HomeMy WebLinkAboutKitchen Hood Insp 03/03/2009
I<itchen Hood Fire System Inspection & Maintenance Report
DATE OF SERVICE
4445 W. 77th St., Suite 125, Minneapolis. MN 55435 (952) 893.0905
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SERIAL NUMBER
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Store No.
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COOKING APPLIANCE LOCATIONS & SIZES: LEFT TO RIGHT
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(1: System interlocked with building fire alarm
, . 2. Ductand 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 maintenanc.e dat~ wet system
12 year hydro-test date c! 1 II "\f \ ,~/, v ~.
10. Inspect cylinder and mount
11. Operate system from terminal link
12. Test for proper operation from remote
6~)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
19. Piping & conduit securely bracketed
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YES NO NJA
o~'-'o
)2.1'p 0
)~~( 0 0
O~O
Y3?0 0
o 0"0
o'o/if
):3""0 0
~p"O
HOD
:u]J 0
JJ 0 0
0J2(" 0
gOO
~'''o 0
ftjJ 0
J2(00
/~..p 0
,2f00
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MANUFACTURER'S MANUAL REFERENCE
NOTE: NON COMPLIANT SYSTEMS MAY FAIL TO EXTINGUISH! SUPPRESS A FIRE.
P.M.
RENOVATION
DRY CHEMICAL
OTHER
YES NO NJA
BOD
'121' 0 0
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%/00
'000
~OO
000
"0 0,6
J~(O 0
,,0'0 0
)2rO 0
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34. Portable extinguishers properly serviced )~ 0 0
35. Service & Certification tag on system )1 0 0
36. Safety chains on all gas appliances attached and secured ,6 0 0
37. Status of grease buildup ~ the hood and duct opening
o Clean 0 Light JK Medium 0 Heavy 0 Excessive
* NOTE DISCREPANCIES OR DEFICIENCIES BELOW *
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
32. Proper hand portable extinguishers
33. K class fire extinguisher in cooking area
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On this date, the ~bove system was tested and inspected in /accordance with procedures of the presently adopted editions of
NFPA 17, 7~, 9. hd the manufacturer's manual and was operated according to these procedures with results indicated above.
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~ER/ltE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMERS AUTHORIZED AGENT
The ab0v~ service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
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WHITE - CUSTOMER
YELLOW - DISTRIBUTOR
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PINK - AUTHORITY HAVING JURISDICTION