MSU Sprinkler Inspection Report

Monthly Sprinkler Inspection Report

• Document number (two digit month and the last two digit year)

• Building Name:

• Conducted on:

  Date

• Prepared by

• Add location
  Address

• Does the building have a wet sprinkler systems?

  Yes

  No

  N/A

• Signature

  Sign

• Wet Sprinkler and Standpipe Systems

Wet System

• Room Location:

• Area of system coverage

• Sprinkler supply gauge (in PSI)

• Sprinkler system gauge (in PSI)

• System in service on inspection

  Yes

  No

  N/A

• Trim piping leak tight

  Yes

  No

  N/A

• Backflow assembly valve open

  Yes

  No

  N/A

• Control valve accessible

  Yes

  No

  N/A

• Signage/identification tags in place

  Yes

  No

  N/A

• Does the building have a dry sprinkler system?

  Yes

  No

  N/A

• Signature

  Sign

• Dry System

Dry System

• Room Location:

• Area of system coverage

• Air pressure gauge (in PSI):

• Accelerator gauge (in PSI):

• Water pressure gauge (in PSI):

• System in service on inspection

  Yes

  No

  N/A

• Compressor operational

  Yes

  No

  N/A

• Control Valves sealed open

  Yes

  No

  N/A

• Control Valves accessible

  Yes

  No

  N/A

• Alarm test valve closed

  Yes

  No

  N/A

• Alarm line valve open

  Yes

  No

  N/A

• Intermediate chamber leak tight

  Yes

  No

  N/A

• Low point drum drip drained (as frequently as needed)

  Yes

  No

  N/A

• Valve enclosure secured

  Yes

  No

  N/A

• Signage/identification tags in place

  Yes

  No

  N/A

• Does the building have a pre action system?

  Yes

  No

  N/A

• Signature

  Sign

• Pre Action System Checklist

Pre Action System

• Room Location

• Water pressure gauge (in PSI):

• Area of System Coverage

• Air pressure gauge (in PSI):

• Accelerator gauge (in PSI):

• Signage/identification tags in place

  Yes

  No

  N/A

• System in service on inspection

  Yes

  No

  N/A

• Alarm line valve open

  Yes

  No

  N/A

• Control valves sealed open

  Yes

  No

  N/A

• Compressor operational

  Yes

  No

  N/A

• Control valves accessible

  Yes

  No

  N/A

• Alarm test valve closed

  Yes

  No

  N/A

• Low point drum drip drained (as frequently as needed)

  Yes

  No

  N/A

• Intermediate chamber leak tight

  Yes

  No

  N/A

• Valve enclosure secured

  Yes

  No

  N/A

Sprinkler Heads

• Does the building have sprinkler heads?

  Yes

  No

  N/A

• Add signature

  Sign
Sprinkler Heads

• Head wrench for each type of head

  Yes

  No

  N/A

• Extra heads in spare head cabinet

  Yes

  No

  N/A

• Heads appear proper temperature

  Yes

  No

  N/A

Fire Department Connection

• Does the system have a Fire Department Connection?

  Yes

  No

  N/A
Fire Department Connection

• Caps or plugs

  Yes

  No

  N/A

• Swivel rotation non binding

  Yes

  No

  N/A

• FDC visible

  Yes

  No

  N/A

• FDC accessible

  Yes

  No

  N/A

• FDC sign on building

  Yes

  No

  N/A

• Signature

  Sign