HomeMy WebLinkAboutFire Alarm Test - FIR Inspections - 5/3/2012 p�1 + ,� ,. � ' Maintenance
Tmim06ftm 0 M'/ Confidence Testing
SURC"R AN IRE
S : 2 FIRE ALARM SYSTEM
5911 Orchard St. W. Tacoma, WA 98467 TEST REPORT
Phone:(253)473-3812 • 1-888-898-5808 - Fax:(253)473-4552
ADDRESS CITY TIME IN TIME OUT ZIP
t �Y L,- lZr�c� t7Cl
NAME OF FACILITY PHONE
-7 .- �'�'
OCCUPIEDS
A
DATE INSPECTED
TYPE
OF TEST: MONTHLY 0 SEMIANNUAL 0 JANNUALW QUARTER ACCEPT 0 'COMPANY PERFORMING TEST:
J �
VOLTAGE: BATTERY VOLTS CHARGE BATTERY VOLTAGE
CIRCUIT VOLTS UNDER FULL LOAD _ VOLTS
ITEM YES NO N/A ITEM YES NO N/A ITEM YES NO N/A
TROUBLE SIGNAL CIRCUITS CHECKED FOR GEN`L ALARM AUTOMATIC
AC POWER OFF ELECTRICAL SUPERVISION TIME DELAY: MIN.
SYSTEM OPERATES ON CONTROL PANEL CHECKED PER v SYSTEM WIRING CONFORMS
STANDBY POWER NFPA&MFGS INST. TO NEC STANDARDS LOOO
SIGNALS OPERATE ON AUXILIARY EQUIP,OPERATES KEY TO PANEL
AC POWER ✓ (ELEVATORS,FANS.DAMPERS) AVAILABLE; Ll
SIGNALS OPERATE f CENTRAL STATION OR [—]OPERATING INSTRUCTIONS
ON STANDBY POWER :/ REMOTE CONNECTION AT PANEL
PANEL MODEL: NO.INIAT. NO SIGNAL
MFG. mAd ` '6) ZONES ZONES f
NO.OF UNITS SATISFACTORY NO.OF UNTFS SATISFACTORY
TYPE OF EQUIPMENT IN BLDG TESTED YES R N/A TYPE OF EQUIPMENT IN BLDG. TESTED YES NO N/A
BELLS,HORNS,CHIMES, DUCT DETECTORS
VOICE ALARM,SPEAKERS
VISUAL ALARM DEVICES SPECIAL EXTINGUISHING
SYSTEMS V
TROUBLE INDICATORS ANNUNCIATORS
HEAT DETECTORS ELEVATOR RECALL
WATER FLOW SWITCHES PHONE JACKS
AUTOMATIC FIRE SPRINKLER
SUPERVISORY SWITCHES FIRE dt SMOKE DAMPERS
t✓
SMOKE DETECTORS DOOR RELEASE(DEVICE
'f CONTROLLED) ✓
MANUAL PULL STATIONS AUTO DOOR UNLOCKS
(FAILSAFE) v/
GENERATOR STARTS AUTO DOOR RELEASE
V (FAIL SAFE) er/
VENTILATION CONTROLS OTHER
OPERATE
NO.OF SMOKE DETECTOR CALIBRATION CHECKS PERFORMED LOOP RESISTANCE PER ZONE WITH SHORT YES NO
AT LAST DEVICE TAKEN
NO,OF SMOKE DETECTORS GLEANED I i 1IF QUARTERLY
Av ZONES OR FLOORS TESTED
PROBLEMS FOUNDICORRECTIONS MADE:
DATE CORRECTED BY:
CORRECTED:
TESTING AG LICENSE NO. PHONE:
ftuturc) if'' i/f rc f LL W—S"r'V—
OWNER OR FACILITY DATE �✓
REPRESENTATIVE: (SIp»)
ROI MITC:WHITE—Fire Prev.:YELLOW—Fire Alarm Co.;PINK--Owner
From:MOUNTAIN ALARM 5 55 04/13/2010 14:30 #190 P.003/003
Maintenance
Confidence Testing
BURGLAR DF LAR YST S
SINCEI9 FIRE ALARM SYSTEM
o98490
Phone: (253) 4733-382 - 1-800 473 7233 A Fax: (253) 473-4552 TEST REPORT
AD PESS
U d C r TIME OUTZI
z
NAMFz I- FACiLI � IT-40 I PHONE
OCCUPIED AS O—,2
D TF IN PE TED
T7 PE 20 16
OF'TES I MONTHLY SEMI ANNUAL ANNUAL lCOMPANYPERFORMIN TEST:
QUARTER ACCEPT
LAC
1AGF.. BATTERY MRANS,DAMPERS)
IRCUIT VOLTS BATTERY VOLTA E
UNDER FULL LOAD _VOLTS
ITEM IT M YES NO N/A
ITEM YES NO N/A
O'A' -SIGNALTS CHECKED FOR GEN'L ALARM AUTOMATIC
OWER OFF ICAL SUPERVISION TIME DELAY: MIN.
SYSTEM OPERATES ONOL PANEL CHECKED PER SYSTEM WIRING CONFORMS
STANDBY POWER MFGS INST. TO NEC STANDARDS
SIGNALS OPERATE ONAUXILIARY EQUIP.OPERATES KEY TO PANEL
AC POWER TORS,FANS,DAMPER ) AVAILABLE
SIGNALS OPERATE CENTRAL STATION OR OPERATING INSTRUCTIONS
ON STANDBY POWER REMOTE CONNECTION AT PANEL
PANEL. MODEL: NO.INIAT. NO SIGNAL
MFG. A'j S 'q 4 ZONES ZONES
NO.OF UNITS SATISFACTORY NO.OF UNITS SATISFACTORY
TYPE OF EQUIPMENT IN BLDG TESTED YES NO N/A TYPE OF EQUIPMENT
IN BLDG. TESTED YES NO N/A
VOICE,HORNS,CMMESSPEAKERS
� � DUCT DETECTORS
VOICE ALARM,SPEAKERS
VISUAL ALAR-M DEVICES SPECIAL EXTINGUISHING
SYSTEMS
TROUBLE INDICATORS ANNUNCIATORS 2
HEAT DETECTORS "
S ELEVATOR RECALL
WATER FLOW SWITCHES HONE JACKS
AUTOMATIC FIRE SPRINKLER IRE&SMOKE DAMPERS
SUPERVISORY SWITCHES
SMOKE DETECTORS 1POOR RELEASE(DEVICE
CONTROLLED)
MANUAL PULL STATIONS AUTO DOOR UNLOCKS
I (FAILSAFE)
;1-NERATOR STARTS UTO DOOR RELEASE
I (FAIL SAFE)
VI N"[ILATION CONTROLS OTHER
i l�iPF,RATE
o OF SMOKE DETECTOR CALIBRATION CHECKS PERFORMED LOOP RESISTANCE PER ZONE WITH SHORT YES N
AT LAST DEVICE TAKEN
NO.OF SMOKE DETECTORS CLEANED IF QUARTERLY
ZONES OR FLOORS TESTED
PROBLEMS FOUND/CORRECTIONS MADE:
i
DATE CORRECTED HY
CORRECTED:
AGE T: _/ t� ICENSE NO PHONE:
OR'NER OK FACILITY DAT /}?2EPRESENTATIVE:
ROUTING. WHITE— ire Prev: YELI OW--FIr arm Co. PINK—C>wnnr