HomeMy WebLinkAboutFire Protection Inspection 2006
SUMMIT FIRE PROTECTION
7301 APOLLO COURT. LINO'LAKES, MN 55014. (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
SHEET I OF 2 - Use separate sheet for each building inspection
REPORT OF INSPECTION
INSPECTION NAME
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CITY & STATE,'
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JOB NUMBER
BUILDING/LOCATION
INSPECTOR,-_e.~'"
DATE
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MINNESOTA LICENSE NO. C0075
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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:
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C. Describe any fires since last inspection:
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When was the system piping last checked for stoppage, COlTision of foreign material?
When was the dry-piping system last checked for proper pitch?
Are dry valves adequately protected from freezing?
Signature Title
Date
ctor's Section (All responses reference current inspection) NA =NOT APPLICABLE
eneral
a. Is the building occupied'fOYes D No
b. Are all systems in service?'tlYes D No
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deftectors?/CilYes"O No
d. Does all electrical heat tape appear to be satisfactor~Yes D N\?r 0 NA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? DYes D NifD NA
2. Control Valves (See Ilem 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed position1- gYes D No
b. Are all control valves in the open position locked, sealed or equipped wjth a tamperswlt~?<,OYes D No
3. Tanks, Pumps, Fire Department Connections '. !'
a. When was fire pump last tested for performance? /l.l'/ {
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? DYes D N~.t:l NA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight'?""G1Yes D No D NA
Are they accessible and visible?/GYes 0 No DNA
4. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or closed position? DYes D No '0 NA
b. Have antifreeze system solutions been tested? DYes D N~ NA
c. What temp is antifreeze')-'-~-'''"--_I.,.,.."
d. In areas protected by wet system(s), does the building appear to De properly heated in all areas, including blind attics and perimeter areas
where accessible1:t:JYes D No D NA ....-,.....
5. Dry System (See Items II to /3)
a. Are dry valve(s) in service? DYes D No D NA
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 n"itrogcp SUP~iCS been tested? DYes D No D NA Are they in service? DYes D No D NA
d. Were low points drained during this ihs1?ecti n? DYes D No D NA How many?
e. Did quick-opening devices optra\e sAtiSt' y? DYes D No DNA
1'. Did the dry valve(s) trip propirly l1wfing e rip pressure test? DYes D No D NA
g. Did the heating equipment in the dry-pi e v lue room(s) operate at time of inspection? DYes D No DNA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-action valves o~rate properly during testing? DYes D No DNA
b. Did the heat-responsive devife. s op-.em.,attl properly during testing? DYes D No DNA
c. Did supervisory devices oper~teJdilr~ testing? DYes D No D NA
d. Did flow for kitchen hood spst'efn sltui4,>ff gas or electric? DYes D No DNA
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? DYes D NoC NA
b. Did electric alarm(s) test satisfactory? Je!Yes 0 No 0 NA .'
c. Did supervisory alarm service test satisfactory? ''QYes 0 No 0 NA "r.. /'>j.'i4 J."\"','Yl
d. Did tamper swithces test satisfactory? Qyes D No D NA '
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? 'QYes 0 No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing).;;E:lYes DNo
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testing},'OYes D No
d. Is stock of spare sprinklers available} 'gYes 0 No
e. Does the exterior condition of sprinkler system appear to be satisfactory? aYes 0 No
1'. Are sprinklers of pr:eper temperature rating for their 10cations'l-<UYes D No
g. Are any sprinkler heads on a recall list? DYes.,El No
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Signature:
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Date:
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SUMMI-T FIRE PROTECTION
7301 APOLLO COURT. LlNO LAKES, MN 55014. (651) 251-1880
3026 40TH AVE. NW. ROCHES-mR, 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
SHEET 2 OF 2 - Use separate sheet for eachsystem inspection
I~sp:cti~n Name and Number
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Type of System i
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How Many"
What Sizeo:' ,.
Flow Switch or
Alarm Check with Pressure Switch
9. Date dry-pipe valve trip tested (control valve partially open) (See Trip Test Table which follows)
10. Date dry-pipe valve trip tested (control valve fully open) , _l' f( (See Trip Test Table which follows)
11. Date quick-opening device tested (See Trip Tesf Table which follows)
DRY VALVE TRIP TEST TABLE 0.0.0.
DRY PIPE
OPERATING
TEST
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MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
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Time to Trip Water AI( Trip POint Time Water Reached Alarm Ooerated
Thru Test Pipe Pressure pres",,"re Air Pressure Test Outlet Properly
MIN. SEC. PSI FlSI PSI MIN. SEC. YES NO
Without \,
QOD. .-.-......
With
QOD
'eaction valve tested / (See Trip Test Table which follows)
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12. Date deluge or pt
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Operation o PNEUMATIC o ELECTRIC o HYDRAULIC
Piping Supervised DYES .- o NO I Detecting media supervised DYES o NO
DELUGE & Does valve operate from the manual tnp,~ndJor remote control stations DYES o NO
PREACTION Is there an ar::cesslble facility In each cicuit for testing Method of testing-circuits
VALVES DYES b NO
MODEL '~~,- .~~t~~~n ~~~~i~I~~~rate Does each circuit Maximum time to
MAKE one rate valve release one rate release
YES I NO YES I NO YES T NO
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TRIP TEST TABLE
13. See Control Valve Maintenance Table.
Control Valve Maintenance Table
I Explain
Abnormal
Control Valves Number Type Open Secured Closed Signs Condition
City Connection Control ; J7 , .~,
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Valve d ' , " '. ,
Tank Control Valves I - i
Pump Control Valves f I
Sectional Control Valves
System Control Valves I '"J,' i. r j ':; (, ......-..-."..... if y~
Other Control Valves ... I.,,' I I . ~ / l J ,::' , l., ,,; .', ..~.........._- r--~
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Kitchen Control Valve
16. Water Flow Test at Sprinkler Riser
Water Supply Source'
Date Test Pipe Size of Static Residual Differential
Location Test Pipe Pressure (Flow)
!q Pressure
Last Water Flow Test -.' , j,y,'- /_' J.;.~' -,
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This Water Flow Test :,"j;} j "",:; ....1'1 ;~,~ ".
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City)
Tank
Pump
14. Explain any "No" answers and comments: """j "..;').J
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Date:
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Signature:
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