HomeMy WebLinkAboutNovo Spk 10-24-19Rev. 3.9.3
Date:
Time In:8:30 AM Time Out:10:15 AM
Inspector:
Inspector:SO#
Time:Time:Time:Time:
Operator:Operator:Operator:Operator:
A.Has there been any modifications to the system since last inspection?
B.Have there been any occupant/hazard changes since last inspection?
C.Was there an actuation of a device or alarm since last inspection?
D.Is building completely sprinkled?
E.Are all systems in service?
F.Has piping been checked for stoppage?
G.Do low points exist?
*All answers in this section are based on the customer's knowledge of the system*All answers in this section are based on the customer's knowledge of the system*All answers in this section are based on the customer's knowledge of the system*All answers in this section are based on the customer's knowledge of the system
Comments for A-G:
1)1)1)1)GeneralGeneralGeneralGeneral
A. Is there proper clearance between sprinklers and storage -- 18in?
B.In area protected by wet system does building appear to be properly heated?
C.If required, is hydraulic nameplate in place?
Plans or prints not available, unable to determine if sign is required.
D.Is building occupied?
E.Are there proper signs on all valves and switches?
2)2)2)2)
A.Are all control valves and other valves in the open position and in good condition?
B.Are all control valves locked sealed or supervised?
C.Were all OS&Y valves lubricated?
3)3)3)3)Tanks, Pumps, Fire Department Connections Tanks, Pumps, Fire Department Connections Tanks, Pumps, Fire Department Connections Tanks, Pumps, Fire Department Connections
A.Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and
required test performed if needed?
B.Are fire department connections in good condition, couplings free and caps in place?
C.Are fire department connections accessible and visible?
4)4)4)4)Antifreeze Systems Antifreeze Systems Antifreeze Systems Antifreeze Systems
A.Are cold weather valves in proper position?
B.This system does not have an antifreeze loop.°F
Novo
Panel Code:Panel Code:Panel Code:Panel Code:
Owner / OccupantOwner / OccupantOwner / OccupantOwner / Occupant
Inspector's Section (All responses reference current inspections)Inspector's Section (All responses reference current inspections)Inspector's Section (All responses reference current inspections)Inspector's Section (All responses reference current inspections)
Control ValvesControl ValvesControl ValvesControl Valves
Does Not ApplyDoes Not ApplyDoes Not ApplyDoes Not Apply
L. GLOVER 3530453
System on TestSystem on TestSystem on TestSystem on Test Monitoring Company:Monitoring Company:Monitoring Company:Monitoring Company: None
N.Childers Carmel, IN 46032
Inspection & Test ReportInspection & Test ReportInspection & Test ReportInspection & Test Report
Inspection Type:Inspection Type:Inspection Type:Inspection Type: Wet/Dry Sprinkler
Frequency:Frequency:Frequency:Frequency: Annual
October 24, 2019 Novo
1215 S. Rangeline RD
Yes No
NoYes
Yes No
NoYes
Yes No
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Yes NoN/A
Yes NoN/A
Yes NoN/A
Yes NoN/A
Yes NoN/A
Yes NoN/A
Yes No
N/A
Pass Fail
NoYesN/A
Some areas were unable to be inspected at this time.
Sprinkler Test Inspection Report Page 1 of 5
5)5)5)5)Dry Systems Dry Systems Dry Systems Dry Systems
A.Are the air pressure and priming water levels normal?
B.Has the air or nitrogen supply system been checked for proper operation?
C.Were the low points drained?
D.Did quick-opening devices operate satisfactory?
E.Is dry valve in a properly heated area?
6)6)6)6)AlarmsAlarmsAlarmsAlarms
A.Did water motor gong and/or electric bell test satisfactorily?
B.Did electric alarm send signals to the fire alarm panel?
C.Did supervisory devices work ?
D.Were alarm, trouble, and supervisory signals verified with central station?
7)7)7)7)Sprinklers/Piping/GaugesSprinklers/Piping/GaugesSprinklers/Piping/GaugesSprinklers/Piping/Gauges
A.Do sprinklers appear to be free from corrosion, loading, or obstruction?
B.If standard sprinklers are over 50 years are they being tested?
C.If quick response sprinkler are over 20 years are they being tested?
D.Is stock of spare sprinklers and wrench available?
E.Does the exterior condition of the sprinkler system appear to be in good condition?
F.Are gauges in good condition and reading proper pressure?
