HomeMy WebLinkAboutFIRE ALARM REPORT - 20-00273 - Madison High School Field Housep
Nlm o�o SECURITY SYSTEMS INC.
MEMBER
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICET Certified Technicians
Building occupied as A /SC% /E&-4 p!/lEOwner /Manager: Name & Number
Address of Building Zoo V �1 i LV/�
Name of TesterL
Type of Inspection /A//T//iL
Control Panel Ma ufacturer & Model 51 6,/7 -
#
,✓T# of Zones: SLC Loops: NAC's - FACP: _
System should be tested on Standby (battery power) for 30 min. prior
_ Date of Inspection Z
Notification of Testing
FCPS: Total NAC's:
Battery Test.
RADIO
FACP
FCPSI FCPS2 FCPS3
Location
/,s
gm
All circuits checked for
electrical supervision
Battery Voltage
/a—
/.2—
/ a%
Amp Hour
All functions and buttons
work properly
�
Date on Battery
/ Zoz I
I
Does Alarm system meet
audibility standards
Yes No N/A
# of Units
Tested
Yes
No
N/A
Key to Panel Available
All circuits checked for
electrical supervision
kyr
Operating Instructions at Panel
Newest Record posted at Panel
All functions and buttons
work properly
�
Dialer Communicator
circuit Breaker marked Red
circuit Breaker Panel: # It
Does Alarm system meet
audibility standards
Homs, Strobes, Bells,
Chimes, Speakers, Etc.
2,48:7Z
Trouble Signal with AC Power off
System operates satisfactory on
standby power at max load i�
Control Panel checks made per
manufacturer's instruction
Smoke Detectors
All signals operate on AC power i2-
All interfaced equipment operates
Fans, Dampers)
Heat Detectors
All LED's Illuminate(Elevators,
Name of Monitoring Company: V ftlV 13 Account It t-- G/
Communication Verified: - CSS— N/A
Eauinment Tested
Type of Equipment
# of Units
Tested
Satisfactory: Satisfactory:
Yes No
N/A
# of Units
in Bldg.
FCPS Power Booster
Annunciators
s'
�
Dialer Communicator
Homs, Strobes, Bells,
Chimes, Speakers, Etc.
2,48:7Z
Smoke Detectors
Heat Detectors
Duct Detectors
Pull Stations
/
X
/
` Flow Switches
Tamper Switches
Low/High Air Switches
)C
Antifreeze Tamper
/-
Ansul System
141
Temp Sensor
Problems Found: _ 176
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: /�Pk%
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
Signature of Fire Marshal:
Signature of Owner or representative:
Signature of Certified Tes
Date: 2 2 2(
Date:
Date:
Agency: Omni Security Systems, Inc. • P. O. Box 309 • Rigby, ID 83442 • Office 208-745-1020 • Fax: 208-745-1564