HomeMy WebLinkAboutFA REPORT - 22-00630 - Bodifi - AdditionMEMBEOft
R 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
Address of Building
Name of Tester
Type of Inspection I N1; T 1 L hJ F-u J Mrj 1 Tle't�
Control Panel M ufacum & Model t 1-S
# of Zones: SLC Loops:_ NAC's - FACP: IX FCP
System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
on
FACP Inspection
CERTIFIED
Notification of Testing I CE;5
Y
No
N/A
Yes
No
N/A
Key to Pane Available
circuits checked or
electrical supervision
pemung strucnons at Pane
ewes[ ecor post at ane
coons and buttons
work property
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
annot N—nel checks made per
manufacturer's instruction
All srgn s operate on AU power
Ali interfaced equipment operates
(Elevators, Fans, Dampers)
Ali L s Illuminate
Name of Monitoring Cor
Communication Verified:
Equipment Tested
# ids!)/ - 0 u /
Type of Equipment
# of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
N/A
# of Units
in Bldg.
Interfaced
Equipment
# of Units
Tested
Satisfactory:
Yes
Satisfactory:
No
N/A
# of Units
in Bldg.
FCPS Power Booster
Annunciators
Ventilation Controls
Dialer Communicator
Elev. Recall Primary
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
Elev. Recall Sec
Elev. Recall Shunt
Smoke Detectors
Access Control Door
Release ( ailsafe
Heat Detectors
Duct Detectors
N
Auto Release
Pull Stations
Door Holders
Flow Switches
Iialon System
Tamper Switches
Smoke Control
Low/High Air Switches
PIV Valve
Antifreeze Tamper
Beam Detector
Ansul System
CO Detector
Temp Sensor
Problems Found:
Corrections Made:
This is to certify that this Fire Alarm has been
Manufacturers
Signature of Fire Marshal: +-�
Signature of Owner or representative:
Signature of Certified Tester:
Tested and Inspected for liability to cover the items listed in this report, according to
Date:
Date:
Date: z
Agency: Omni Security Systems, Inc. -P. O. Box 309 • Rigby, ID 83442 • Office 208-745-1020 • Fax: 208-745-1564