Attachment_7__FA_-_Fire_Alarm_Test_Form_(1).pdf

Fire Alarm Page 1 of 3 Revised 12/17/25

National Park Service / AKRO

Inspection and Test Report (complete a separate form for each system)

FIRE ALARM SYSTEM – ADDRESSABLE CONVENTIONAL

Park Alpha Code: ______________________ FMSS Location No.:___________________

Location Description: ______________________

Date of Test:_________________________

Time:_________________

System Make: ______________________ System Model: _____________________

Off Site Monitoring? Yes No Monitoring Company or Location

Name ________________________________

DEFICIENCIES FOUND? Yes No List items that were not corrected. Use the Deficiencies section or attach itemized sheet

REPAIRS: All deficiencies have been corrected N/A Yes No

This certifies that the fire and life safety system has been inspected and tested for functional operation in accordance with the current edition of NFPA 72, and has been properly tagged and/or labeled. Any discrepancies found are noted in this report with code references for corrective action by the Owner/Responsible Person.

Technician Name (printed): ______________________ Company: ______________________________

Signature: ___________________________________ Phone #: _______________________________

State Certification No.: _________________________

National/NICET No.: ___________________________

GENERAL

1. The key to the panel is available at the FACP. N/A Yes No

2. The operating instructions are available at the FACP. Yes No

3. Materials and equipment needed to restore pull stations are available at the main panel, e.g. glass rods, and plates; keys and allen wrenches, etc. N/A Yes No

4. FACP and/or remote annunciator are accessible and free of obstructions preventing access. Yes No

5. Manual pull stations are visible and accessible. Yes No

FIRE ALARM CONTROL PANEL

6. All signals on the FACP operate on AC power. Yes No

7. All signals on the FACP operate on battery power. Yes No

8. All signals on the FACP operate on emergency generator/standby power N/A Yes No

9. A trouble signal activates upon loss of power, ground fault, and open circuit. Yes No

10. Circuit breaker location is identified at the FACP and all booster panels. Yes No

11. Fuses are satisfactory. Yes No

Fire Alarm Page 2 of 3 Revised 12/17/25

INITIATING DEVICES AND NOTIFICATION APPLIANCES

12. All initiating and annunciating devices tested operate properly on AC power. Yes No

13. All initiating and annunciating devices tested operate properly on generator/standby power. Yes No

14. All initiating and annunciating devices tested operate properly on battery power. Yes No

15. Detectors and sampling tubes, are not obstructed and are free of dust, dirt, and debris. Yes No

16. 100% of the INITIATING DEVICES were tested per NFPA 72.

No. of Units Tested Manual Pull Stations ________________ Smoke Detectors ________________ Heat Detectors ________________ Sprinkler Waterflow ________________ Dry Sprinkler High/Low Air ________________ Duct Smoke Detectors ________________ Tamper Switches ________________ Suppression Systems ________________ Other ________________

Yes No

17. 100% of the NOTIFICATION APPLIANCES were tested per NFPA 72

No. of Units Tested Horns ________________ Horn/Strobes ________________ Speakers ________________ Speaker / Strobes ________________ Bells (interior) ________________ Exterior Horns/Bells ________________

18. The audible alarm appliances tested operate at the levels designed by the manufacturer. Yes No

19. The audible appliances tested in residential areas generate a minimum of 70 dBA in sleeping areas.

N/A

20. The visual alarm appliances tested operate as designed. Yes No

BATTERIES

21. The batteries are rated for: ____ hours standby and ____ minutes alarm

22. Battery voltage (no load) ________ volts

23. Battery voltage (full load) ________ volts (signals operating)

24. Charge circuit voltage ________ volts

INTERFACE DEVICES

The FACP received signals from the following Interface devices: Tested by: Simulation Operation

25. Emergency Generator(s) N/A Yes No

26. Sprinkler Flow Switch(es) N/A Yes No

27. Supervisory Switch(es) N/A Yes No

28. Kitchen Hood Suppression System(s) N/A Yes No

29. Spray Booth Suppression System(s) N/A Yes No

30. Clean Agent System(s) N/A Yes No

31. Fire Pump(s) N/A Yes No

32. Emergency Lighting N/A Yes No

OTHER EQUIPMENT CONTROLLED BY FACP

The following Fire Safety Functions responded to signals from the FACP. Tested by Simulation Operation

33. Fan controls N/A Yes No

34. Smoke Dampers N/A Yes No

35. Elevator Recall N/A Yes No

36. Elevator Shunt Trip N/A Yes No

Fire Alarm Page 3 of 3 Revised 12/17/25

37. Door hold release N/A Yes No

38. Fire Pump(s) N/A Yes No

39. Remote Annunciator Panels N/A Yes No

40. Other - N/A Yes No

MONITORING

41. Signals were received at the monitoring company or approved location. N/A Yes No

Deficiencies

Resolved

Location:

Deficiency:

Recommended Resolution:

NFPA 72 reference: