Annual Water-Based Fire Protection Systems Inspection
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1 Annual Water-Based Fire Protection Systems Inspection 2425 Amann Drive Belleville, IL Phone: Fax: Inspector: Steve Love Inspection date: 04/03/17 Inspection Location 5555 West Park Ave. St. Louis, MO Phone: Fax: Customer 2425 Amann Drive Belleville, IL Phone: Fax: Inspection performed in accordance with NFPA 25 Standard for the Inspection, Testing, and Maintenance of Water-Based Fire Protection Systems, 2014 edition. A-IP Page 1 of 5
2 Building Owner/Representative Is building currently occupied Has building occupancy, hazard, water supply or building arrangement affecting system effectiveness remained the same since last inspection ( ) Are all fire protection systems in service (4.5.4) Areas containing water-filled piping used for fire sprinkler systems, maintain a minimum temperature of 40 deg F, and are not exposed to freezing conditions. ( ) Owner/Representative Signature System Summary Number of Systems at Site Items Total Systems Wet System 1 Wet System Sprinkler heads appear free of corrosion, foreign material, paint or damage, no signs of leakage and heads/deflectors installed in proper orientation ( ) Escutcheons and cover plates in place, if applicable. ( ) Minimum clearance maintained below all sprinklers ( ) # replacement sprinkler heads per number installed in the head box comply: 6 per 1-300: 12 per 301 to 1,000: 24 per 1,000 ( ) Sprinkler head wrench for each type head provided in head box ( ) List of sprinklers installed on the property posted on head box. ( ) System piping and fittings free of mechanical damage, leaks, corrosion, misalignment, or other loads or pipe hung from system (5.2.2) Pipe hangers and seismic braces secure and undamaged (5.2.3) Sprinklers in building that are at least 50 years old, has sprinkler sample been tested ( ) Fast response sprinklers over 20 years old, has sprinkler sample been tested ( ) Dry sprinklers in service for 10 years, has sprinkler sample been tested ( ) Exterior of connection in good condition and gauge operable ( ) Hydraulic nameplate, if applicable, securely attached and is legible (5.2.6) Pressure (psi) shown on the pressure gauge. 43 Size of main drain 2" Pressure (psi) shown on Supply Water pressure gauge. (13.2.5) 43 Residual Pressure with valve open (13.2.5) 30 Static Pressure after valve closed (13.2.5) 35 Main Drain Test Pressure less than 10% reduction in flow from original acceptance test or previous test results ( ) Adequate drainage available (13.2.4) Valve Status Test - Valves open when returned to service. ( ) Gauge on valve, when compared to calibrated gauge is error less than 3% full or gauge has been recalibrated or replaced (5.3.2) Other Components Fire Department Connection FDC visible and accessible, without damage and signs in place (13.7.1) Couplings and swivels free of damage and rotate smoothly (13.7.1) Caps, plugs and gaskets in place and free from damage (13.7.1) A-IP Page 2 of 5
3 Fire Department Connection Check valve clapper free from leaks and automatic drain valve in place and operating properly (13.7.1) Interior of the connection free of obstructions. (13.7.1(9)) Internal inspection of check valve - components operate properly, cleaned/repaired as needed ( ) Hydrostatic test results of piping from FDC to check valve acceptable. (13.7.4) Control Valves Type Area/Location Model Size Signs Condition Position Secured Exercised Seal Control Valve - locked/tamper Control Valve - locked/tamper Backflow #1 Backflow #2 Butterfly 6" NA Butterfly 6" NA Alarm Devices Type Area/Location Visual Insp Functional Test Horn/Strobe Waterflow Alarm - Pressure Switch/Vane 62 Seconds Comments A-IP Page 3 of 5
4 Deficiencies *PAR response indicated " After Repair". Technician notes a deficiency of a device, and repairs the deficiency during inspection. Exterior of connection in good condition and gauge operable ( ) Technician Response: Piping on main drain is severely corroded. Escutcheons and cover plates in place, if applicable. ( ) Technician Response: Missing 1 fully recessed escutcheon. # replacement sprinkler heads per number installed in the head box comply: 6 per 1-300: 12 per 301 to 1,000: 24 per 1,000 ( ) Technician Response: Need fully recessed sprinkler heads. There are 2 of them in East store front space. And a head wrench to match. List of sprinklers installed on the property posted on head box. ( ) Technician Response: No list provided. Not Inspected Fire Department Connection Question: Internal inspection of check valve - components operate properly, cleaned/repaired as needed ( ) Question: Hydrostatic test results of piping from FDC to check valve acceptable. (13.7.4) Question: Gauge on valve, when compared to calibrated gauge is error less than 3% full or gauge has been recalibrated or replaced (5.3.2) A-IP Page 4 of 5
5 Liability Release Statement: The owner and/or designated representative acknowledges the responsibility of the operating condition of the component parts at the time of this inspection. It is agreed that the inspection service provided by the contractor as prescribed herein is limited to performing a visual inspection and/or routine testing, and any investigation or unscheduled testing, modification, maintenance, repair, etc., of the component parts is not included as part of the inspection work performed. It is further understood that all information contained herein is provided to the best of the knowledge of the party providing such information. 4/3/17 4/3/17 Customer: Rich Boyer Tech: Steve Love A-IP Page 5 of 5
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