Global Property QUARTERLY FIRE PROTECTION EQUIPMENT INSPECTION REPORT Plant: Date of Inspection Location: Inspected By: Reviewed By CONTROL VALVES (If Valves are Not Locked Open or Electronically Supervised This Must Be Completed Weekly) Valve Number Area Controlled or Number Valve Open Valves Locked or Supervised Supervisory Alarms Tested Yes No Yes NO Yes No Comment Page 1
CONTROL VALVES (If Valves are Not Locked Open or Electronically Supervised This Must Be Completed Weekly) Valve Open Valves Locked or Supervised Supervisory Alarms Tested Yes No Yes No Yes No Comment Page 2
WATER SUPPLY TANKS Tank Number Tank Heater Working See Note 1 Record Tank Temperature See Note 2 Leaks or Corrosion Tank Level Full See Note 3 Tank Clear of Storage, Brush and Other Fire hazards Tank Free of Ice Build Up Embankment Support Coated Fabric Tank Free of Erosion Yes No Yes No Yes No Yes No Yes No Yes No Comment Note 1: Tanks without a low temperature alarm to a constantly attended location the inspection must be conducted daily Note 2: For Tanks without Low Temperature Alarm, Tank Temperature must be recorded weekly. Temperature should be 40 0 F (4.44C) or higher Note 3: For Tanks without Supervised Water Level Alarm to a constantly attend location the Inspection can be conducted monthly SPRINKLER, WATER SPRAY SYSTEMS, STANDPIPES AND HOSE STATIONS No. Type Dry Pipe, Preaction Deluge Static Water Dry Pipe and Preaction Air PSI Note 4 Quick Opening Device Air PSI Ultra High Speed Water Spray s No Physical Detector Lenses Clean Alarms Free of Physical Mechanical Water Flow Alarms Operated ly Dry Pipe Valve Priming Water at the Level Hose House in Working Order, Present & in Good Fire Department Connections Accessible, Caps Present, Swivels Free, Signs in Place, Check Valves not leaking Yes No Yes No Yes No Yes No Yes No Yes No Yes No Page 3
Note 4: Dry Pipe s without Low Air Alarm to a constantly attended location or Alarm Company the inspection must be conducted weekly SPRINKLER, WATER SPRAY SYSTEMS, No. Type Dry Pipe, Preaction Deluge Static Water Dry Pipe and Preaction Air PSI Note 4 Quick Opening Device Air PSI Ultra High Speed Water Spray s No Physical Detector Lenses Clean Alarms Free of Physical Mechanical Water Flow Alarms Operated ly Dry Pipe Valve Priming Water at the Level Hose House in Working Order, Present & in Good Fire Department Connections Accessible, Caps Present, Swivels Free, Signs in Place, Check Valves not leaking Yes No Yes No Yes No Yes No Yes No Yes No Yes No Note 4: Dry Pipe s without Low Air Alarm to a constantly attended location or Alarm Company the inspection must be conducted weekly Page 4
SPECIAL EXTINGUISHING SYSTEMS Carbon Dioxide s Item Tested High CO 2 s Cylinders in Place and Secured Low CO 2 s Gauge Liquid CO 2 Level Gauge Gages Shows Normal The Tank Shut Off Valve is Open and Pilot Valve is Open All CO 2 s CO 2 Storage is Connected to Discharge Piping All Manual Actuators are in Place and Tamper Seals Intact Clear Access Provide to Manual Actuators Nozzles are Connected, Properly Aligned and Free of Obstructions Detectors are in Place and Free of Obstructions and are Not Coated with Foreign Material Control Panel is Connected and Shows Normal, Ready Item Tested High CO 2 s Cylinders in Place and Secured Low CO 2 s Liquid CO 2 Level Gauge Gages Shows Normal The Tank Shut Off Valve is Open and Pilot Valve is Open All CO 2 s CO 2 Storage is Connected to Discharge Piping All Manual Actuators are in Place and Tamper Seals Intact Clear Access Provide to Manual Actuators Nozzles are Connected, Properly Aligned and Free of Obstructions Detectors are in Place and Free of Obstructions and are Not Coated with Foreign Material Control Panel is Connected and Shows Normal, Ready Gauge # 1 # 9 # 2 # 10 # 3 # 11 # 4 # 12 # 5 # 13 # 6 # 14 # 7 # 15 # 8 # 16 Comments: Page 5
SPARK SUPPRESSION SYSTEM Item Tested Lens Clear Sensor Operational Flow Tested (Tripped) Sensors Calibrated Item Tested Lens Clear Sensor Operational Lens Clear Sensor Operational # 1 # 9 # 2 # 10 # 3 # 11 # 4 # 12 # 5 # 13 # 6 # 14 Sensors Calibrated EXPLOSION PREVENTION SYSTEMS Item Tested # 1 # 2 # 3 # 4 # 5 # 6 Confirm the Hazard has not Changed Since Last Inspection The Explosion Suppression was Installed Per Mfg and NFPA 69 Requirements Components are not Physically d Operation Instructions are Provided Near Control Panel Components Clearly Identified as Explosion Suppression Components are not Painted or Coated Components are not Blocked by Process Materials Components have not been Tampered with, Tamper Seals are In Place has not Discharged Control Panel in Service with NO Trouble Alarms Displayed Wiring is Free from Ground Faults Suppressors and Actuators are Pressurized and Operational Interlocks are Verified for Sequencing and Function Mechanical Isolation if Used (rotary valves, etc) is Maintained per Mfg Requirements and NFPA 69 Sequence of Operation is Verified by Simulated Operation FIRE PROTECTION MAINS OR PIPING EXPOSED TO FREEZING TEMPERATURES Heating Tracing Insulation In Place or Area Operational Comments Yes No Yes No # 7 # 15 # 7 # 8 # 16 # 8 Page 6
FIRE DOORS Fire Door, Shutter or Damper Number / Area Door In Operating Metal Cladding No d Stock Obstructing Door Yes No Yes No Yes No Comments Page 7
FIRE DOORS Fire Door, Shutter or Damper Number / Area Door In Operating Metal Cladding No d Stock Obstructing Door Yes No Yes No Yes No Comments Page 8
STANDPIPE AND HOSE STATIONS Hose Station No. Location Hose Diameter & Length Accessible Nozzle and Other Present Alarms Free of Physical Mechanical Alarms Operated ly Hose Hse in F.D. Con. Accessible, Caps Working Order, Present, Swivels Free, Signs in Place, Check Present & in Valves not leaking Good Yes No Yes No Yes No Yes No Yes No Yes No Page 9
STANDPIPE AND HOSE STATIONS Hose Station No. Location Hose Diameter & Length Accessible Nozzle and Other Present Alarms Free of Physical Mechanical Alarms Operated ly Hose Hse in F.D. Con. Accessible, Caps Working Order, Present, Swivels Free, Signs in Place, Check Present & in Valves not leaking Good Yes No Yes No Yes No Yes No Yes No Yes No Page 10