Monthly Fire Sprinkler Maintenance Check

• Site

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Monthly specific check

• Have you checked the sprinkler tanks?

  Yes

  No

  N/A

• Provide evidence and record the results

• Have you checked the batteries?

  Yes

  No

  N/A

• Provide evidence and record the results

Weekly check

• Are the water gauges operational?

  Yes

  No

  N/A

• Provide evidence

• Are the water levels adequate?

  Yes

  No

  N/A

• Provide evidence

• Are the Air pressure gauges operational?

  Yes

  No

  N/A

• Provide evidence

• Are the stop valves operational?

  Yes

  No

  N/A

• Provide evidence of the stop valve position

• Have you carried out a flow alarm test for 30 seconds?

  Yes

  No

  N/A

• Provide evidence and record the results

• Have you carried out an automatic pump start test?

  Yes

  No

  N/A

• Provide evidence and record the results

• Have you carried out the diesel engine ‘restart’ test ?

  Yes

  No

  N/A

• Provide evidence and record the results

• Have you checked the trace heating system/s?

  Yes

  No

  N/A

• Provide evidence and record the results

• Have you checked the connection to the fire and rescue service and remote central station?

  Yes

  No

  N/A

• Provide evidence and record the results

Sign Off

• Name and signature of competent personnel

  Sign