TE-AI Clean Agent System Inspection Checklist.docx
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TECHNICAL EXHIBIT AI
CLEAN AGENT 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:
SYSTEM TESTS AND INSPECTION
General Information:
Number of Nozzles:
| Piping in good condition and free of damage | Yes | No | |||
| Are flexible hoses in good condition | Yes | No | |||
| Are all nozzles clean and properly positioned | Yes | No | |||
| Are all cylinders or tanks clean and free of defects | Yes | No | |||
| Are pressure gauges in the proper range | Yes | No |
Pressure gage readings
| Cylinder/tank | Weight | Lbs. | Size | Gallons | ||
| Is the cylinder/tank weight/size proper | Yes | No | ||||
| Result of manual activation test | Pass | Fail | ||||
| Are all manual pulls unobstructed | Yes | No | ||||
| Do all interfaces for shutdowns operate | Yes | No | ||||
| Verify valves in proper alignment | Yes | No |
Enclosure integrity able to maintain agent concentration Yes___ No___ Pressure test flexible hoses (3 year test) Yes___ No___ What pressure hoses tested at __________?
| Contact Person and Fire Dept notified of System Return to Service | Yes | No | |
| System Restored to Normal Operation: Date: | Time: |
Inspectors Signature:
Test: Annual____ Three Year____
COMMENTS/DEFICIENCIES
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