Manufacturers date or date last tested 2008
8)8)8)8)Stand Pipe / Hose Systems Stand Pipe / Hose Systems Stand Pipe / Hose Systems Stand Pipe / Hose Systems
A.Type:Wet No.Combined No.Dry No.
Water Supply:
B.Are stand pipe and hose systems in good condition?
9)9)9)9)Special Systems / Test Special Systems / Test Special Systems / Test Special Systems / Test Type:Type:Type:Type:
A.If occupancy has special systems, have they been tested as required?
B.Are they in good condition and were tests satisfactory?
C.If testing was required, see attached form or system tags?
Time to Alarm Signs
40
Drain Size Static PSI Residual PSI Static PSI
2.5 65 50 55
Although these comments are not the result of an engineering review, the following improvements are Although these comments are not the result of an engineering review, the following improvements are Although these comments are not the result of an engineering review, the following improvements are Although these comments are not the result of an engineering review, the following improvements are
recommended:recommended:recommended:recommended:
Time:Time:Time:Time:
Operator:Operator:Operator:Operator:
Novo
Panel Code:Panel Code:Panel Code:Panel Code:
System Back In ServiceSystem Back In ServiceSystem Back In ServiceSystem Back In Service Monitoring Company:Monitoring Company:Monitoring Company:Monitoring Company: None
Explain any "No" answers:Explain any "No" answers:Explain any "No" answers:Explain any "No" answers:
FDC caps are missing. Flow switch cover off
Sprinkler Gauge Out Of Date.
Adjustments or corrections made during this inspections:Adjustments or corrections made during this inspections:Adjustments or corrections made during this inspections:Adjustments or corrections made during this inspections: No corrections made at this time.No corrections made at this time.No corrections made at this time.No corrections made at this time.
#1 s/o would not close. Recommend service. FACP without power upon arrival. Recommend service
Main DrainMain DrainMain DrainMain Drain
Location Result Comparable Signs
Riser Yes
Location Alarm Report Orifice Results Comparable
Riser in back room Yes Yes
Does Not ApplyDoes Not ApplyDoes Not ApplyDoes Not Apply
Inspector's testInspector's testInspector's testInspector's test Smooth Bore
Does Not ApplyDoes Not ApplyDoes Not ApplyDoes Not Apply
Does Not ApplyDoes Not ApplyDoes Not ApplyDoes Not Apply
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
NoYes
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
NoYesN/A
NoYesN/A
NoYesN/A
N/A
N/A
N/A
Multiple Inspector's Test
Multiple Risers
Some sprinklers are unable to be visually inspected at this time.
NoYesN/A
NoYesN/A
NoYesN/A
Sprinkler Test Inspection Report Page 2 of 5
Date:
Time In:8:30 AM Time Out:10:15 AM
Inspector:
Inspector:Acct#Acct#Acct#Acct#01NOV1215 SO #SO #SO #SO #
QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit
1
QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit
QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit QuantityQuantityQuantityQuantity CircuitCircuitCircuitCircuit
Amps Breaker #
60 lpc 16
If FACP batteries failed, were they replaced? Qty -->
Size
Visual
Condition Batt. #1 Batt. #2 Charger Test
* See NAC inspection report for power supply battery readings Novo
Battery Type Load Voltage
Load Amps
120 Circuit Breaker Elec Rm
FACP Battery TestFACP Battery TestFACP Battery TestFACP Battery Test
Calc. Capacity in Hrs Test Results
Fire Pump Controller Other
Signaling Line CircuitsSignaling Line CircuitsSignaling Line CircuitsSignaling Line Circuits System Power SuppliesSystem Power SuppliesSystem Power SuppliesSystem Power Supplies
No. of Alarm Initiating Circuits Primary Normal Volts Over Current Type Panel Location
Fire Pump Power Switch Transfer
Fire Pump Run Generator Running
Fire Pump Auto Position Low Air
DeviceDeviceDeviceDevice DeviceDeviceDeviceDevice
Bldg Temp Generator Auto Position
Site Water Temp Generator Controller
Chimes Horn / Strobes
Strobes No. of Indicating Circuits
Are Circuits Supervised?
Supervisory Signal Initiating DevicesSupervisory Signal Initiating DevicesSupervisory Signal Initiating DevicesSupervisory Signal Initiating Devices
Alarm Indicating DevicesAlarm Indicating DevicesAlarm Indicating DevicesAlarm Indicating Devices
DeviceDeviceDeviceDevice DeviceDeviceDeviceDevice
Bells Speakers
Horns Speaker / Strobes
Duct Detectors Other
Heat Detectors No. Of Alarm Initiating Circuits
Key Switch Are Circuits Supervised?
