SITE TEAM - Sprinkler Checks

• Monthly Fire Sprinkler & Standpipe Inspection Report

• Document No.

• Building Name

• Address

• Conducted on

  Date

• Inspection Template Prepared by:

• Personnel

General Information

• Call Point around school:

• Date of Inspection:

  Date

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

Monthly Inspection

• Valves

• 1) Control valves are in their normal open position?

  Yes

  No

  N/A

• 2) Alarm valves and test valves are in their normal closed position?

  Yes

  No

  N/A

• 3) Control valves are locked in the open position or are electronically supervised?

  Yes

  No

  N/A

• 4) Valves are free of leaks or damage?

  Yes

  No

  N/A

• 5) Valves are marked with appropriate identification sign?

  Yes

  No

  N/A

• 6) Fire department connection is accessible, properly marked, with caps in place.

  Yes

  No

  N/A

• Gauges

• 1) Gauges show normal water pressures?at

  Yes

  No

  N/A

• 2) Gauges are free of leaks or damage?

  Yes

  No

  N/A

• Record notes here.

• Add photos here if necessary.

  Media

• Signed by: