Fire Alarm System Inspection and Testing Report

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1 Fire Alarm System and ing Report Date of : Time of : 1. PROPERTY INFORMATION: Name of Property: Address: of property: Occupancy Type: Name of property representative: Address: Phone: Fax: Local authority having jurisdiction over this property: Phone: Fax: 2. TESTING CONTRACTOR INFORMATION: ing organization for this equipment: Address: Phone: Fax: Service technician or tester: Qualifications of technician or tester: A contract in accordance with NFPA , is in effect as of: Contract expires: Contract number: frequency: Monitoring organization for this equipment: Address: Phone: Fax: Entity where alarms are re-transmitted: Phone: 3. TYPE OF SYSTEM OR SERVICE Fire alarm system (non-voice) Fire alarm with in-building fire emergency voice alarm communication system (EVACS) Mass notification system (MNS) Combination system, with the following components: Fire alarm EVACS MNS Two-way, in-building, emergency communication : NFPA 72 edition used to conduct this test: Additional description of system:

2 3.1 Control Unit Manufacturer: Model: 3.2 Mass Notification System System Type: In-building MNS combination In-building MNS stand alone Wide-area MNS Distributed recipient MNS : System Features: Comb. fire alarm/mns MNS/ACU only Wide-area MNS to alerting interface Local operating console (LOC) Direct recipient MNS (DRMNS) Wide-area MNS to DRMNS interface Wide-area MNS to high-power speaker array (HPSA) interface In-building MNS to wide-area MNS interface : 3.3 System Documentation An owner s manual, a copy of the manufacturer s instructions, a written sequence of operation, and a copy of the record drawings are stored on-site, at the following location: 3.4 System Software This system does not have alterable site-specific software Software revision number: Last updated: A copy of the site-specific software is stored on-site, at the following location: 4. SYSTEM POWER 4.1 Control Unit Input voltage of control panel: Control panel amps: Location of generator: This system does not have a generator Location of fuel storage: Type of fuel: Equipment powered by an UPS system: This system does not have an UPS Location of UPS system: Calculated capacity of UPS batteries to drive the system components connected to it: Battery locations: Type: Nominal voltage: Amp/hour rating: Calculated capacity of batteries to drive the system: Keyes Life Safety Compliance, LLC Page 2

3 4.2 In-Building Fire Emergency Voice Alarm Communication System or Mass Notification System This system does not have an EVACS or MNS Input voltage of EVACS or MNS panel: EVACS or MNS panel amps: Location of generator: This system does not have a generator Location of fuel storage: Type of fuel: Equipment powered by an UPS system: This system does not have an UPS Location of UPS system: Calculated capacity of UPS batteries to drive the system components connected to it: Battery locations: Type: Nominal voltage: Amp/hour rating: Calculated capacity of batteries to drive the system: Batteries are marked with date of manufacturer 4.3 Notification Appliance Circuit (NAC) Extender Panels This system does not have NAC panels Input voltage of NAC panel: NAC panel amps: Location of generator: This system does not have a generator Location of fuel storage: Type of fuel: Equipment powered by an UPS system: This system does not have an UPS Location of UPS system: Calculated capacity of UPS batteries to drive the system components connected to it: Battery locations: Type: Nominal voltage: Amp/hour rating: Calculated capacity of batteries to drive the system: Batteries are marked with date of manufacturer 5. ANNUNCIATORS Location and of Annunciators Annunciator 1: Annunciator 2: Annunciator 3: Keyes Life Safety Compliance, LLC Page 3

4 6. NOTIFICATIONS MADE PRIOR TO TESTING Monitoring organization contact: Time: Building management contact: Time: Building occupants contact: Time: Authority having jurisdiction contact: Time: Other, if required contact: Time: 7. TESTING RESULTS Control Unit and Related Equipment Control unit Lamps/LEDs/LCDs Fuses Trouble signals Disconnect switches Ground-fault monitoring Supervision Local annunciator Remote annunciator NAC panels Isolation modules Control Unit Power Supplies 120-volt power Generator or UPS Battery condition Load voltage Discharge test Charger test In-Building Fire Emergency Voice Alarm Communications Equipment Control unit Lamps/LEDs/LCDs Fuses Primary power supply Secondary power supply Trouble signals Disconnect switches Ground-fault monitoring Keyes Life Safety Compliance, LLC Page 4

5 Panel supervision System performance Sound pressure levels Occupied Yes No Ambient dba Alarm dba System intelligibility CSI STI NAC Panels Lamps/LEDs/LCDs Fuses Primary power supply Secondary power supply Trouble signals Ground-fault monitoring Panel supervision Provide a complete inventory of all NAC panels tested. Mass Notification Equipment test Rest/power down test Fuses Primary power supply UPS power test Trouble signals Disconnect switches Ground-fault monitoring CCU security mechanism Prerecorded message content Prerecorded message activation Software backup performed backup software Fire alarm to MNF interface MNS to fire alarm interface In-building MNS to wide-area MNS MNS to direct recipient MNS Keyes Life Safety Compliance, LLC Page 5

6 Sound pressure levels Occupied Yes No Ambient dba Alarm dba System intelligibility CSI STI Two-Way Communications Equipment Phone handsets Phone jacks Off-hook indicator Call-in signal System performance System audibility System intelligibility Radio communications enhancement system Area of refuge communication system Elevator emergency communication system Combination Systems Fire extinguishment monitoring devices/system Carbon monoxide detector/system Combination fire/security system Special Hazard Systems (specify) Keyes Life Safety Compliance, LLC Page 6

7 Emergency Communication Systems Pass Fail Simulated operation Monitored Systems Ensure pre-discharge notification appliances of special hazard systems are not over- ridden by the MNS. See NFPA , Engine-driven generator Fire pump Special suppression sys Auxiliary Functions (Interface Relays) Door-release devices Fan shutdown Kitchen hood suppression Elevator recall Magnetic locks Fire pump Smoke dampers Clean agent suppression Dry-pipe/Pre-action Overhead fire doors Elevator shunt trip MNS over-ride of FAS Provide a complete inventory of all devices tested. Alarm Initiating Devices Device test result sheet attached listing all devices tested and the results of the testing Supervisory Alarm Initiating Devices Device test result sheet attached listing all devices tested and the results of the testing Alarm Notification Appliances Appliance test result sheet attached listing all appliances tested and the results of the testing Keyes Life Safety Compliance, LLC Page 7

8 Supervisory Station Monitoring Yes No Time Alarm signal Alarm restoration Trouble signal Trouble restoration Supervisory signal Supervisory restoration 8. NOTIFICATIONS THAT TESTING IS COMPLETE Monitoring organization contact: Time: Building management contact: Time: Building occupants contact: Time: Authority having jurisdiction contact: Time: Other, if required contact: Time: 9. SYSTEM RESTORED TO NORMAL OPERATION Date: Time: 10. CERTIFICATION Inspector Certification: This system, as specified herein, has been inspected and tested according to NFPA standards cited herein. Signed: Printed Name: Date: Organization: Title: Phone: Acceptance by Owner s Representative: The undersigned has a service contract for this system in effect as of the date shown below. Signed: Printed Name: Date: Organization: Title: Phone: This form is based on Figure of NFPA Keyes Life Safety Compliance, LLC Page 8

9 DEVICE TEST RESULTS Device Type Address Location Results Date Make as many copies of this page as necessary to provide a complete inventory of all components of the fire alarm system. Keyes Life Safety Compliance, LLC Page 9

EMERGENCY COMMUNICATIONS SYSTEMS SUPPLEMENTARY RECORD OF INSPECTION AND TESTING

EMERGENCY COMMUNICATIONS SYSTEMS SUPPLEMENTARY RECORD OF INSPECTION AND TESTING SUPPLEMENTARY RECORD OF INSPECTION AND TESTING This form is a supplement to the System Record of and ing. It includes systems and components specific to emergency communication systems. This form is to