SPKLR4-2026 Blank.xlsx

This file is a blank inspection and testing form template for Building 4's sprinkler system as part of the Five-Year Obstruction Inspection of Sprinkler System contract at Coatesville VA Medical Center (Solicitation Number: 36C24426Q0415). The form is designed to document semi-annual inspection and testing results in compliance with NFPA 25: Standard for the Inspection, Testing and Maintenance of Water-Based Fire Protection Systems, 2023 Edition.

The template includes sections for recording inspection data across multiple zones and floors: basement zone (Room 5A), first floor zone (W. A Floor Stairs), second floor zone (W. B Floor Stairs), and attic zone. It captures critical test parameters including main drain static pressure, residual pressure, chamber refill time, and flow test results for each zone. The form also documents tamper alarm test results for various devices including OS & Y valves, P.I.V. units, and standpipe locations (East Standpipe, West Standpipe). The template uses standardized result codes: P for Passed, F for Failed, D for Disconnected, and C for Contractor Test, with timed results noted in minutes and seconds format. The Fire Department Connection (FDC) box is noted as tested semi-annually in accordance with NFPA 25 standards. This blank form serves as the documentation template contractors must use when performing the required inspection, testing, and maintenance work on the facility's sprinkler systems.