HomeMy WebLinkAboutFire Sprinkler 8/22/2008
SUMMIT FIRE PRQTECTION
Y75 MINNEHAHA AVE. W. ST. PAUL, MN 55103. (651) 251-1880 3026 40TH AVE. NW. ROCHESTER, MN 55901 . (507) 280-0622
418 GREAT OAK DR.. WAITE PARK, MN 56387 . (320) 257-6390 760 LIBERTY WAY, NORTH LIBERTY, IA 52317 . (319) 665-4330
4208 ENTERPRISE CIRCLE. DULUTH, MN 55811. (218) 740-44]2
SHEET I OF 2 - Use separate sheet for each building inspection
REPORT OF INSPECTION
MINNESOTA LICENSE NO. C0075
JOB NUMBER
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BUILDING/LOCATION
INSPECTOR -'"
DATE
INSPECTION NAME -_) ~,) c_,
STREET ' (
CITY & STATE
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Owner's Section (to be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection:
B. Describe fire protection modifications made since last inspection:
C. Describe any fires since last inspection:
D. When was the system piping last checked for stoppage, corrision of foreign material?
E. When was the dry-piping system last checked for proper pitch?
F. Are dry valves adequatel)\;.protected from freezing?
Signature'~ I .I i. .' , " Title
Date
Inspector's Section (All responses reference current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied? GYes D No
b. Are all systems in service? I::IYes D No .
c. Is there a minimum of 18 in. (457 mm) clearance between the top of thi; storage and the sprinkler deflectors? 13 Yes U(No
d. Does all electrical heat tape appear to be satisfactory? DYes DNo i:J NA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? DYes D No [):NA
2. Control Valves (See item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed..j")o,~ition? aYes D No
b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? IEtYes III No
3. Tanks, Pumps, Fire Department Connections " i /
a. When was fire pump last tested for performance?
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? DYes D No EJ NA
c. Are fire department connectionsin satisfactory condition, couplings free, caps in place, and check valves tight? (]Yes D No D NA
Are they accessible and visible? ~Yes D No D NA
4. Wet Systems
a. Are cold weather valves (O.S. & Y) in the appropriate open or closed position? DYes D No ci NA
b. Have antifreeze system solutions been tested? DYes D No [] NA
c. What temp is antifreeze? "'-
d. In areas protected q.y wet system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas
where accessible? OYes D No D NA
5. Dry System (See Items II to 13)
a. Are dry valve(s) in service? DYes D No DNA
b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions? DYes D No D NA
c. Has the operation of the air or nitrogen supplies been tested') DYes D No DNA Are they in service? DYes D No DNA
d. Were low points drained during this inspection? DYes D No D NA How many?
e. Did quick-opening devices operate satisfactorily? DYes D No D NA
f. Did the dry valve(s) triP properly during the trip pressure test? DYes D No D NA
g. Did the heating equipment in the dry-pipe value room(s) operate at time of inspection? DYes 0 No DNA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-action valves operate properly during testing? DYes D No DNA
b. Did the heat-responsive devices operate properly during testing? DYes D No DNA
c. Did supervisory devices operate during testing? DYes D No D NA
d. Did flow for kitchen hood system shut off gas or electric? DYes 0 No 0 NA
7. Alarms
a. Did water motor(s) and gong(s) test satist;actorily? DYes D NoB NA
b. Did electric alarm(s) test satisfactory? DYes D No DNA
c. Did supervisory alarm service test satisfactory? CJ'Yes D No DNA
d. Did tamper swithces test satisfactory? l4Yes 0 No D NA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? aYes 0 No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing) I3lYes DNo
c. Are quick response and residential sprin~lers less than 20 years old? (Older sprinklers require sample testing) D~es D No
d. Is stock of spare sprinklers available? c:JYes D No
e. Does the exterior condition of sprinkler system appear to be satisfactory? c1Yes D No
f. Are sprinklers of proper teI1!perature rating for tqeiI locations? DYes D No
g. Are any sprinkler headt; on a re<;:al1list'1 DYes Q.No
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Signature:
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