HomeMy WebLinkAboutFA REPORT - 23-00037 - Rexburg Pediatrics - RemodelMou, 4a1w Vrc-t� !'fas ;f-- ( Ne- c s a ri.,V-.%
03 0��I
MEMBER SECURITY SYSTEMS INC.
FIRE ALARM INSPECTION AND TESTING REPORT
Testing performed in accordance with applicable NFPA 72 Standards / By NICBT Certified Technicians
Building occupied as 'V0'/ �) IL Z.J ZaS F Owner /Manager: Name & Number
Address of Bui
Name of Tester
Type of Inspection
Control Panel Manufacturer & Model "
# of Zone SLC Loops: —�L- NAC's - FACP:� FCPS:
System should be tested on Standby (battery power) for 30 min. prior to Battery Test.
Battery Inspection
_ Date of Inspection Qg- /-1 -2'5
Notification of Testingva-s
Total NAC's:
RADIO
FACP
FCPS1
CPS
FCPS;
Location
�"'{r,
, -
C"D vt/'l
= j
Battery Voltage
17
7—
Z
Amp Hour
Date on Battery
JPB..-/4(P
off'- 2-3
—2�)
-Zd
FACP Inspection
No
All circuits checked for
yQ--a
IV U
Lti jA
OpoFa4�Rg L�s#uG69ng at Pang]
electrical supervision
All functions and buttons
At
work properly
Does Alarm system meet
,x
audt t ity standards
Control Panel checks made per
X
standby power at max load
manufacturer's instruction
All interfaced equipment operates
X
X((Elevators,
Fans, Dampers)
Yes
o
N/A
Name of Monitoring Con
Communication Verified:
Equipment Tested
Account # b F
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
,X
Annunciators
Ventilation Controls
Dialer Communicator
Elev. Recall Primary
Horns, Strobes, Bells,
Chimes, Speakers, Etc.
i
X
!
Elev. Recall Sec
Elev. Recall Shunt
Smoke Detectors
Access Control Door
Release Failsafe
Heat Detectors
Duct Detectors
Auto Release
Pull Stations
a('
Door Holders
Flow Switches
/
/
Halon System
Tamper Switches
X
"L
Smoke Control
Low[Hi hAir Switches
PIV Valve
Antifreeze Tamper
Beam Detector
Ansul System
CO Detector
Temp Sensor
Problems Found:
Corrections
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 Recomr^'^�^^
Signature of Fire Mars]
Signature of Owner or
Signature of Certified'.
Date:
Date:
Date: dog' 1-?"
Agency: Omni Security Systems, hie. • P. O. Box 309 • Rigby, ID 83442 • Office 208-745-1020 • Fax: 208-745-1564