Global Property SEMIANNUAL 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 Number Area Controlled or Number Valve Open Valves Locked or Supervised Supervisory Alarms Tested Yes No Yes No Yes No Page 2
WATER SUPPLY TANKS Tank No. 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 GLOBAL PROPERTY Embankment Support Coated Fabric Tank Free of Erosion Low Water Temp. Alarms Tested and Functioned ly Low Water Level Alarms Tested and Functioned ly Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No 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, No. Type Dry Pipe, Preaction Deluge Static Water Dry Pipe and Preaction Air PSI Note Quick Opening Device Air PSI Ultra High Speed Water Spray s No Physical Damage Detector Lenses Clean Waterflow Alarms Free of Physical Damage Mechanical Water Flow Alarms Operated ly Dry Pipe Valve Priming Water at the Level Water Flow Alarms Operated ly 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 3
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 Damage Detector Lenses Clean Waterflow Alarms Free of Physical Damage Mechanical Water Flow Alarms Operated ly Dry Pipe Valve Priming Water at the Level Water Flow Alarms Operated ly 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 4
Note 4: Dry Pipe s without Low Air Alarm to a constantly attended location or Alarm Company the inspection must be conducted weekly SPECIAL EXTINGUISHING SYSTEMS Carbon Dioxide s Item Tested High CO 2 s Cylinders in Place and Secured Cylinders Weight OK Date of Oldest Cylinder Hydro Test 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 actuator 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 Condition Item Tested High CO 2 s Cylinders in Place and Secured Cylinders Weight OK Date of Oldest Cylinder Hydro Test 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 actuator 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 Condition Comments Yes/ No Date MM/Yr Gauge Yes/ No Date MM/Yr Gauge # 1 # 9 # 2 # 10 # 3 # 11 # 4 # 12 # 5 # 13 # 6 # 14 # 7 # 15 # 8 # 16 Page 5
SPARK SUPPRESSION SYSTEM Item Tested Lens Clear # 1 # 2 # 3 # 4 # 5 # 6 # 7 # 8 Sensor Operational Flow Tested (Tripped) Sensors Calibrated Freeze Protection Equipment in Good Repair and Functioning Control Panel Dusted, Batteries Check or Replace & Connections Tightened Item Tested Lens Clear Yes/ No # 9 # 10 # 11 # 12 # 13 # 14 # 15 # 16 Sensor Operational Flow Tested (Tripped) Sensors Calibrated Freeze Protection Equipment in Good Repair and Functioning Yes/ No Control Panel Dusted, Batteries Check or Replace & Connections Tightened EXPLOSION PREVENTION SYSTEMS Item Tested Confirm the Hazard has Not Changed Since Last Inspection The Explosion Suppression was Installed Per Mfg and NFPA 69 Requirements Components are not Physically Damaged 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 # 1 # 2 # 3 # 4 # 5 # 6 # 7 # 8 Comments: Page 6
DRY CHEMICAL EXTINGUISHING SYSTEMS Item Tested Confirm the Hazard has Not Changed Since Last Inspection Detectors, Expellant Cylinder, Agent Containers, Release Devices, Piping, Hoses, Nozzles, Alarms and Interlocks in Good Condition Agent Discharge Piping Secure Inspect Dry Chemical Agent for Signs of Caking Blow-Off caps in Place and Nozzles Aligned Test Alarm, Release Devices and Manual Pull Stations Replace Fix Temperature, Fusible Element Heat Detection Sensors with Sensor of same Temp. Rating WET CHEMICAL EXTINGUISHING SYSTEMS Confirm the Hazard has Not Changed Since Last Inspection Detectors, Expellant Cylinder, Agent Containers, Release Devices, Piping, Hoses, Nozzles, Alarms and Interlocks in Good Condition Agent Discharge Piping Secure Blow-Off caps in Place and Nozzles Aligned Test Alarm, Release Devices and Manual Pull Stations Replace Fix Temperature, Fusible Element Heat Detection Sensors with Sensor of same Temp. Rating HALON SYSTEMS Halon Inspected and Tested per NFPA 12A within the Last 6 Months CLEAN AGENT SYSTEMS Clean Agent Inspected and Tested per NFPA 2001 within the Last 6 Months # 1 # 2 # 3 # 4 # 5 # 6 # 7 # 8 FIRE PROTECTION MAINS OR PIPING EXPOSED TO FREEZING TEMPERATURES Heating Tracing Insulation In Place or Area Operational Yes No Yes No Comments Comments: Page 7
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FIRE DOORS Fire Door, Shutter or Damper Number / Area Door In Operating Condition Metal Cladding No Damaged Stock Obstructing Door Yes No Yes No Yes No Comments Page 9
FIRE DOORS Fire Door, Shutter or Damper Number / Area Door In Operating Condition Metal Cladding No Damaged Stock Obstructing Door Yes No Yes No Yes No Comments Page 10
STANDPIPES, HOSE STATIONS, & MONITOR NOZZLES Hose Station No. Location Hose Diameter & Length GLOBAL PROPERTY F.D. Con. Monitor Nozzles Mechanical Hose Hse in Accessible, Caps Free of Nozzle and Waterflow Waterflow Working Order, Present, Swivels Leakage, Other Alarms Free Accessible Alarms Equipment Present Free, Signs in Corrosion, and Equipment of Physical Operated & in Good Place, Check Damage. Present Damage ly Condition Valves not Nozzles Move leaking Freely Yes No Yes No Yes No Yes No Yes No Yes No Yes No Page 11
STANDPIPES, HOSE STATIONS, & MONITOR NOZZLES Hose Station No. Location Hose Diameter & Length GLOBAL PROPERTY F.D. Con. Monitor Nozzles Mechanical Hose Hse in Accessible, Caps Free of Nozzle and Waterflow Waterflow Working Order, Present, Swivels Leakage, Other Alarms Free Accessible Alarms Equipment Present Free, Signs in Corrosion, and Equipment of Physical Operated & in Good Place, Check Damage. Present Damage ly Condition Valves not Nozzles Move leaking Freely Yes No Yes No Yes No Yes No Yes No Yes No Yes No Page 12