TECHNICAL_EXHIBIT_AF_CHEMICAL_SYSTEM_INSPECTION_CHECKLIST.docx

TECHNICAL EXHIBIT AF

CHEMICAL 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:

License#:

Manufacturer:

Hood #: Type of System: Dry Wet Other

SYSTEM TESTS AND INSPECTION

General Information:

Number of Nozzles:

Are all appliances protected with nozzles Yes No

Are Duct and Plenum Nozzles in Place Yes No

Are all nozzles clean and properly positioned Yes No

Are all cylinders clean and free of defects Yes No

Are cylinder pressure gauges in the proper range Yes No

Pressure gage reading

Cylinder Weight Lbs. Size Gallons

Is the cylinder weight/size proper Yes No

Result of fusible link cutting test Pass Fail

Number of fusible links Fusible link operating temperature

Number of links replaced Replacement links operating temperature

Number of links turned in

TECHNICAL EXHIBIT AF

INSPECTION OF CHEMICAL SYSTEM

Building #: Contact Person: Phone#:

Result of manual activation test Pass Fail

Are all manual pulls unobstructed Yes No

Do fuel shutoff valve operate Yes No

Fuel Type

Was the system returned to service Yes No

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

System Restored to Normal Operation: Date: Time:

Inspectors Signature:

COMMENTS/DEFICIENCIES