HomeMy WebLinkAboutFA REPORT - 17-00471 - 591 Turin Way - Cantamere - Bldg 10 - 4 PlexFIRE SERVICES OF IORHO,INC.
800-866-3640
www.FireServicamORdaho.com
FIRE ALARM SYSTEM
TEST REPORT
CUSTOMER
PHONE
DATE
ADDRESS /
CITY, STAT.E
ZIP
TYPE OF TEST:
MONTHLY ❑
SEMIANNUAL ❑ANNUAL
❑
QUARTERLY ❑
ACCEPTANCE ❑
NAME OF MONITORING COMPANY:ACCOUNT
# �
BATTERY
VOLTAGE
FACP
FCPS 1
FCPS 2
FCPS 3
FCPS 4
VOLTAGE
AMP
HOUR
DATE ON
BATTERY
1-7
ITEM
YES
NO
N/A
ITEM
YES
NO
N/A
ITEM
YES
NO
N/A
TROUBLE SIGNAL AC❑
POWER OFF
11
❑
CIRCUITS CHECKED FOR
ELECTRICAL SUPERVISION
❑
❑
❑
CENTRAL STATION OR
REMOTE CONNECTION
®
❑
❑
SYSTEM OPERATES ONCONTROL
STANDBY POWER
®
❑
❑
PANEL CHECKED
PER NFPA & MFGS INST.
❑
❑
❑
KEY TO PANEL
AVAILABLE
❑
❑
❑
SIGNALS OPERATE ON AC
❑
❑
E]
AUXILIARY EQIP. OPERATES
(ELEV/FANS /DAMPERS)
❑
❑
1:1
VERIFIED
❑
El
El
❑
PANEL MFG.
MODEL f �-� ` -
l/� i R ! r �_ ( .,
NO INIAT. ZONES/SLC:
NO SIGNAL ZONES:
TYPE OF
EQUIPMENT
NO. OF UNITS
SATISFACTORY
TYPE OF
EQUIPMENT
NO. OF UNITS
SATISFACTORY
IN BLDG
TESTED
YES
NO
N/A
IN BLDG
TESTED
YES
NO
N/A
HORNS, CHIMES, VOICE
ALARM,
SPEAKERS
❑
❑
❑
SMOKE DETECTORS
❑
❑
❑
BREAKER PANEL;
❑
❑
❑
MANUAL PULL STATIONS
❑
®
❑
BREAKER MARKED IN RED
E]
❑
❑
VENTILATION CON-
TROLS OPERATE
❑
❑
❑
TROUBLE INDICATORS
❑
❑
❑
DUCT DETECTORS
❑
❑
HEAT DETECTORS
❑
❑
❑
ANNUNCIATIORS
❑
❑
El
WATER FLOW SWITCHES
❑
❑
❑
ELEVATOR RECALL
❑
❑
❑
AUTO FIRE SPRINKLER
SUPERVISORY
SWITCHES
❑
❑
❑
AUTO DOOR RELEASE
(FAILSAFE)
❑
❑
❑
PROBLEMS FOUND/CORRECTIONS MADE: /' % I �f
TESTING AGENT - PRINT NAME: SIGNATURE:
SIGNATURE OF CUSTOMER / FIRE MARSHALL:
DATE