HomeMy WebLinkAboutFIRE ALARM REPORT - 17-00680 - 430 W 2n S - Providence Square - Bldg #14['4s ]
NFPA Jaij(:t)
MEMBER SECURITY SYSTEMS INC. '
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 Date of Inspection
Control Panel Manufacturer & Model Notification of Testing
# of Zones: SLC Loops: NAC's - FACP: FCPS: Total NAC's:
System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
Battery Inspection
FACP FCPS1
Battery Voltage
Amp Hour
Date on Bat 7ey
FAC- P I
Yes I No I N/A
at
operates satisfactory on
power at max load
als operate on AC uowe
Name of 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 System
Temp Sensor
Problems Found:
Yes
E
its checked for supervisionionsand buttons
perly
Does Alarm system meet
audibility standards
Control Panel checks made per
manufacturer's instruction
All interfaced equipment operates
(Elevators, Fans, Dampers)
Account #
No I N/A
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
=--
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 Marshal:
Date:
Signature of Owner or representative:
Signature of Certified Tester: Date:
Date:
Agency: Omni Security Systems, Inc. 0 P. O. Box 309 • Rigby, ID 83442 • Office 208-745-1020 • Fax: 208-745-1564