TE-AC Sprinkler System Inspection Checklist.docx

TECHNICAL EXHIBIT AC

SPRINKLER SYSTEM INSPECTION CHECKLIST

Building #: Contact Person: Phone#:

Has Contact Person Been Notified of Test: Yes No Time:

Has Ft. Hood Fire Dept Been Notified: Yes No Time:

Testing/Inspection Conducted By: Date:

NICET#:

Manufacturer:

Type of System: Dry Wet Pre-Action Deluge

SYSTEM TESTS AND INSPECTION *

General Information:

Gauges in good condition and showing normal pressure Yes No N/A

Sprinkler wrench with spare sprinklers Yes No N/A

Hydraulic nameplate attached and legible Yes No N/A

Alarm devices free from damage Yes No N/A

Retarding chamber and drains free of leaks Yes No N/A

Does any piping have leaks (if no, identify where in comments) Yes___ No____

Control Valves:

Number Valves Size of Valves

Are all control valves in good condition Yes No N/A

In correct position and identified Yes No N/A

Sealed, locked, or supervised and accessible Yes No N/A

Operate thru full range and return to normal position Yes No N/A

TECHNICAL EXHIBIT AG

SPRINKLER SYSTEM INSPECTION CHECKLIST

Building #: Contact Person: Phone#:

Pre-action & Deluge Valves:

Number Valves Size of Valves

Are all control valves in good condition Yes No N/A

Trim valves in correct position and free of leaks Yes No N/A

Electrical components in service Yes No N/A

Sprinkler Pressure Regulating Valves:

In open position and not leaking Yes No N/A

Holding proper pressure maintained in system Yes No N/A

Fire Department Connection:

Gaskets in good condition Yes No N/A

Check valve free of leaks Yes No N/A

Automatic drain valve operating properly Yes No N/A

Couplings and swivels in good condition Yes No N/A

Plugs in-place and undamaged Yes No N/A

Interior free of obstruction Yes No N/A

Valve clapper operates over full range Yes No N/A

Sprinklers:

Number of Heads_______ style or type______________

Free of corrosion Yes No N/A

Free of obstruction to spray patterns Yes No N/A

TECHNICAL EXHIBIT AG

SPRINKLER SYSTEM INSPECTION CHECKLIST

Building #: Contact Person: Phone#:

Free of foreign material, including paint Yes No N/A

Free of damage Yes No N/A

No heads need changed due to recalls or age Yes No N/A

Hangers in good condition and not loose Yes No N/A

Sprinkler System Main Drain Test:

Static Pressure psi Residual Pressure psi

Was flow observed Yes No N/A

Is flow comparable to previous tests (After Initial Annual Test) Yes No N/A

Waterflow Alarm Test:

Inspector’s test connections opened Yes No N/A

By-pass connections opened Yes No N/A

Alarms actuated and flow observed Yes No N/A

Dry Pipe and Pre-action Systems:

Priming water level is correct Yes No N/A

Low air pressure signal passed test Yes No N/A

Quick opening devices passed test Yes No N/A

Valve supervisory switches indicate movement Yes No N/A

INSPECTION OF SPRINKLER SYSTEM

Building #: Contact Person: Phone#:

DRY PIPE TRIP TEST

Dry Valve Size: Year: Make: Model: Ser#:

Q.O.D. Year: Make: Model: Ser#:

Time to trip thru test pipe: Min Sec

Water Pressure: psi Air Pressure: psi Trip Point Air Pressure: psi

Time Water Reached Test Outlet: Min Sec

Alarm Operated Yes No

Upon Completion:

Did alarm panel reset properly Yes No N/A

Did alarm panel clear Yes No N/A

System is in service Yes No N/A

Contact Person and Fire Dept notified of System Return to Service Yes No

System Restored to Normal Operation: Date: Time:

Inspectors Signature: NICET#:

Type:

Annual_____ Two Year______ Three Year_____

INSPECTION OF SPRINKLER SYSTEM

Building #: Contact Person: Phone#:

COMMENTS/DEFICIENCIES: