TE-AI Clean Agent System Inspection Checklist.docx

DOCX document 13 KB Posted

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Fire Protection Services
Solicitation number
W9115122R0002
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Text version

TECHNICAL EXHIBIT AI

CLEAN AGENT 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:

Number of Nozzles:

Piping in good condition and free of damageYesNo
Are flexible hoses in good conditionYesNo
Are all nozzles clean and properly positionedYesNo
Are all cylinders or tanks clean and free of defectsYesNo
Are pressure gauges in the proper rangeYesNo

Pressure gage readings

Cylinder/tankWeightLbs.SizeGallons
Is the cylinder/tank weight/size properYesNo
Result of manual activation testPassFail
Are all manual pulls unobstructedYesNo
Do all interfaces for shutdowns operateYesNo
Verify valves in proper alignmentYesNo

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 ServiceYesNo
System Restored to Normal Operation: Date:Time:

Inspectors Signature:

Test: Annual____ Three Year____

COMMENTS/DEFICIENCIES

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