TE-11-6_FIRE ALARM ANNUAL INSP TESTING REPORT.pdf
PDF 300 KB Posted
- Attached to
- FACILITIES INVESTMENT SERVICES_REGION 6 FOR THE 63d READINESS DIVISION (RD) US ARMY RESERVES
- Solicitation number
- W9127S21Q0056
View the file
Other files
Show all 50
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
63rd Readiness Division Fire Alarm Record of Inspection and Testing
FACID
Building Number
Date of Inspection
Fire Alarm Annual Inspection & Testing Report Report of Annual Inspection, Testing & Maintenance of Fire Sprinkler Systems
ONE REPORT SHALL BE COMPLETED FOR EACH BUILDING
Fire Protec on Systems
Comments/Deficiencies
Fire Alarm System Assessment Green Yellow Red
Fire Alarm system appears to operate as designed—Color Code (Color code is based on the following criteria: Green = No deficiencies or only noncritical deficiencies; Yellow = System operates but has critical deficiencies; Red = System is inoperable
Complete the remainder of this page once inspection is complete.
Fire Alarm Information
Control Unit Manufacturer: Model Number: Location: Software Revision:
SLCs/IDCs Max #: # Utilized: Style/Class: NAC
Circuits Max #: # Utilized: Style/Class:
Primary Power
Voltage: Amps: Overcurrent Protection Type: Amps: Disconnecting Means Location:
Battery 1 Voltage: Amps: Mfr Year: Load Test
Battery 1 VDC: Ah: Temp (F):
Result of Battery 1 & 2
Battery 2 Voltage: Amps: Mfr Year: VDC: Ah: Temp (F):
Pass Fail Replaced
Secondary Power
Other Power Present Description Yes No
Load Test Battery 2
Mass Notification System Y N/A N
Building has a Mass Notification System (if yes, complete the Mass Notification Supplementary Record of Inspection and Testing)
Notifications are made Yes No Who Time
Monitoring Entity
Building Occupants
Building Management
AHJ Notified of Impairments
Notifications Prior Made to Any Testing
Alarm Initiating & Notification Device Count *See Notification & Initiating Appliances Supplementary Record of Inspection and Testing for Specific Results Circuit
Style Quantity of Devices
Tested
Manual Pull Station
Ion Smoke Detectors
Photo Smoke Detector
Duct Detectors
Heat Detectors
Carbon Monoxide Detectors
Waterflow Switches
Supervisory Switches Notification Devices (audio, visual, combo, etc)
Alarm Verification Feature is:
Type Visual Functional Results
Control Unit Pass Fail N/A
Lamps/LEDs/LCDs
Fuses
Trouble Signals
Disconnect Switches
Ground-Fault Monitoring
Disconnect Switches
Ground-Fault Monitoring
System Tests And Inspections
Supervision
Local Annunciator
Remote Annunciators
Power Extender Panels
Isolation modules
Other (specify)
N/A
Control Unit Power Supplies Type Visual Functional N/A Results
120-volt Power Pass Fail N/A
Generator or UPS
Battery Condition
Load Voltage
Discharge Test
Charger Test
Supervising Station Monitoring Type Visual Functional N/A Results
Alarm Signal Pass Fail N/A
Alarm Restoration
Trouble Signal
Trouble Restoration
Supervisory Signal
Supervisory Restoration
Time (sec)
Auxiliary Functions Type Visual Functional Comments
Door-releasing devices
Fan Shutdown Smoke Management/ Smoke Control
Smoke Damper Operation
Smoke Sutter Release
Door Unlocking
Elevator Recall
Elevator Shunt Trip
MNS Override of FA Sig-nals
Other (Specify)
N/A
Monitored Systems Type Visual Functional N/A Comments
Engine-driven Generator
Fire Pump
Kitchen Hood System
Dry Chemical System(s)
Notifications That Testing Is Complete
Notifications are made Yes No Who Time
Monitoring Entity Building Management
Inspector's Information I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at this time was left in operating condition upon completion of this inspection except as noted in the Comments.
Inspected By Inspector License:
Signature of Inspector Date
File details come from the government source that posted it. Updated .