Ion Smoke Detectors Supervisory Switches
Photo Smoke Detectors Beam Detectors
Software Revision:Last Software Rev. :
Alarm Initiating DevicesAlarm Initiating DevicesAlarm Initiating DevicesAlarm Initiating Devices
DeviceDeviceDeviceDevice DeviceDeviceDeviceDevice
Number of Circuits:Last Service Date:
Type Transmission:Digital Panel Make:
Manual Pull Stations Waterflow Switches
Circuit Class:Panel Model:
Operator:Panel Code:
1215 S. Rangeline RD1215 S. Rangeline RD1215 S. Rangeline RD1215 S. Rangeline RD
N.Childers Carmel, IN 46032Carmel, IN 46032Carmel, IN 46032Carmel, IN 46032
L. GLOVER
Monitoring Company: None Time Placed On Test:
Inspection & Test ReportInspection & Test ReportInspection & Test ReportInspection & Test Report
Inspection Type:Inspection Type:Inspection Type:Inspection Type:Fire Alarm
Frequency:Frequency:Frequency:Frequency:
October 24, 2019 NovoNovoNovoNovo
Yes No
Yes No
Pass
Fail
N/A
N/A
N/A Yes No
Fire Alarm Inspection Report Page 3 of 5
VisualVisualVisualVisual FunctionFunctionFunctionFunction
Type:
Qty:
*See detection inspection report
VisualVisualVisualVisual FunctionFunctionFunctionFunction
Qty:
Operator:
Received
Notified
Technician Comments:
Rev. 3.9.3
Novo
Building Occupants
AHJ
Building Management
Monitoring Agency
Supervisory Signal
Supervisory Restore
Notified Testing CompleteNotified Testing CompleteNotified Testing CompleteNotified Testing Complete
Comments
Alarm Signal No Monitoring Services
Alarm Restore
Trouble Signal
On / Off Premises MonitoringOn / Off Premises MonitoringOn / Off Premises MonitoringOn / Off Premises Monitoring Time Verified
Signal Sent Comments Verified By:
Fireman Phone
Was dBA Meter Utilized?Average Ambient:
Voice Intelligibility -
Average Alarm:
Phone Jack
Off Hook Indicator
Voice Clarity
Call In Singal
System Performance
Phone Set
Speakers
Amplifiers
Tone Generators
Emergency Communications Equipment / Notification AppliancesEmergency Communications Equipment / Notification AppliancesEmergency Communications Equipment / Notification AppliancesEmergency Communications Equipment / Notification Appliances
DeviceDeviceDeviceDevice CommentsCommentsCommentsComments
Audible
Visual
Door Holders
Were heat detectors tested with heat?If no, date on fix temperature devices:
Heat detector loop resistance reading:
Ground Fault Monitoring
Transient Suppressors
Remote Annunciators
Primary Power Supply
Trouble Signals
Disconnect Switches
Interface Equipment
Lamps / LED
Fuses
System Test and InspectionsSystem Test and InspectionsSystem Test and InspectionsSystem Test and Inspections
DeviceDeviceDeviceDevice CommentsCommentsCommentsComments
Control Panel (FACP)
N/A
Fire Alarm Inspection Report Page 4 of 5
Page Qty:Page Qty:Page Qty:Page Qty:1111
3333
Zone or Zone or Zone or Zone or
AddressAddressAddressAddress MakeMakeMakeMake ModelModelModelModel Sensitivity Sensitivity Sensitivity Sensitivity
Alarm PointAlarm PointAlarm PointAlarm Point Pass / FailPass / FailPass / FailPass / Fail
OSY 4"Pass
OSY 4"Pass
ITV Pass
Carmel, IN 46032
All devices passed during this inspectionAll devices passed during this inspectionAll devices passed during this inspectionAll devices passed during this inspection
DETECTION INSPECTION REPORTDETECTION INSPECTION REPORTDETECTION INSPECTION REPORTDETECTION INSPECTION REPORT
October 24, 2019
SO# 0
Novo
1215 S. Rangeline RD
Total devices inspectedTotal devices inspectedTotal devices inspectedTotal devices inspected
Riser in back room
Device LocationDevice LocationDevice LocationDevice Location TypeTypeTypeType CommentsCommentsCommentsComments
Not Tampered
Sensitivity RangeSensitivity RangeSensitivity RangeSensitivity Range
Not Tampered
WaterFlow Water Flow
Riser in back room
Sensitivity and Detection Inspection Report Page 5