HomeMy WebLinkAbout70 Bidwell Road - Life Safety System Tes Please print all Report of
information neatly Inspection Location: e,
Antifreeze Systern(s) Location
010bwhattemperature
Dry System Trip Test Data:Start Air Pressure Start Water Pressure-__-__._. Trip Air Pressure_— Trip Time-___ Reset_
Was full trip test performed(to be completed every years)?------- Date of last full trip---
For full trip test or Win test of multiple systems,complete separate dry pipe valve trip test report.
Control Valves
Control No.of Easily Signs Valve Open Secured? valve
Valves Valves Type Accessible SL1[X-1V1Si0r)
If yes how? Circle those applicable OpLotional
Yes No Y N Y N 0 Yes e,/ o No Sealed Locked Su pvcl Yes NoSystern Seal Locket SL1pVd
Sectional Sealed Locked SL1pvd
City Pit/BFP Sealed Locked Supvd
—Tank/Pump Sealed Locked Supvcl
Main Drain&Alarm Test
—System No. 1 2 3
System Size
Static Pressure(psi)
Residual Pressure(psi)
Local Alarm OK (Y/N)
Central Alarm Sent (Y/N)
Central Alarm Received (Y/N)
Visual Inspection:
Per NFPA rfection of Visual pipilig and sprifildor heads is done from the floor, and only addresses items Visible from
the floor,
Annual ---- Ouarterly
Were all armi,,l of the I'milding available f r visual
101.1al inspection?? yes no
I'Lill Visual 111SI)o(Ajoll pol nu
0
7
If no, worc,vismilly,all
Allstate makes no representatiOl 6 as to the 1deCjL1d(Y Of the heat provided to prevent freeing Of pipes,heads,(11 y valves or
any component of the sprinkler system.It is the full and sole responsibility Of the building owner to insure adequate heat is
provided to prevent freezing.
Any notations of missing or inadequate coverage were noticed during the inspection,but are not part of an NFPA 25
inspection.The NFPA 25 inspection does not constitute a design review or engineering analysis Of Your system.No guarantee
or assurance that any or all design or engineering defects or deficiencies have been detected has been made.
ALLSTATE 0= AP%h.
FIRPSYSTI-M CLARION en F
core O SS
V1, G
PT R F C P P T XT W1 F R� PI P F Al A R\M.c,
Report Of Local Office:
1 10 Murphy Road
encore Inspection Hartford,cr 06114
V I ra E Ja P a I;:U.-r 11, N Tel:800.966.0000
1]OS TGIN tinf2rr(JR6 ('ROVIOr NCE
Fax:860.246.7707
www.encorefireprotec.tioil.com
Please print all inforrnation not tly CTO199117-11 RI AC 001699
MA20686-ACM-0011511 111416
6 ,A 1 92,12 MA-0,167 n RI-CHO67
Location c5� '� #t Systerns- - -
C1 - Date _
Address1r Dry_ tuAritifreeze _ Frill Dry System Trip Test
Annual Full Flood
-ftn �n_�_ DT rr of[ rr's - �-
-- ---- Pump Test __-Y-JJ
Contact Inspector__. _-_-_-_- Fire BFP Test _ _Y_N
--------- - --- - Flood inspect _
t ` J _Y-_N
Phone License tt� t-�--(��t-��-
11 any yes nnse,eis fill out
Alarm Co. Alarm Phone Alarm Call OUt 111110 �- additionel inspection form(sJ
*Explain all NO answers on Page 3-Comments and Inspoe.,tion Deficioncies.
GENERAL INFORMATION Ye- No N/A Yes No N/A
1. is the building occupied as rn the past? t10. Pi�,)e in good condition, free of damage / :s
2. Is the building fully sprinklered? - -1 I 1 obs m All hangcnge r>C>l<'?
s a and not leaking?
3. Systerns in service without modification -
since the last inspection? _ 12 Seismic bracing 01V
4. Dry pipe valves in heated area? 1 3 Antlfreezo tested&OK? (record below) --
5.Wet system areas adequately heated?_.- -_ 14 Relief valves on gridded_systems OK?
General Information, Questions 1-6, to be answered by 15. l=DC&caps OK?_
building owner or their representative. 16. 1=DC Swivels nonbinding rotation?
Customer initials Customer not present of, W. FDC gaskets/signs in place:?
representative not able to answer 16. 1=DC equipped with ball drip?
-- _ -- -.-___ 19 Sprinkler s�ystern main drain test `
GENERAL{NFORMATION Yes No N/A corri)lete&O1�7 Record c 2
- - I" { p_7 )
6 Share head box with heads and wterich ,�'r ALARM INFORMATION --
securely nrounted? --
- - - - I Was the WMG or elee bell tested &OK?
