HomeMy WebLinkAboutFIRE ALARM REPORT - 20-00877 - Shelfology - Fire AlarmT E T((*)) Nm
NrF PA f NICET o
MEMBER SMARTSECURITY
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards/ By NICET Certified Technicians
Building occupied as Address of Build
Owner/Manager: Name & Number
Name of Tester
Type of Inspection
Control Panel Manufacturer & Model
# of Zones X; SLC Loopes NAC's -FACP:
System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
Battery Insnection
_ Date of Inspection
Notification of Testing .
FCPS: :; Total NAC's =
Battery Voltage
FACP FCPS1 FCPS2 FCPS3
Voltage
Key to Panel Available
Amp Hour
Date on Batter
FACP Insnection
Name of Monitoring Company:,
Communication Verified:
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
Horns, Strobes, Bells,
Chimes Speakers, Etc.
Smoke Detectors t
Heat Detectors
Duct Detectors
Pull Stations
Flow Switches
Tamper Switches
Low/High Air Switches
Antifreeze Tamper
Ansul System
Problems Found:
Account#
N/A
Interfaced of Units Satisfactory: Satisfactory: NIA # 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
Corrections Made:, '
This is to certify that this Fire Alarm has been properly Tested and Inspected for lianility to cover the items listed in this report according to
Manufacturers Recommendation.
Signature of Fire Marshall: Date:
Signature of Owner or representative: Date:
Signature of Certified Tester: Date: l
YES NO N/A
YES NO N/A
Key to Panel Available
x All circuits checked for
Operating Instructions at Panel
electrical supervision
-A
Newest Record posted at Panel
All functions and buttons
,
circuit Breaker marked Red
work properly
ft
circuit Breaker Panel: # "
Does Alarm system meet
V e
Trouble Signal with AC Power off
audibility standards
A
System operates satisfactory on
standby power at max load
Control Panel checks made per
manufacturer's instruction
All signals operate on AC power
I I All interfaced equipment operates
All LED's Illuminate
I I (Elevators, Fans, Dampers)
a
Name of Monitoring Company:,
Communication Verified:
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
Horns, Strobes, Bells,
Chimes Speakers, Etc.
Smoke Detectors t
Heat Detectors
Duct Detectors
Pull Stations
Flow Switches
Tamper Switches
Low/High Air Switches
Antifreeze Tamper
Ansul System
Problems Found:
Account#
N/A
Interfaced of Units Satisfactory: Satisfactory: NIA # 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
Corrections Made:, '
This is to certify that this Fire Alarm has been properly Tested and Inspected for lianility to cover the items listed in this report according to
Manufacturers Recommendation.
Signature of Fire Marshall: Date:
Signature of Owner or representative: Date:
Signature of Certified Tester: Date: l