HomeMy WebLinkAboutFA TEST - 17-00677 - 430 W 2nd S - Providence Square - Bldg #11M40 --F/NE
MEMBER ALARMS
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
Building occupied as Address of Building JV 3 4 Gly
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Owner /Manager: Name & Number K e— oz, ,y p, J- -- . -&,0 3 3 V 416
Name of Tester /0-4/,7"A Date of Inspection
Type of Inspection rn ; /1`' Notification of Testing
Control Panel ManufOcturer & Model.,j,`
# of Zones: /l/ SLC Loopes: NAC's - FACP.
System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
Battery Inspection
if 2 4,�)
FOPS: 1-/ Total NRC's 4"/
Battery Voltage
FACP FCPS1 FCPS2 FCPS3
Voltage
NO
Amp Hour
Key to Panel Available
Date on Battery
p 4 —/
FACP Inspection
YES NO N/A
4 of Units Satisfactory: Satisfactory: N/A # of Units
Tested Yes No in Bldg.
YES
NO
N/A
Key to Panel Available
All circuits checked for
electrical supervision
,F{
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
tl 47
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
Duct Detectors
circuit Breaker marked Red
circuit Breaker Panel: o
Does Alarm system meet
audibility standards
Tamper Switches
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load a
Control Panel checks made per
manufacturer's instruction
Ansul System
All signals operate on AC power
All interfaced equipment operates
Elevators, Fans, Dampers)
L
All LED's Illuminate
Name of Monitoring Company: /� !, A t -� �C ./ '?t 6 Account #
Communication Verified: X- Gl N/A
Equipment Tested
Type of Equipment
4 of Units Satisfactory: Satisfactory: N/A # of Units
Tested Yes No in Bldg.
FCPS Power Booster
Annucitors
Dialer, Communicator
,F{
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
tl 47
Smoke Detectors
>
Heat Detectors
Duct Detectors
Pull Stations
Flow Switches
Tamper Switches
Low/High Air Switches
Antifreeze Tamper
Ansul System
Problems Found: We f -V eL e,* -7— '/ k 7,4 4
Corrections Made: /'j/a YY e,
This is to certify that this Fire Alarm has been
Manufacturers RecommendatiQn—___
Signature of Fire Marshall:
Signature of Owner or representative:
Signature of Certified Tester:
Interfaced
Eq ui ment
# of Units Satisfactory: Satisfactory: N/A # of Units
Tested Yes No in Bldg.
Ventilation Controls
Elev. Recall PrimaryiC
Elev. Recall Sec
,F{
Elev. Recall Shunt
.�
Access Control Door
Release (Failsafe)
y(
Auto Release
Door Holders
i Tested and Inspected for liability to cover the items listed in this report, accordin to
Date:
Date:
Date:���