Yes

  No

  N/A

Dry Systems

• Is there a dry system?

  Yes

  No

  N/A

• Is the system heated properly?

  Yes

  No

  N/A

• Are the low points drained?

  Yes

  No

  N/A

• Is there adequate air pressure to the system?

  Yes

  No

  N/A

• Is there adequate water pressure to the system?

  Yes

  No

  N/A

• Dry Pipe Valve Test Results

Dry Pipe Valve

• Dry Valve System Number:

• System Operational?

  Yes

  No

  N/A

• Inspector:

• Comments:

Guages

• Are guages in good condition and indicating proper water, air, or gas pressure?

  Yes

  No

  N/A

Main Drain Test

• Has the main drain been tested?

  Yes

  No

  N/A

• Were the results recorded?

  Yes

  No

  N/A

• Were there changes from the last test?

  Yes

  No

  N/A

Water Flow Devices

• Were all water flow devices tested?

  Yes

  No

  N/A

Antifreeze

• Is there an antifreeze system?

  Yes

  No

  N/A

• Has the antifreeze solution been tested by measuring specific gravity?

  Yes

  No

  N/A

• Were the results recorded?

  Yes

  No

  N/A

Stand Pipe and Hose System

Stand Pipe and Hose Systems List

• Is there Stand Pipe or Hose Systems?

  Yes

  No

  N/A

• Wet Systems

• Combined Systems

• Dry Systems

• Stand Pipe and Hose

Stand Pipe and Hose System

• Class of Service

  Yes

  No

  N/A

• Hose Type

  Yes

  No

  N/A

• Type of System

  Yes

  No

  N/A

• Nozzle Type

  Yes

  No

  N/A

• Water Supply

  Yes

  No

  N/A

• Are stand pipe and hose in normal position (open or shut)?

  Yes

  No

  N/A

• Are stand pipe and hose in good condition and free of damage?

  Yes

  No

  N/A

• Are the valves...

  Locked

  Sealed

• Are hose valve oulet's caps and gaskets in place?

  Yes

  No

  N/A

• Are hose connections free of damage?

  Yes

  No

  N/A

• Are valve handles in place?

  Yes

  No

  N/A

• Are hose valve outlets free of obstructions?

  Yes

  No

  N/A

• Are restricting devices in place?

  Yes

  No

  N/A

Hose

• Are hoses removed inspected and re-racked?

  Yes

  No

  N/A

• Are hoses free of mildew, damage, and deterioration?

  Yes

  No

  N/A

• Are hoses compatible threads on couplings?

  Yes

  No

  N/A

• Are hoses connected?

  Yes

  No

  N/A

• Are hoses test date current?

  Yes

  No

  N/A

Hose Nozzles

• Are hose nozzles and gaskets in place?

  Yes

  No

  N/A

• Do the hose nozzles operate smoothly?

  Yes

  No

  N/A

• Are hose nozzles free of obstructions?

  Yes

  No

  N/A

Hose Storage Device

• Are hose storage devices free of damage and obstructions?

  Yes

  No

  N/A

• Are hoses properly racked, rolled, clips in place, and correctly contained?

  Yes

  No

  N/A

• Are hose storage devices easy to operate?

  Yes

  No

  N/A

Hose Cabinets

• Are hose cabinets able to swing open 108 degrees?

  Yes

  No

  N/A

• Are hose cabinets glazings in good condition?

  Yes

  No

  N/A

• Are hose cabinets locks, if present, functioning properly?

  Yes

  No

  N/A

• Are hose cabinets glass break devices properly attached?

  Yes

  No

  N/A

• Are hose cabinets properly identified?

  Yes

  No

  N/A

• Are hose cabinets free of obstructions?

  Yes

  No

  N/A

• Are hose cabinets equipment/devices accessible?

  Yes

  No

  N/A

Water Storage Tanks

• Is there a Water Storage Tank?

  Yes

  No

  N/A

• Have all tank vents (screened or open) been closed?

  Yes

  No

  N/A

• Have the lightning protection systems been maintained in accordance with manufacturers' specifications?

