HomeMy WebLinkAboutKitchen Hood Insp. 7/9/2008
I(itchen Hood Fire System Inspection & Maintenance Report
DATE OF SERVICE
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4445 W. 77th St.. Suite 125, Minneapolis. MN 55435 (952) 893.0905
SEMI-ANNUAL
P.M.
DRY CHEMICAL
CYLINDER SIZE SLAVE
Name
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MANIFOLDED
DYES
FUSE LINKS 3600F
Address
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City
Telephone
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Store No.
MANUFACTURER'S MANUAL REFERENCE
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Owner or Manager
OTHER
NOTE: NON COMPLIANT SYSTEMS MAY FAIL TO EXTINGUISH! SUPPRESS A FIRE.
COOKING APPLIANCE LOCATIONS & SIZES: LEFT TO RIGHT
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YES NO N1A
OIZJO
000
[] 0 0
1. System interlocked with building fire alarm
2. Duct and plenum covered with correct nozzles
3. Check positioning of all nozzles
4. System installed per U.L. 300 standard & meets
manufacturers U.L. listing & N.F.P.A. standards
5. Hood/duct penetrations sealed with weld or UL device
6. Check if seals intact, evidence of tampering
7. Pressure gauge in proper range (if gauged)
8. Check cartridge weight (if applicable)
9. Dry system 6 year maintenance date/ wet system
12 year hydro-test date
10. Inspect cylinder and mount
11. Operate system from tE~rminallink
12. Test for proper operation from remote
13. Check operation of micro switch
14. Check operation of gas valve
15. Clean nozzles
16. Proper nozzle covers in place
17. Replaced fuse links
18. Check travel of cable nuts/ S-hooks
19. Piping & conduit securely bracketed
o IZ(O
000
000
000
ODD
.000
[] 0 0
ODD
[] 0 0
cr 0 0
'croo
ODD
ODD
pOD
OQD
'IZI c::: 0
YES NO N1A
ODD
o 0 []
ODD
[] 0 CI
ODD
000
[] 0 0
ODD
ODD
ODD
ODD
20. Proper separation between fryers & flame
21. Proper clearance-flame to filters
22. Exhaust fan in operating order
23. All filters replaced
24. Fuel shut-off in on position
25. Manual & remote set/seals in place
26. Replace system covers
27. System operational & seals in place
28. Slave system operational
29. Clean cylinder & mount
30. Fan warning sign on hood
31. Proper signage and personnel instructed in
manual operation of system DOC.
32. Proper hand portable extinguishers [] 0 LJ
33. K class fire extinguisher in cooking area 0 0 [J
34. Portable extinguishers properly serviced [2] [] C
35. Service & Certification tag on system [] 0 [J
36. Safety chains on all gas appliances attached and secured}J 0 0
37. Status of grease buildup in the hood and duct opening
[] Clean 0 Light~Medium 0 Heavy 0 Excessive
-{:{ NOTE DISCREPANCIES OR DEFICIENCIES BELOW -{:{
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COMMENTS:
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On this date, the above system was tested and inspected in accordance with procedures of the presently adopted editions of
NFPA 17, 17A, 96 and the manufacturer's manual and was operated according to these procedures with results indicated above.
\ \ [I]
SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMERS AUTHORIZED AGENT
The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
WHITE - CLlSTOMER
YELLOW - DISTRIBUTOR
PINK - AUTHORITY HAVING JURISDICTION