HomeMy WebLinkAboutsprinkler inspection 2009}IrD
FIRE SPRINKLER SERVICES
352 Main Street.W. Yarmouth, MA 02673.(508) 775-2082 $T r'\ .cancofi resprinkler,com
Fire Sprinkler and Backflow Protection Installation. Testing and Maintenarce
Name of Premise
Address
Owner
Address
SYLVESTER RESIDENCE
13 BAY ROAD WEST YARMOUTH MA 02673
Fa\(508) 775-2880
SPRINKLER SYSTEM REPORT OF TEST & INSPECTION
Tel #
Tel # 781-749-8811
REPORT #
REPORT DATE
FS1253 ANNUAL TEST & INSPECTION
SEMI-QRTLY INSPECTION6-4-09
Owner's Section
A. Explain any occupancy hazard changes since the previous inspection
NONE
B. Describe fire protection modifications since the last inspection
NONE
C. Describe any fires since the last inspection
NONE
D. When was the system piping last checked for stoppage, corrosion, or foreign matter?
JUNE 2OO8
F. Are dry valves adequately protected from freezing?
N/A
1.) General
A. ls the building occupied?
B. Are all systems in service?
C. ls there a minimum of 18 in. clearance between the
top of the storage and the sprinkler deflector?
D. ln areas protected by wet systems, does all of the
building appear to be properly heated?
E. Does the hand hose on the sprinkler system
appear to be satisfactory?
F. ls the building completely sprinkled?
G. 2" main drain flowed?(l")
H. Dry system, low points drained this inspection?
l. Alarms tested this inspection?
lnspection comments:
NO N/A
THIS IS A RESIDENTIAL ANTIFREEZE SYSTEM MONITORED BY NEMEC'S ALARM
YES
x
x
X
x
x
x
x
coM PANY. THE ANTIFREEZ E TESTED TO -,I2F.
JEAN SYLVESTERffi
E. When was the dry piping system last checked for proper pitch?
N/A
x
x
2.1 Control Valves
A. Are all sprinkler system control valves and all
other valves in the appropriate open or closed
position?
B. Are all control vales in the open position and
locked, sealed, or equipped with a tamper switch?
3.) Water Supplies
A. Was a water flow test of the main drain made at
the sprinkler riser?
4.)Tanks. Pumos. Fire Department Connections
A. Are fire pumps, gravity tanks, reservoirs, and
pressure tanks in good condition and properly
maintained?
B. Are fire department connections in satisfactory
condition, couplings free, caps in place, and check
valves tight? Are they accessible and vasible?
5.)Wet Systems
A. Are cold weather valves (O.S. & Y.) in the
appropriate open or closed position?
B. Have antifreeze system solutions been tested?
C. Were the antifreeze test results satisfactory?
6.)Dry Systems
A. ls the dry valve in service?
B. Are the air pressure and priming water level in
accordance with manufacturer's instructions?
C. Has the operation of the air or nitrogen supply
been tested?
D. Were low points drained during this inspection?
F. Did the dry valve trip properly during the trip
pressure test?
G. Did the heating equipment in the dry-pape valve
room operate at the time of inspection?
X
X
X
x
X
x
x
x
X
x
X
X
YES NO N/A
E. Oid quick opening devices operate satisfactorily?
X
x
x
8.) Alarms
A. Did the water motor and gong test satisfactorily?
B. Did electric alarm test satisfactorily?
C. Did supervisory alarm service test satisfactorily?
e.)Sprinklers
A. Are all sprinklers free from corrosion, loading, or
obstruction to spray discharge?
B, Are sp,inklers less than 50 years?
C. ls stock of spare sprinklers available?
D. Ooes the exterior condition of the sprinkler system
appear to be satisfactorily?
E. Are sprinklers of proper temperature ratings for
their locations?
10.) Oate dry-pipe valve tested (control valve partially open)
11.) Oate dry-pipe valve tested (control valve fully open)
12.) Oate quick-opening device tested
13.) Date deluge or preaction valve tested
14.) Review control valve maintenance
YES NO N/A
N/A
N/A
N/A
N/A
YES
X
x
x
x
x
X
x
x
x
X
x
7.) Special Svstems
A. Did the deluge or preaction valves operate
prope.ly during the last test?
B. Did the heat-responsive devices operate properly
during testing?
C. Oid the supervisory devices operate during
testing?
DRY PIPE
OPERATING
TEST
Control Valves Number
Trip Test Table
DRY VALVE
Control Valve Maintenance Table
o en Secured Closed S
Q.O.D.
IF NO, EXPLAIN
SERIAL NO.
ALARM
OPERATED
PROPERLY
NO
IF NO, EXPLAIN
HYDRAULIC
NO
NOOELUGE &
PRE.ACTION
VALVES
MAXIMUM TIME
TO OPERATE
RELEASE
SEC
Explain
Abnormalns Condition
MAKE MODEL SERIAL NO.MAKE MODEL
TIME TO TRIP
THRU TEST
coNflEcTtoN
WATER
PRESSURE
AIR
PRESSURE
TRIP POINT
AIR
PRESSURE
TIME
WATER
REACHED
TEST
OUTLET
MIN sEc PSt PSt PSt MIN sEc YES
WTHOUT
Q.O.D.
WTH
o.o.o
OPERATION PNEUMATIC ELECTRIC
PIPING SUPERVISED YES NO OETECTING MEDIA SUPERVISED YES
OOES VALVE OPERATE FROM THE MATIUAL TRIP AI{D/OR REMOTE CONTROL
STATIONS
YES
IS THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING
YES NO
MODEL DOES EACH CIRCUIT OPERATE
SUPERVISION LOSS ALARM
DOES EACH
CIRCUIT OPERATE
VALVE RELEASE
YES NO YES NO MIN
II
I
City Connection
Ptv NONE
Tank Control
Valves NONE
Pump Control
Valves NONE
Sectional
Control Valves NONE
System Control
Valves 2
BUTTER
BALL YES NO YES NONE
Other Control
Valves NONE
Backflow valve
lnspectors Test
Valve
Auxiliary Drain
Valves
Make Model
Size Location
Size Serial #
136943
TEST & DRAIN AT CONTROL VALVES
WILKINS 975X1 2-INCH RPBP
1
%'CONTROL VALVES
MAKE
YES
----T---
Tank?
Date
Pump?
Last Flow Test 6-2-08
Test Pipe
Location
Static
Pressure
75
Residual
Pressure
bU
Current Flow Test 6-4-09 RISER
16.) Heat Responsive Devices
Test Method N/A
Type of Equipment
Manufacturel
Test Results:
Valve
Valve
Valve
Valve
No.
No.
No.
No.
ABCDEFABCDEFABCDEFABCDEF
Valve No
alve No
alve No
alve No
v
v
v
Auxiliary Equipment: No? Type?Location?
17,) Explain any "No" answens and comments
Test Result?
NONE
19.) Attnougn these comments are not the result of an engineering review, the following
desirable improvements are recommended.
NONE
lnspector's Name
Company
Date
PAUL L, CUDDY
CANCO FIRE SPRINKLER SERVICES
6-4-09
15.) Water Flow Test at Sprinkler Riser
Water supply source City? x
RISER
Size
Test Pipe
1',
1
A B C DE FA B C DE FA B C DE FA B C DE F
18.) Aajustments or corrections made during this inspection.
LUBRICATED FIRE DEPARTMENT CONNECTION.