TECHNICAL_EXHIBIT_AG_SPRINKLER_SYSTEM_INSPECTION_CHECKLIST.docx
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- Fire Protection Services, Fort Hood, TX
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- W91151-16-R-0013
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TECHNICAL EXHIBIT AG SPRINKLER SYSTEM INSPECTION CHECKLIST
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TECHNICAL EXHIBIT AG
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
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:
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