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INSPECTION 11-27-2023 - 23-00726 - The Occasions Group - Fire Alarm
Page __1_ of __2__ FIRE ALARM INSPECTION & TESTING REPORT SYSTEM TYPE: (Check all applicable) ________________________________________ INSPECTION TYPE: ANNUAL SEMI-ANNUAL QUARTERLY OTHER CUSTOMER NAME: _________________________________________________________________________________ ADDRESS: _________________________________________CITY:_________________________STATE:___________ PROTECTED AREAS: _______________________________________________________________________________ CONTACT NAME: ___________________________________________CONTACT PHONE:_______________________ MONITORED BY: ___________________________________________________________________________________ PANEL MFG: ___________________________________________ MODEL: __________________________________ PRE-TEST CHECK LIST TASK VERIFICATION STATUS CENTRAL STATION / FIRE DEPT. NOTIFIED YES NO N/A BUILDING / AREA OCCUPANTS NOTIFIED YES NO N/A BUILDING ALARM / TROUBLE DISABLED YES NO N/A HVAC / DAMPERS DISABLED YES NO N/A POWER SHUTDOWN / EPO DISABLED YES NO N/A RELEASING DEVICES DISCONNECTED YES NO N/A OTHER:_________________________ YES NO N/A ALARM INITIATING DEVICES DEVICE QUANTITY TESTED DEVICE QUANTITY TESTED MANUAL STATIONS __________ __________ WATERFLOW __________ __________ SMOKE DETECTORS __________ __________ TAMPER __________ __________ DUCT DETECTORS (W/ SWITCH)__________ __________ LOW AIR __________ __________ DUCT DETECTORS (W/O SWITCH)__________ __________ ABORT SWITCHES __________ __________ HEAT DETECTORS __________ __________ ___________ __________ __________ LINEAR HEAT CABLE __________ __________ ___________ __________ __________ RELEASING METHOD ( Check if N/A) ______ CROSS ZONE DETECTION ______ MANUAL RELEASE: ______ INSTANT ______DELAY ______ ZONE VERIFICATION ______ ABORT OVERRIDE: ______ TIME DELAY (_______________) ______ SINGLE DETECTOR ______ GCA / SQUIBB DATE: ___________________________________ ______ SOLENOID RELEASE ______ OTHER: ______________________________________________ ALARM INDICATING DEVICES DEVICE SYNCHRONIZED (SPECIFY) BELLS QUANTITY __________ ____________________________________________________________ HORN / STROBES __________ ____________________________________________________________ HORNS __________ ____________________________________________________________ STROBES __________ ____________________________________________________________ SPEAKERS __________ ____________________________________________________________ SPEAKER / STROBES __________ ____________________________________________________________ CHIMES __________ ____________________________________________________________ ________________ __________ ____________________________________________________________ Technician:___________________ Date: _________________________ Job/W.O. #:____________________ Page __2_ of __2__ SERIAL # PRESS LEVEL/ WEIGHT HYDRO DATE SERIAL # PRESS LEVEL/ WEIGHT HYDRO DATE # OK NW NT NA CONTROL PANEL PANEL LAMPS / LEDS REMOTE ANNUNCIATORS POWER SUPPLY PANEL(S) DOOR HOLDERS ELEVATOR RECALL HVAC / DAMPERS BYPASS / DISCONNECT SWITCHES RELEASE CIRCUITS POWER SHUTDOWN / EPO ROOM / AREA INTEGRITY BATTERIES CUSTOMER / AREA: _______________________________________________________________________________ SYSTEM TESTS BATTERIES (NW = Not Working NT = Not Tested NA = Not Applicable) AGENT CONTAINER DATE ( Check if N/A) POST-TEST CHECK LIST TASK STATUS TASK STATUS BUILDING ALARM / TROUBLE ENABLED YES NO N/A ALARM SIGNALS RECEIVED (NT_____) YES NO N/A HVAC / DAMPERS ENABLED YES NO N/A TROUBLE SIGNALS RECEIVED (NT___) YES NO N/A POWER SHUTDOWN / EPO ENABLED YES NO N/A BUILDING / AREA OCCUPANTS NOTIFIED YES NO N/A RELEASING DEVICES RECONNECTED YES NO N/A CENTRAL STATION / FIRE DEPT NOTIFIED YES NO N/A APPLICABLE NFPA STANDARDS NFPA 12 (CARBON DIOXIDE)NFPA 17 (DRY CHEM. EXT. SYSTEMS)NFPA 2001 (CLEAN AGENT) NFPA 12A (HALON 1301)NFPA 72 (NATIONAL FIRE ALARM)OTHER (_____________________) NFPA 13 (SPRINKLER SYSTEMS)NFPA 101 (LIFE SAFETY) COMMENTS/RECOMMENDATONS:____________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ LOCATION BATTERY 1 VOLTAGE / AMPS BATTERY 2 VOLTAGE / AMPS AH