HomeMy WebLinkAboutFIRE ALARM REPORT - 18-00527 - 430 W 2nd S - Providence Square - ClubhouseM -F'INE
NMBE ALARMS '
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
Building occupied as0, ; � g � � �s e 1 I , s
S � � � Address of Buildin r
Owner /Manager: Name & Number r 2 i7
Name of Tester r{�s•. r a . - ,
Date of Inspection
Type of Inspection Notification of Testing s, s.
Control Panel Manufacturer & Model,,�,....�,..
# of Zones: SLC Loopes: t! NAC's - FACP: FCPS: Total NAC's 4-1System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
Rattery Insnectinn
Battery Voltage FACP FCPS1 FCPS2 FCPS3
Voltage Z
Amp Hour
Date on Battery �42
FACP Inspection
YES NO N/A
# of Units Satisfactory: Satisfactory: N/A
Tested Yes No
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
Elev. Recall Shunt
Dialer, Communicator.
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
t! g .4.7
Door Holders
Smoke Detectors
circuit Breaker marked Red
circuit Breaker Panel:, , • # A
Does Alarm system meet
audibility standards
%
Duct Detectors
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
f'
Flow Switches
All signals oerate on AC power
All interfaced equipment operates
Elevators, Fans, Dampers)
Tamper Switches
All LED's Illuminate t
Name of Monitoring Company: �, ,� (, , /� ; , Account
Communication Verified: L ; 4 1 --
Equipment Tested
Type of Equipment
# of Units Satisfactory: Satisfactory: N/A
Tested Yes No
# of Units
in Bldg.
FCPS Power Booster
Elev. Recall Primary
Annucitors
Elev. Recall Shunt
Dialer, Communicator.
Access Control Door
Release (Failsafe)
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
t! g .4.7
Door Holders
Smoke Detectors
Heat Detectors
%
Duct Detectors
►{
Pull Stations
f'
Flow Switches
Tamper Switches
Low/High Air Switches
Antifreeze Tamper
Ansul System
Problems Found:
N/.
Interfaced
Equipment
# of Units Satisfactory: Satisfactory: N/A # of Units
Tested Yes No in Bldg.
Ventilation Controls
x
Elev. Recall Primary
Elev. Recall Sec
Elev. Recall Shunt
,-
Access Control Door
Release (Failsafe)
Auto Release
X
Door Holders
Corrections Made:
This is to certify that this Fire Alarm has been properly Tested and Inspected for liability to cover the items listed in this report, according to
Manufacturers Recommendation.
Signature of Fire Marshall:_ Date: y _
Signature of Owner or representative: `� Date:
Signature of Certified TestDate:_ 4{ ,