VA Bldg. 12 Preaction 1-6-2025.pdf

X

Owner's Signature

Date Signed:

Yes No

4. Explain any occupancy hazard changes since the previous inspection:

OWNER'S SECTION

(To be answered by the Owner, Occupant, or Customer)

1. Is the building occupied?

2. Are all systems in service?

3. Was the system(s) free of actuation of devices or alarms since the last inspection?

Yes No

Yes No

5. Describe any fire protection modifications made since the last inspection:

6. Describe any fires since the last inspection:

7. When was the system last checked for stoppage, corrosion, or foreign material?

10. When was the dry-piping system last checked for proper pitch?

11. Are dry valves adequately protected from freezing?

If yes, how many?

12. Does the system contain any low points? Yes No General Locations:

Title:

Printed Name:

8. Does there appear to be a minimum of 18 inches (457 mm) clearance between the top of storage and the sprinkler deflectors?

9. Does the hand hose on the sprinkler system(s) appear to be satisfactory?

Sprinkler Inspection Cover Sheet

Site Name:

Western States Fire Protection Co. | 1655 Marietta Way | Sparks, NV 89431 | 775.359.0396 | WSFP.com

Sprinkler Inspection Report

1. Control Valves (see item 14)

a. Do sprinkler system control valves appear to be in the appropriate open or closed position?

b. Are control valves in the open position locked, sealed or equipped with a tamper switch?

2. Water Supplies (see item 15)

a. Was a waterflow test of the main drain made at the sprinkler riser(s)?

3. 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?

c. Are they accessible and visible?

4. Wet Systems # of Systems

a. Are cold weather valves (OS&Y) in the appropriate open or closed position?

b. Have anti-freeze solutions been tested?

c. Antifreeze test result: Type of solution: Glycerin Propylene Glycol Unknown

d. In areas protected by the wet system(s), does the building appear to be properly heated in all areas, including blind attics and perimeter areas where accessible?

e. Do all exterior openings appear to be protected against freezing?

5. Dry System (see items 10 thru 12) # of Systems

a. Are dry valve(s) in service?

b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions?

c. Has the operation of the air or nitrogen supplies been tested?

Are they in service?

d. Were all known low points drained during this inspection? Total number of low points:

e. Did quick opening devices operate satisfactorily?

f. Did the dry valve(s) trip properly during the trip pressure test?

g. Did the heating equipment in the dry pipe valve room(s) operate at the time of the inspection?

6. Special Systems (see item 13)

a. Did the deluge or pre-action valves operate properly during testing?

b. Did the heat responsive devices operate properly during testing?

c. Did the supervisory devices operate properly during testing?

7. Alarms

a. Did water motor(s) and gong(s) test satisfactory?

b. Did electric alarm(s) test satisfactory?

8. Sprinklers

a. Do visible sprinklers appear to be free from corrosion, loading or obstruction to spray discharge?

b. Do sprinklers appear to be less than 50 years old? (Older sprinklers require sample testing)

c. Do quick response and residential sprinklers appear to be less than 20 years old? (Older sprinklers require sample testing)

d. Do dry sprinklers appear to be less than 10 years old? (Older sprinklers require sample testing)

e. Is stock of spare sprinklers available?

f. Does the exterior condition of sprinkler system appear to be satisfactory?

g. Do visible sprinklers appear to be of proper temperature rating for their location?

h. Does the building have a hydraulic placard?

Yes No N/A

Sprinkler Inspection Report

10. Date dry pipe valve tested (control valve partially open)

11. Date dry pipe valve tested (control valve fully open)

12. Date quick opening device tested

DRY PIPE

OPERATING

TEST TABLE

MAKE

With Q.O.D.

Without Q.O.D.

Time to trip though test pipe

Minutes Seconds

MODEL

Water Pressure

PSI

SERIAL NO.

Air Pressure

PSI

MAKE

Trip Point Air Pressure

PSI

MODEL

Time water Reached Test Outlet

Minutes Seconds

SERIAL NO.

Alarm Operated Properly?

Yes No

13. Date deluge or preaction valve tested

DELUGE &

PRE-ACTION

OPERATING

TEST TABLE

OPERATION

PNUEMATIC

ELECTRIC

HYDRAULIC

Piping Supervised? NoYesMAKE

MODEL

Detecting Media Supervised? NoYes

Does Valve Operate from the Manual Trip / or Remote Control Station? Yes No Is there an Accessible Facility in each Circuit for Testing? NoYes

Method of Testing Circuits Does Each Circuit Operate Supervision loss Alarm? NoYes

Does Each Circuit Operate Valves Release? Yes No Maximum Time to Operate Release? Yes No

14. Control Valve Maintenance Table

Control Valves Number Type Open Secured Closed Signs Explain Abnormal Conditions

Y NY N Y N Y N

Y NY N Y N Y N

Y NY N Y N Y N

NYNY NY NY

Y NY N Y N Y N

NYNY NY NY

Y NY N Y N Y N

NYNY NY NY

15. Water Flow Test at Sprinkler Riser Source: City PumpTank

16. Explain any "No" Answers and Comments:

(use additional notes if needed)

17. Adjustments or corrections made during this inspection:

Inspector's Signature

X

Residual (Flow) PressureStatic PressureSize of Test PipeTest Pipe LocationDate Last Flow Test This Flow Test

Quick Opening Device (If Applicable)

See Additional Pages for Multiple Dry, Deluge, or Preaction Systems.Valve System #

Valve System #

SIZE

SIZE

Inspector:

License #:

Date Signed:

18. Although the comments are not the result of an engineering review, please see the attached Non-Inspection Related Deficiencies form for additional items found during the course of the inspection. (Only attached if applicable)

See Additional Pages for Multiple Dry, Deluge, or Preaction Systems.

Danny Delta Fire

Explanation of any answers that may present a problem or impair the system (comments from the inspector).

Comment Sheet

Western States Fire Protection Co. | 1655 Marietta Way | Sparks, NV 89431 | 775.359.0396 | WSFP.com

Danny Delta Fire VA Hospital 975 Kirman Bldg. 12 Server Room 2267 Reno, NV Quarterly inspection

Text1: Performed annual inspection and tests of Preaction system in accordance with NFPA 25 2023 Edition Table 13.1.1.2 and section 13.4

Air compressor operation verified.

151 psi water 31 psi air

Text2_Sitename: VA Hospital 975 Kirman Bldg. 12 Server Room 2267 Reno, NV Quarterly