TE-AF Stand Pipe System Inspection Checklist.docx

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Fire Protection Services
Solicitation number
W9115122R0002
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TECHNICAL EXHIBIT AF

STAND PIPE SYSTEM INSPECTION CHECKLIST

Building #:Contact Person:Phone#:
Has Contact Person Been Notified of Test: YesNoTime:
Has Ft. Hood Fire Dept Been Notified: YesNoTime:
Testing/Inspection Conducted By:Date:

NICET#:

Manufacturer:

SYSTEM TESTS AND INSPECTION *

General Information:

Gauges in good condition and showing normal pressureYesNoN/A
Hose connections have capsYesNoN/A
Cabinets in serviceable conditionYesNoN/A
Was Hydrostatic test conducted?YesNoN/A
Did water flow from farthest point of system?YesNoN/A
Was water pumped into the system? YesNoN/A

Control Valves:

Number ValvesSize of Valves
Are all control valves in good conditionYesNoN/A
In correct position and identifiedYesNoN/A
Sealed, locked, or supervised and accessibleYesNoN/A
Operate thru full range and return to normal positionYesNoN/A

Upon Completion:

Did alarm panel reset properlyYesNoN/A
Did alarm panel clearYesNoN/A
System is in serviceYesNoN/A
Contact Person and Fire Dept notified of System Return to ServiceYesNo
System Restored to Normal Operation: Date:Time:

Inspectors Signature: NICET#:

Test: Annual_____ Two Year_____ Three Year_____

COMMENTS/DEFICIENCIES:

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