  Yes

  No

  N/A

• Has the cathodic protection system been inspected and serviced?

  Yes

  No

  N/A

• Have all tank thermometers been maintained in accordance with manufacturer's specifications?

  Yes

  No

  N/A

• Are valve pits and valve or heater houses maintained at minimum of 40 deg F?

  Yes

  No

  N/A

• Is the tank water temperature at least 40 deg F?

  Yes

  No

  N/A

• Is the tank heating system operating properly?

  Yes

  No

  N/A

• Is the tank full of water?

  Yes

  No

  N/A

• Is the water in good condition?" (not frozen, and free of debris and algae)

  Yes

  No

  N/A

• Is there proper air pressure (for pressure tanks)?

  Yes

  No

  N/A

• Are the exterior of the tank, supporting structure and catwalks or ladders in good structural condition?

  Yes

  No

  N/A

• Is the area around the tank and supporting structure free of: combustible materials, materials that could accelerate corrosion or rot, ice buildup, or erosion?

  Yes

  No

  N/A

• Are all hoops and grillage (on wooden tanks) in good condition?

  Yes

  No

  N/A

• Is the exterior painted, coated, or are insulated surfaces of the tank and supporting structure in good condition?

  Yes

  No

  N/A

• Are all expansion joints in good condition (no leaks or cracks)?

  Yes

  No

  N/A

• Is the tank interior in good condition?

  Yes

  No

  N/A

• Are the interior of the pressure tanks in good condition?

  Yes

  No

  N/A

• Does the low water temperature alarm work?

  Yes

  No

  N/A

• Does the high water temperature limit switch on the heating tank work?

  Yes

  No

  N/A

• Does the low water level alarm work?

  Yes

  No

  N/A

• Does the high water level alarm work?

  Yes

  No

  N/A

• Has sediment been drained or flushed from the tank?

  Yes

  No

  N/A

• Is the water level indicator accurately indicating the water level?

  Yes

  No

  N/A

• Have the pressure gauges been tested with a calibrated guage in accordance with manufacturers specifications?

  Yes

  No

  N/A

• Have all tank drain valves been fully cycled?

  Yes

  No

  N/A

Deluge Valve

• Is there a Deluge Valve?

  Yes

  No

  N/A

• Is the valve in good condition?

  Yes

  No

  N/A

• Is all the trim connected properly?

  Yes

  No

  N/A

• Is the heating system in good condition?

  Yes

  No

  N/A

Automatic Detection Equipment

• Are the detectors securely attached to their supports?

  Yes

  No

  N/A

• Are they protected from corrosion where necessary?

  Yes

  No

  N/A

• Are they protected from weather where necessary?

  Yes

  No

  N/A

• Is all equipment undamaged?

  Yes

  No

  N/A

• Is all the wiring or tubing intact?

  Yes

  No

  N/A

Water Spray System Piping, Fittings, Hangers, Nozzles

• Is there a water spray system?

  Yes

  No

  N/A

Valves controlling water spray system

Insulation

• Is the insulation intact on the structures, vessels, or equipment?

  Yes

  No

  N/A

Nozzle Condition

• Are the nozzles in good condition?

  Yes

  No

  N/A

• Are the plugs or caps in place where needed?

  Yes

  No

  N/A

• Are the nozzles properly aimed to protect object or hazard?

  Yes

  No

  N/A

• Has the object or hazard changed size to require fewer or more nozzles?

  Yes

  No

  N/A

Water Spray Valves

Drainage

• Have there been changes in the water spray that render drainage inadequate?

  Yes

  No

  N/A

• Are nearby processes or buildings prevented from flooding upon opening drains?

  Yes

  No

  N/A

• Are drains obstructed?

  Yes

  No

  N/A

• Valve Information

Valve

• Valve Number / Tag

• Location

• Open

  Off

  On

• Shut

  Off

  On

• Sealed

  Off

  On

• Static Pressure (Psi):

• Residual Pressure (Psi):

• Were valves operating properly?

  Yes

  No

  N/A

• Are all valves open?

  Yes

  No

  N/A

• How are they supervised?

