HomeMy WebLinkAboutsprinkler inspection 2008APPROVEDa/'l t oct ,,.'ru[,ihtrlLL,l'ffi
Yarmouth Flra & RescLei2082 $'rvw.cr trcofi rcsbiln kler.co m
FIRE SPRJNKLER SERVICES
352 Mrin Street.W. Yarmouth. MA 02673.(508) 77
Fire Sprinkler and Backflow Protection Installalion. Testing and Maintenance Fa-\:(508) 775-28E0
SPRINKLER SYSTEM REPORT OF TEST & INSPECTION
Name of Premise
Address
Owner
Address 810 MAIN STREET-HINGHAM, MA 02403
FS484 ANNUAL TEST & INSPECTION
SEMI-QRTLY INSPECTION
x
6-2-08
Owner's Section
A. Explain any occupancy hazard changes since the previous inspection
NON E
DarD
B. Describe fire protection moditications since the last inspection
REPLACED SPRINKLER HEADS, REPIPED ANTI.FREEZE LOOP& ADDED
EXPANSION TANK,
C. Describe any fires since the last inspection
NON E
D. When was the system piping last checked for stoppage, corrosion, or foreign matter?
JUNE 2OO8
E. When was the dry piping system last checked for proper pitch?
N/A
F. Are dry valves adequately protected from freezing?
N/A
L) General
A. ls the building occupied?
B. Are all systems in se ice?
C. ls there a minimum of l8 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 sprinkle. system
appea. to be satisfactory?
F. ls the building completely 6prinkled?
G. 2" main drain flowed?
H. Dry system, low points drained this inspection?
l. Alarms tested this inspection?
lnspection comments:
NO N/A
THIS IS A RESIDENTIAL ANTIF REEZE SYSTEM MONITORED BY NAMEC ALARM
YES
x
x
x
x
x
X
X
X
COMPANY. THE ANTIFREEZE TESTED TO 48F.
SYLVESTER RESIDENCE Tel # _
13 BAY ROAD, WEST YARMOUTH, MA 02673
JEAN SYLVESTER Tel # 781-7 49-8811
REPORT #
REPORT DATE
YES NO N/A
2.) Control Valves
A. A.e 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?
4.1 Tanks, Pumps, 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 satasfactory
condition, couplings free, caps in place, and check
valves tight? Are they accessible and visible?
5.)Wet Systems
A. Are cold weather valves (O.S. & Y.) in the
appropriate open o. closed position?
B. Have antifreeze system solutions been tested?
C. Were the antifreeze test results satisfactory?
6.) Drv Svstems
A. ls the dry valve in se ice?
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?
O. Were low points drained during this inspection?
E. Did quick opening device6 oporate satisfactorily?
F. Oid the dry valve trip properly during the trip
pressure test?
G. Did the heating equipment in the dry-pipe valve
room operate at the time of inspection?
x
X
X
X
X
x
x
X
X
x
X
X
X
X
x
7.) Special Svstems
A. Oid the deluge or preaction valves operate
properly during the last test?
B. Did the heat-responsive devices operate properly
during testing?
C. Did the supervisory devices operate during
testing?
8.) Alarms
A. Oid the water motor and gong test satisfactorily?
B. Did electric alarm test satisfactorily?
C. Did supervisory alarm service test satisfactorily?
9.) Sprinklers
A. Are all sprinklers free from corrosion, loading, or
obstruction to spray discharge?
B. Are sprinklers less than 50 years?
C. ls stock of spare sprinklers available?
D. Does the exterior condition of the sprinkler system
appear to be satisfactorily?
E. Are sprinklers of proper temperature ratings for
their locations?
10.) Date dry-pipe valve tested (control valve partially open)
1 1.) Oate ary-pipe valve tested (control valvo fully open)
1 2.) 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
Control Valves Numbel
Trip Test Table
DRY VALVE
Control Valve Maintenance Table
o n Secured Closed S
Q.O.D.
IF NO, EXPLAIN
ALARM
OPERATED
PROPERLY
SERIAL NO
NO
NO
NO
IF NO, EXPLAITI
HYDRAULIC
DELUGE &
PRE.ACTION
VALVES
MAXllr!UM TlilE
TO OPERATE
RELEASE
sEc
Explain
Abnormalns Condition
MAKE MODEL SERIAL NO MAKE MOOEL
TIME TO TRIP
THRU TEST
CONNECTION
WATER
PRESSURE
AIR
PRESSURE
TRIP POINT
AIR
PRESSURE
TIME
WATER
REACHED
TEST
OUTLET
MIN sEc PSt PSI PSt MIN sEc YES
WITHOUT
o.o.D.
WITH
Q.O,D
OPERATION PNEUMATIC ELECTRIC
PIPING SUPERVISEO YES NO DETECTING MEDIA SUPERVISED YES
DOES VALVE OPERATE FRO TI{E IIANUAL IRIP AND/OR RETIOTE CONIROL
sTATrOr{S
IS THERE ANACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING
YES NO
MAKE MODEL DOES EACH CIRCUIT OPERATE
SUPERVISION LOSS ALARM
OOES EACH
CIRCUIT OPERATE
VALVE RELEASE
YES NO YES NO MIN
City Connection
Ptv NON E
Tank Control
Valves NON E
Pump Control
Valves NON E
Sectional
Control Valves NONE
System Control
Valves 2
BUTTER
BALL YES YES NO YES NON E
Other Control
Valves NONE
Make
Size
Model
Location
Size Serial #
136943Backflow Valve
lnspectors Test
Valve
Auxiliary Drain
Valves
TEST & DRAIN AT CONTROL VALVES
CONTROL VALVES
WILKINS 975X1 2.INCH
1
ORY PIPE
OPERATING
TEST
YES
r -f--ft
E
RPBP
%"
15.) Water Flow Test at Sprinkler Riser
Water supply source City?x Tank?
Date
Pump?
Size
Test Pipe
Static
Pressure
Residual
Pressu re
UNKNOWN
Current Flow Test 6-2-08 RISER 60
Test Method N/A
Type of Equipment
Manufacturer
Test Results:
ABCDEFABCDEFA B C DE FA B C DE F ABCDEFABCDEFA B C DE FA B C DE F
Auxiliary Equipment: No? _ Type?Location?
17.) Explain any "No" answerc and comments.
Test Result?
NONE
't8.) Adjustments or corrections made during thi6 inspection.
ADDED SYSTEM SIGNS
19.) attnougtr these comments are not the result of an engineering review, the following
desirable improvements are recommended.
NON E
lnspector's Name
Company
Date
PAUL L, CUDDY
CANCO FIRE SPRINKLER SERVICES
6-19-08
Test Pipe
Location
Last Flow Test
1
16.) Heat Responsive Devices
Valve No.
Valve No.
Valve No.
Valve No.
Valve No.
Valve No,
Valve No.
Valve No.