HomeMy WebLinkAboutsystem inspection report 2009RALPH I. PERRV
'NC.96 Falmouth Rd. (Houte 28) . Hyannis, MA 02601 . Phone: (508) 775-FIRE . MA. LlC. #017 D.O.T # 4-850
SYSTEM INSPECTION REPORT 10i330
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Date Q-oa eq Next Insp.
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Address ri Cr
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.:.(g inspection
Heary
Annual
CO2 Cartridge
Fusible Linls: 360 J 450- other
Fuel shur off t /.7 Gas \/- Electric
Semi \.'/ Recharge- New-
tlood
Filters need to be cl
Cooking appliance location: Left to right:
Modemte
Type r(Pans replaced
Ralph J. Perr],, Inc. must be notified ifthere is any change/movemenl in cooking equipment
l.
2.
3.
4.
5.
6.
't.
8.
9.
10.
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12.
13.
14.
t5.
t6.
Are all appliances covered by nozles
Are hood and ducl covered by nozzles
Check positioning of nozzles
Hood and duct p€netrations sealed
Is system U.L. 300
Proper cleaiance flame to filters
Nozzle seals in place
Are there seal tites in place
Pressure gauges in proper rarge
Check cartridge weighl
Hydrotest due
Inspect cylinder liquid and mount
Test for proper operation fiom terminal link
Test remote manual operation
Micro switch in place
Cas valvc in placc and working
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11.
18.
19.
20.
21.
22.
23.
24.
25.
26.
2',7.
28.
29
30
Clean nozzles no. of/ duct,/ olenurn '{ aooliance
Replace tusible linksi M fg date' .) C(ry ' '
Check cable, nut, a.nd S-hook movement
AII piphg secured
All filters in place
CartridgeAl2 reinstai led/Safety pin removed
System reset and operational
AIIyellow seals in place
Service and certificalion tag on system
Portable eninguishers up to code
Class K extinguisher and placard installed
Reviewed automatic & manual operation
ofsvstem customer
Exhaust fan working
Customer instructcd on required monthly
insFection ofsystem
Customer performing monthly inspection
*
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Recommendation
Non-compliance issued: Yes / No Reasotr
*Non-Complianoe systems/or systems with discrePancies may fail to extitrguish/supPrcss a ftre.
Ralph J. perry, Inc. is not a hood/duct servicc company. Any discrcpancies should b€ addressed by a qualified hood/duct company
Extinguisher Inspections:
-
Light InsPections
RECHARGES / SERVICE
Drychem 2.51b.- 5lb.- 10lb- 20lb- 6year- Hydro- Drychem
PW
Tolal # of Ext:-Ext. due service:
NEW EXTINGUISEI'RS
2.stb. _ slb._ rolb._ 201b.
K Class-6l-- 2.5G- Hydro- PW- K Class
-6L-
25G
Halotron 2.51b.- 5lb.
-l
I lb.- l5.5lb.- 6 year-Hydro- Halotron 2.51b.
-51b. -
lllb.
-
15.51b.
CO2 5lb.- I Olb-l5lb-201b.-Hydro
--
CO2 5lb.
-
l0lb.- lslb.
-
201b.
Parts: Service Collar Oring
-
Pull Pin Batteries:
FIRE EXTINGUISHERS ARE IN COMPLIANCE WTIH NFPA I O CODE \TS !-./- NO
Bulbs- Misc
C
ji c37
Service Technician Lic. #Customer's Authorized Represetrtative
P-tiaii .ead r],e Crstomer Ackno\rladgmenr on r.verse side hefore srgnine
and was operating accoraling to these Procedwcs with the results indicated above
indicated above.n" uto"a ,"*i"a ,*r,nician certifies that thc systcfi/€xtiflguishels werc personally inspcct€d and found conditions to be as indicated above'
A copy ofthis rcpofl will be forwardcd ro tbe local fiI! departsnent'
Mfg.
Nozzle Seals
I
Grease accumulation:
Discrepamies or defi cienci€s
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