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02 in Spec Test Form

The document is an inspection and testing form for fire alarm systems. It contains sections to document the date, property information, control unit details, initiating devices, notification appliances, secondary power supply details, test results for various system components, and notifications made after testing is complete. Signatures are required from the inspector and owner to verify testing was performed according to NFPA standards.

Uploaded by

Ray Dwyer
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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93 views4 pages

02 in Spec Test Form

The document is an inspection and testing form for fire alarm systems. It contains sections to document the date, property information, control unit details, initiating devices, notification appliances, secondary power supply details, test results for various system components, and notifications made after testing is complete. Signatures are required from the inspector and owner to verify testing was performed according to NFPA standards.

Uploaded by

Ray Dwyer
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INSPECTION, TESTING, AND MAINTENANCE

72101

INSPECTION AND TESTING FORM


DATE: TIME: SERVICE ORGANIZATION Name: Address: Representative: License No.: Telephone: MONITORING ENTITY Contact: Telephone: Monitoring Account Ref. No.: TYPE TRANSMISSION McCulloh Multiplex Digital Reverse Priority RF Other (Specify) SERVICE Weekly Monthly Quarterly Semiannually Annually Other (Specify) APPROVING AGENCY Contact: Telephone: PROPERTY NAME (USER) Name: Address: Owner Contact: Telephone:

Control Unit Manufacturer: Circuit Styles: Number of Circuits: Software Rev.: Last Date System Had Any Service Performed: Last Date that Any Software or Configuration Was Revised:

Model No.:

ALARM-INITIATING DEVICES AND CIRCUIT INFORMATION


Quantity Circuit Style Manual Fire Alarm Boxes Ion Detectors Photo Detectors Duct Detectors Heat Detectors Waterflow Switches Supervisory Switches Other (Specify): Alarm verification feature is disabled enabled .
(NFPA Inspection and Testing, 1 of 4)

FIGURE 10.6.2.3 Example of an Inspection and Testing Form.

2002 Edition

72102

NATIONAL FIRE ALARM CODE

ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION


Quantity Circuit Style Bells Horns Chimes Strobes Speakers Other (Specify): No. of alarm notification appliance circuits: Are circuits monitored for integrity? Yes No

SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION


Quantity Circuit Style Building Temp. Site Water Temp. Site Water Level Fire Pump Power Fire Pump Running Fire Pump Auto Position Fire Pump or Pump Controller Trouble Fire Pump Running Generator In Auto Position Generator or Controller Trouble Switch Transfer Generator Engine Running Other: SIGNALING LINE CIRCUITS Quantity and style of signaling line circuits connected to system (see NFPA 72, Table 6.6.1): Quantity Style(s) SYSTEM POWER SUPPLIES (a) Primary (Main): Nominal Voltage Overcurrent Protection: Type Location (of Primary Supply Panelboard): Disconnecting Means Location: (b) Secondary (Standby): Amps Amps

Storage Battery: Amp-Hr. Rating Calculated capacity to operate system, in hours: 24 60 Engine-driven generator dedicated to fire alarm system: Location of fuel storage: TYPE BATTERY Dry Cell Nickel-Cadmium Sealed Lead-Acid Lead-Acid Other (Specify): (c) Emergency or standby system used as a backup to primary power supply, instead of using a secondary power supply: Emergency system described in NFPA 70, Article 700 Legally required standby described in NFPA 70, Article 701 Optional standby system described in NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701.
(NFPA Inspection and Testing, 2 of 4)

FIGURE 10.6.2.3 Continued

2002 Edition

INSPECTION, TESTING, AND MAINTENANCE

72103

PRIOR TO ANY TESTING


NOTIFICATIONS ARE MADE Monitoring Entity Building Occupants Building Management Other (Specify) AHJ Notified of Any Impairments Yes No Who Time

SYSTEM TESTS AND INSPECTIONS


TYPE Control Unit Interface Equipment Lamps/LEDS Fuses Primary Power Supply Trouble Signals Disconnect Switches Ground-Fault Monitoring SECONDARY POWER TYPE Battery Condition Load Voltage Discharge Test Charger Test Specific Gravity TRANSIENT SUPPRESSORS REMOTE ANNUNCIATORS NOTIFICATION APPLIANCES Audible Visible Speakers Voice Clarity Visual Functional Comments Visual Functional Comments

INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS


Loc. & S/N Device Type Visual Check Comments: Functional Test Factory Setting Measured Setting Pass Fail

(NFPA Inspection and Testing, 3 of 4)

FIGURE 10.6.2.3 Continued

2002 Edition

72104

NATIONAL FIRE ALARM CODE

EMERGENCY COMMUNICATIONS EQUIPMENT Phone Set Phone Jacks Off-Hook Indicator Amplifier(s) Tone Generator(s) Call-in Signal System Performance

Visual

Functional Device Operation

Comments

Visual INTERFACE EQUIPMENT (Specify) (Specify) (Specify) SPECIAL HAZARD SYSTEMS (Specify) (Specify) (Specify) Special Procedures:

Simulated Operation

Comments:

SUPERVISING STATION MONITORING Alarm Signal Alarm Restoration Trouble Signal Supervisory Signal Supervisory Restoration NOTIFICATIONS THAT TESTING IS COMPLETE Building Management Monitoring Agency Building Occupants Other (Specify) The following did not operate correctly:

Yes Yes

No No

Time

Comments

Who

Time

System restored to normal operation: Date:

Time:

THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS. Name of Inspector: Signature: Name of Owner or Representative: Date: Signature:
(NFPA Inspection and Testing, 4 of 4)

Date:

Time:

Time:

FIGURE 10.6.2.3 Continued

2002 Edition

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