• Are identification signs on the system?

  Yes

  No

  N/A

• Were Main drain tests completed where necessary?

  Yes

  No

  N/A

System Operating Tests

• Management Notified?

• Fire Brigade Notified?

• Fire Department Notified?

• Alarm monitoring station notified?

• All departments or Processes affected by or interlocked with this spray system notified?

• Have steps been taken to prevent damage to or flooding of nearby buildings or processes?

• Has the underground leading to the water spray system riser been flushed to remove debris?

  Yes

  No

  N/A

• List department name and contact information:

• Has the regular monthly inspection been completed in conjunction with this test?

  Yes

  No

  N/A

Piping

• Is the piping in good condition?

  Yes

  No

  N/A

• Is the piping properly connected?

  Yes

  No

  N/A

• Is the piping properly aligned?

  Yes

  No

  N/A

• Were all low points drained during this inspection?

  Yes

  No

  N/A

Fitting Condition

• Are the rubber gasket fittings properly located?

  Yes

  No

  N/A

• Are the fittings in good condition?

  Yes

  No

  N/A

Hanger Condition

• Are the hangers securely attached to supports?

  Yes

  No

  N/A

• Are the hangers securely attached to piping?

  Yes

  No

  N/A

• Are the hangers in good condition?

  Yes

  No

  N/A

Operational Test Information

• Valve Tested

Valve

• Automatic release Make:

• Type:

• Number of detectors:

• Number of circuits:

• Manual release location:

• Manual release Tested?

• Systems actutates or shuts down the following equipment (list all):

• Automatic Test Method:

• Alarms:

• Nozzle pattern:

• Pressure at hydraulic nozzle (Psi):

• Pressure at deluge valve (Psi):

• Test results ( if slow compared to previous explain):

• Valve Name / Tag

• Make:

• Model:

• Size:

• Pressure (Psi):

Return to Service

• Were all strainers cleaned of debris?

  Yes

  No

  N/A

• Were all strainers in good condition?

  Yes

  No

  N/A

• Were the manufacturer's instructions followed when returning this to service?

  Yes

  No

  N/A

• Is the system in full service?

  Yes

  No

  N/A

Foam Water System

• Is there a foam/water system?

  Yes

  No

  N/A

• What are the concentration test results from the flow tests?

  Yes

  No

  N/A

• Were the foam concentrate samples taken?

  Yes

  No

  N/A

• Is the foam tank level full?

  Yes

  No

  N/A

• Are the foam tank valves in proper position?

  Yes

  No

  N/A

• Is the pressure vacuum vent operational?

  Yes

  No

  N/A

• Is the foam pump free to rotate?

  Yes

  No

  N/A

• Is power available to foam pump?

  Yes

  No

  N/A

• Are foam pump controls and selector switches in proper position?

  Yes

  No

  N/A

• What is the foam pump capacity (list gpm and psi)

• What type of proportioning system is present?

• Is there any piping damage?

  Yes

  No

  N/A

• Are all supports present and undamaged?

  Yes

  No

  N/A

• Are discharge devices in good condition?

  Yes

  No

  N/A

• Are discharge devices aimed properly?

  Yes

  No

  N/A

• Are discharge devices free of obstruction?

  Yes

  No

  N/A

Valves

Check Valves

• Was the five year interval inspection performed?

  Yes

  No

  N/A

• 5 year inspection date:

  Date

Alarm Valves

• Alarm tested satisfactorily

Flow Test Results

• Flow (gpm):

• Static Pressure (Psi):

• Residual Pressure (Psi):

• If Not Conducted explain:

Dry Pipe Valves

Flow Test Results

• Flow (gpm):

• Static Pressure (Psi):

• Residual Pressure (Psi):

• If Not Conducted explain:

• Was the five year maintenance performed?

• Date of last five year inspection?

  Date

• Was the annual trip test conducted?

  Yes

  No

  N/A

• Was the only full flow test conducted?

  Yes

  No

  N/A

• Was the internal inspection satisfactory?

  Yes

  No

  N/A

• Was the test conducted with QOD?

