HomeMy WebLinkAboutFIRE ALARM TEST - 18-00536 - 631 N 2nd E - DI - Deseret Industries - RemodelNFFW o HU=-
MEMBER SECURITY SYSTEMS INC. 1177
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
Building occupied as Owner /Manager: Name & Number
Address of Building
Name of Tester
Type of Inspection
Control Panel Manufacturer & Model
# of Zones: SLC Loops: NAC's - FACP: FCPS: _
System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
Battery Inspection
_ Date of Inspection _
Notification of Testing
Total NAC's:
RADIO FACP FCPS1 FCPS2 FCPS3
Location
Battery Voltage
Amp Hour
Date on Battery
Yes No N/A
Key to Panel Available
All circuits checked for
electrical supervision
Yes
No
N/A
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
circuit Breaker marked Red
circuit Breaker Panel: #
Does Alarm system meet
audibility standards
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
All signals operate on AC power
All interfaced equipment operates
(Elevators, Fans, Dampers)
All LED's Illuminate
ivame or monitoring company:
Communication Verified:
Equipment Tested
Type of Equipment # of Units Satisfactory: Satisfactory: N/A # of Units
Tested Yes No in Bldg.
FCPS Power Booster
Annunciators
Dialer Communicator
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
Smoke Detectors
Heat Detectors
Duct Detectors
Pull Stations
Flow Switches
Tamper Switches ,
Low/High Air Switches
Antifreeze Tamper
Ansul Sy stem
Temp Sensor
Problems Found:
Corrections Made:
Account #
Interfaced # of Units Satisfactory: Satisfactory: N/A # of Units
Equipment Tested Yes No in Bldg.
Ventilation Controls
Elev. Recall Primary
Elev. Recall Sec
Elev. Recall Shunt
Access Control Door
Release (Failsafe)
Auto Release
Door Holders
Halon System
Smoke Control
PIV Valve
Beam Detector
CO Detector
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 Marshal:
Signature of Owner or representative:
Signature of Certified Tester:
Date:
Date:
Date:
Agency: Omni Security Systems, Inc. • P. O. Box 309 • Rigby, ID 83442 • Office 208-745-1020 • Fax: 208-745-1564