The URL can be used to link to this page

Home My WebLink AboutFire Sprinkler Insp. 9/30/2005 , " OF INSPECTION CONTRACT NO. PGS. FIRE-GUARD SPRINKLER SERVICE INSPECTION REPORT NO. MN LICENSE NO: C00018 2055 White Bear Ave. No.. Suite C SI. Paul, Minnesota 55109. PH: 651-748-9499 . FAX: 651-748-9143 CONFIRMED WITH REPORT TO: STREET: OWNER'S S ON (To be answered by owner or occupant) A. Explain an occupancy hazard changes since the previous inspection. R~ 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, corrosion or foreign material? E. When was the dry-piping system last checked for proper pitch? F. Are dry valves adequately protected from freezing? INSPECTOR'S SECTION (All responses reference current inspection) 1. GENERAL a. Is the building occupied? ......... ................................. b. Are all systems in service? ................. c.ls there a minimum of 18 in. (457 mm) clearance between the top of the storage and the sprinkler deflector? ........................................ d. In areas protected by wet system, does the building appear to be properly heated in all areas, including blind attics and perimeter areas, were accessible? Do all exterior openings appear to be protected against freezing? ......... ............................ .......................... e. Does the hand hose on the sprinkler system appear satisfactory? ... 2. CONTROL VALVES (See item 14) a. Are all sprinkler system control valves all all other valves in the appropriate open or closed position?................................................ b. Are all control valves in the open position and locked, sealed or equipped with a tamper switch?................................. 3. WATER SUPPLIES (See item 15) a. Was a water flow test of main drain made at the sprinkler riser? ....... 4. TANKS, PUMPS, FIRE DEPARTMENT CONNECTIONS a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? ........................... b. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight? Are they accessible and visible? ................................. 5. WET SYSTEMS (See item 13) a. Are cold weather valves (O.S.& Y.) in the appropriate open >t.- or closed position? ....................................... ....................... ............... b. Have antifreeze systems solutions been tested?.............................. c. Were the antifreeze test results satisfactory? .................................... 6. DRY SYSTEMS (See items 10 to 14 and attached report) ~ a. Is the dry valve in service? b. Are the air pressure and priming water level in accordance with the manufacturer's instructions? ................................................. BUREAU FILE NO. . - BLDG. NAME: ADDRESS: CITY, STATE, ZIP: " LICENSE NO.~O 3;).1-/ no yes n.a. no c. Has the operation of the air or nitrogen supply been tested? Is it in service? ..................................................................................... d. Were low points drained during this inspection? ................................. e. Did quick-opening devices operate satisfactorily? ............................... f. Did the dry valve trip properly during the trip pressure test? ............... g. Did the heating equipment in the dry-pipe valve room operate at the time of inspection?..................................................................... 10. 7. SPECIAL SYSTEMS (See item 16) a. Did the deiuge or pre-action valves operate properly during testing?.. b. Did the heat-responsive devices operate properly during testing? ...... c. Did the supervisory devices operate during testing?........................... 8. ALARMS a. Did water motor and gong test satisfactorily?..................................... b. Did electric alarm test satisfactorily? ................................................... c. Did supervisory alarm service test satisfactorily? ............................... 9. SPRINKLERS a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? ................................ ........... .................... .......... .......... ........ b. Are sprinklers over 50 years old, thus requiring sample testing? ........ c. Is stock of spare sprinklers available? ................................................. d. Does the interior condition of sprinkler system appear to be satisfactory? .................................. .......... ..................... ........... ............ 11. Date dry-pipe valve trip tested (control valve par~'!.", ope~ _ (see trip test which follows) ......................~.:::JJ.J..,-:.U.7.......... Date dry-pipe valve trip tested (control valve fully open) (see trip test which follows) ................................................................. 12. Date quick-opening device tested (see ASCOA trip test report) ......... 13. Date deluge or preaction valve tested ................................................. 14. See Control Valve Maintenance Table. CONTROL MAINTENANCE TABLE Control Valves System Control Valves Other Control Valves . Type of Equipment Manufacturer: Auxiliary Equipment: No? 17. Explain any "No" answers and comments: Explain Abnormal Condition Test Pipe Located Size Test Pipe Pressure Before Flow Pressure Pressure After Condition: Model: S~ eft, 18. Adjustments or corrections made during this inspection: 19. Although these comments are not the result of an engineering review, the following desirable improvements are recommended: fh~5 WHITE: CLIENT YELLOW: OFFICE PINK: INSURANCE AUTHORITY FIRE-GUARD SPRINKLER SERVICE, INC. 2055 White Bear Ave. No., Suite C St. Paul, Minnesota 55109 PH: 651-748-9499 . FAX: 651-748-9143 MN License No. C00018 NO.2 NO.3 SIZE, MAKE, MODEL & YEAR '7" ~f~l OF MANUFACTURER CONTROL SPRINKLERS IN J1J~f- d' ~ PRESSURE (LB.) AIR 30 BEFORE TESTS WATER )02> CONTROL VALVE WIDE OPEN? ]-+-vr(\S (IF NOT, HOW MANY TURNS?) OPERATED AT: ~ AIR PRESSURE (LB.) J~ r~l TIME (MIN., SEC.) - OPERATION INDICATE: SAT (SATISFACTORY, PARTLY SATISFACTORY, OR FAILED) REASON FOR FAILURE OR )lcY1 C2.- PARTLY SATISFACTORY VALVE RESET DRY? 'yE>5 LIST REPAIRS MADE (~~ CONDITION: <4~ INTERIOR OF BODY ,J WATER FROM TEST PIPE MOVING PARTS SEALS RUBBER FACING ALARMS OPERATED? ~ S ~ QUICK OPENING DEVICES MAKE, MODEL, YEAR OPERATION INDICATE: SATISFACTORY, FAILED OR SHUT OFF SIGNATURE AND TITLE OF PERSON MAKING TESTS fNt MPANY~~ANDADDRESS 9~YJ~ 0') DATE OF EXAMINATION WITNESS (OWNER OR LEASEE OF THE PROPERTY) WHITE: CLIENT YELLOW: OFFICE PINK: INSURANCE AUTHORITY