  Yes

  No

  N/A

• What is the starting air pressure (Psi):

• What is the time for the water flow (seconds)?

• Was the QOD test satisfactory?

  Yes

  No

  N/A

• Was the DPV test satisfactory?

  Yes

  No

  N/A

• Was the low air pressure alarm test satisfactory?

  Yes

  No

  N/A

• Was the air maintenance device test satisfactory?

  Yes

  No

  N/A

• Were the low points drained?

  Yes

  No

  N/A

• Desired Air Pressure:

• Maintained Air Pressure:

• Are the valve enclosures maintained above 40 deg F?

  Yes

  No

  N/A

Deluge / Pre-action Valves

• Are the valve enclosures maintained above 40 deg F?

  Yes

  No

  N/A

• Are the supervisory air pressures properly maintained?

  Yes

  No

  N/A

• Are the supervisory air pressures properly maintained?

  Yes

  No

  N/A

• Are the valve enclosures maintained above 40 deg F?

  Yes

  No

  N/A

• Was the five year maintenance performed?

  Yes

  No

  N/A

• Date of five year maintenance:

  Date

• Are the fire detection devices free of damage or corrosion?

  Yes

  No

  N/A

• Were the systems tripped in accordance with manufacturer's instructions?

  Yes

  No

  N/A

• Were the results satisfactory?

  Yes

  No

  N/A

Flow Test Results

• Flow (gpm):

• Static Pressure (Psi):

• Residual Pressure (Psi):

• If Not Conducted explain:

Sprinkler Pressure Regulating Control Valves

• Is downstream pressure in accordance with design?

  Yes

  No

  N/A

OUTLET Flow Test Results

• Flow (gpm):

• Static Pressure (Psi):

• Residual Pressure (Psi):

• If Not Conducted explain:

INLET Flow Test Results

• Flow (gpm):

• Static Pressure (Psi):

• Residual Pressure (Psi):

• If Not Conducted explain:

Fire Department / Hose Rack Pres. Reg. Valves

• Was the five year flow test conducted in accordance with manufacturer's specifications?

  Yes

  No

  N/A

• Date Conducted:

  Date

Fire Pump Pressure Relief Valves?

• Are there Fire Pump Pressure Relief Valves?

  Yes

  No

  N/A

• Are the valves protected from physical damage?

  Yes

  No

  N/A

• Are the valves in proper open or closed position?

  Yes

  No

  N/A

• Are the valves properly sealed, locked, or supervised?

  Yes

  No

  N/A

• Are the valves accessible?

  Yes

  No

  N/A

• Are the valves operable?

  Safe

  At Risk

  N/A

• Was the annual lubrication performed?

  Yes

  No

  N/A

• Is the circulating valve operating properly?

  Yes

  No

  N/A

Back Flow Preventers

• Are the back flow preventers inspected/maintained in accordance with manufacturer's instructions?

  Yes

  No

  N/A

Fire Department Connections

• Are the fire department connections visible, accessible, and in good condition?

  Yes

  No

  N/A

• Are plugs and caps in place?

  Yes

  No

  N/A

• Are automatic drain valves operating properly?

  Yes

  No

  N/A

Fire Pumps

• Fire Pump Data

Fire Pump

• Pump Name / Identification Number

• Date Pump was last tested:

  Date

• Shut off pressure (Psi):

• Pump Rating (gpm & psi):

• Pump peak load:

• Automatic Start

• Automatic start pressure (Psi):

• Tested?

• Remote Start

• Remote start pressure (Psi):

• Tested?

• Automatic Stop

• Automatic stop pressure (Psi):

• Tested?

• Were the relief valves functioning properly?

  Yes

  No

  N/A

• Were the packing glands adjusted?

  Yes

  No

  N/A

• Were the motor and pump bearings lubricated?

  Yes

  No

  N/A

• Was the engine oil/coolant checked?

  Yes

  No

  N/A

• Was the battery / cables checked?

  Yes

  No

  N/A

• Were the controller lights functioning?

  Yes

  No

  N/A

• Was the controller alarm functioning?

  Yes

  No

  N/A