7. Stock/storage a Mininfium of 16" below -
sprinkler heads&ceiling tiles in place? __ I 2 Central Station flow alarm tested&OK? e� _
8. Are all gauges in good condition& `i Central Station tamper tested&OK? _
showing normal pressures? 4 Alarm devices free from physical dan>age
-- -_ -. ___.__9. Does building have freezers/coolers'? `/_ &all electrical connections secure? _
VALWE INFORMATION(t/1) 5.Alarm trim valves OK&set properly?
1. Are all main control valves open? 6.arm drains?No leakage from retard chambers or
-- � _- _- _ --
2. Main control valves in good condition al_ __ _- - -
and identified? /. Inspectors test connection(s)OK?
3.Are control valves Secure? (Record pg 2) _ BFP INFORMATION (131) -
4.Are all conhol valves accessible&fieo 1 Isolation valves open?
from external leaks? - 2 _--
_ -.- H ickflow devices e s p i, c d test?
r, Are all control valves provided witli the
Proper operators?
E X i�Et IOR INSPECTION TION (Ei)
-
I ) t
I - `" 1. I xlt Ilor hydrants fill hc�d?
6.All control valve, Operated r arc d ihlouc h iull � I -
rancc&rctcnned to normal xa�ition? ) 2. Ilan draining
hydrint�pnnip Cti_1t?
f V tivr.s ini.lncau:c l t ur.:;clrcl? �� ! i3. City pie -
`.�1'I 1NK1 MR & P IPINO INF-ORM1 I It)H {.�I) �'1 (,iiy lilt pullipr d oilt? i I
I,Ire. ,Jll:si,rull.it:rs unr�irti.rur,icr.i`? I � I 1.8 CY III:,! ..ivi 11 I:;I'ta,I Itla1 (i rl)
I ....
Splinklf rs llc e o (onosicnJ alpu, I, iiui, / I. 1)1y pipe,volvos in t Ivic:c�t<nl c (loci
ic -
&physical clamacJc, _ -__--- - condition intern=illy&c"xtc:ru illy'- -
'3. Heads in free refs/coolers appor�u free of 1 Press tf o&priminrl water OK?_
ice, corrosion? _ _ _-- -
- -_ _ 4 _� -. y - - ,3,Air supply in good working order?
4.Are all sprinklers less than 50 yEars old`. _ _ _ - -- -
5.Are escutcheon plates OK?
winter inspections.
4. Were low points drained during fall&
6. Sprinklers of proper temperature rating?
r 5.Are accelerators in good condition?
7. Riser in good condition&Unobstructed?
S. Hydraulic draulic nameplate Ol<? f 6.All dry valves been trip tested&OK?
y p _ �/ (Record below)
9.System ID securely,attached &legible? 7. Pipe hitched OK&no interior ice?
ALLSTATE ct,AmON ff encore
"� IIGI P�11'i-IlU•:4gUiAI^.. 1 :illi'ilm -dill!
Please print all Encore Fire Protection
information neatly Report of Inspection Date:
Date:
Comments And Inspection Deficiencies
(Provide sufficient description to define the work required i.e.10CM1011,number of heads,etc.)
-��Q-A- �
no
Equipment Layout-Label Inspector Tests(®r and Risers&
And BFPs
---- ---------
------ ------- -
------ -------- -
----------
-------- Alanns called back into service th-ne,
All Systems in Service Alarms cleared by
Inspector's Signature Customer Acknowledgment Print Name ultle
ALLSTATE 0= CLARION Ch encore
0 FSSG
FIRE' SYSTEMS
PIPE Al ARAAq FIRF SPRINKLERS FIRE SUPPRESSION FIRE EXTINGUISHERS
FIRE PROTECTION
3CSi ON -14ARTFORD-PROVIDENCE
MA#006848 RBA 39
HiS ARTRA,EQUIPPED WITH:
DELUGEVALVE
PRE-ACTION
s i L � VALVE
OTHER TYPE
RE= VALVE
- IAT NO.
=tES10LiAL WATER P-S-1-
vVr,7=RFLOW
AIR.PRESSURE
,,sp.qR--SURE
7=;P TIME(SEC.)
w T!,VZ(SEC.)
_.DEW POINTS DRAINED
'.V F;AT� SUPPLY
V A LV EL Z;7 OPEN
MC.LOW POINTS LOCATIONS
TOBEDMAINED: I
INSPECTION MADE AND WITNESSED BY:
DATE 2 INSP. MADE BY WITNESSED BY