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Home My WebLink About3-20 HC4 Sprinkler InspectionSprinkler System Annual Semi-Annual Quarterly Other 6011 E HANNA AVENUE, SUITE A Work Order #:_______________ INDIANAPOLIS, IN 46203 PHONE (317) 872-7360 Inspection Date:______________ FAX (317) 872-2133 www.grunau.com Inspection Location Property Name: Site #: Address: City: State: Zip: Contact: Phone #: Email: Date: Owners Section Yes NA No A. (To be answered by the Owner or the Owners representative) Was owner available? Owner/Rep. Signature 1. Have there been any changes in the occupancy classification, machinery or operations since the last inspection? 2. Have there been any changes or repairs to the fire protection system since the last inspection? 3. If a fire occurred since the last inspection, have all damaged sprinkler system components been replaced? 4. Has the piping in all dry systems been checked for proper pitch within the past five years? Date last checked 5. Has the piping in all systems been checked for obstructive materials? Date last checked 6. Have all fire pumps been tested to their full capacity through the use of hose streams or flow meters within the past 12 months? 7. Are gravity, surface, or pressure tanks protected from freezing? 8. Are any of the sprinklers 50 years or older? (Testing and/or replacement is recommended for such sprinklers) 9. Are any extra high temperature solder sprinklers regularly exposed to temperatures near 300°F? B. (To be answered by the inspector) 1. Have the sprinkler systems been extended to all visible areas of the building? 2. Does there appear to be proper clearance between the top of all storage and the sprinkler deflector? 3. In building areas protected by a wet system, does it appear to be heated, including its blind attics and perimeter areas, where accessible? Control Valves 1. Are sprinkler system main control valves readily visible and in the appropriate open or closed position? Control Valves No. of Valves Type Easily Accessible Signs Valve open Sealed, Supervised or Locked Supervision Operational Yes No Yes No Yes No Yes No City Conn Control Valves Tank Control Valves Pump Control Valves Sectional Control Valves System Control Valves Other Control Valves Cushman & Wakefield Hamilton Crossing 4 Sprinkler System Annual Semi-Annual Quarterly Other 6011 E HANNA AVENUE, SUITE A Work Order #:_______________ INDIANAPOLIS, IN 46203 PHONE (317) 872-7360 Inspection Date:______________ FAX (317) 872-2133 www.grunau.com Main Drain Test Results Made During This Inspection Test Pipe Located Size Pipe Test Static PSI Before Residual Psi Static Psi After Test Pipe Located Size Test Pipe Static Psi Before Residual Psi Static Psi After Tanks, Pumps, Fire Department Connections Yes NA No A. Do fire pumps, gravity, surface or pressure tanks appear to be in good external condition? B. Are the gravity, surface, and pressure tanks at the proper pressure and/or water levels? C. Are the fire department connections in satisfactory condition, couplings free, caps or plugs in place and check valves tight? D. Are fire departments connections visible, accessible, and properly labeled? Wet Systems A. No. of Systems ____________________ Make and Model______________________________________________________________ B. Was the date of the gauge(s) checked, since gauges are required to be tested with a calibrated gauge or replaced every five years? If tested with a calibrated gauge and the gauge was not within 3% over the full scale they must be recalibrated or replaced Date: C. If applicable, have any dry sprinklers more than 10 years old had a representative sample tested? D. Have all known and readily apparent antifreeze systems been tested? E. Date antifreeze systems were tested __________________________________ F. The antifreeze test indicate protection to temperature: Sys. 1 Sys. 2 Sys. 3 Sys. 4 Sys. 5 G. Did alarm valves, water flow alarm indicators and retards test satisfactorily? Alarms Yes NA No A. Did exterior water flow alarm(s) operate during testing? B. Did the electric alarm(s) operate during testing? C. Did the supervisory alarm service test satisfactorily? Sprinklers-Piping A. Do sprinklers generally appear to be in good external condition? B. Do sprinklers generally appear to be free of corrosion or loading and visible obstructions? C. Are spare sprinklers available on the premises? D. Does the exterior condition of the fire sprinkler system appear to be satisfactory? E. Does hand hose on the sprinkler system appear to be satisfactory condition? Sprinkler Head Identification MFG Model Size Temperature Year Alarm and Detection Report . Annual Semi-Annual Quarterly Other 4341 W. 96TH STREET Work Order:_________________ INDIANAPOLIS, IN 46268 PHONE (317) 872-7360 Inspection Date:______________ FAX (317) 872-2133 www.grunau.com #Location Zone Device Type Manufacturer Model Visual Check Funct’l Check Factory Setting Measured Setting Trip Time (Sec) Results Sprinkler System Annual Semi-Annual Quarterly Other 6011 E HANNA AVENUE, SUITE A Work Order #:_______________ INDIANAPOLIS, IN 46203 PHONE (317) 872-7360 Inspection Date:______________ FAX (317) 872-2133 www.grunau.com Explanation Of Any (No) Previous Answers Above That May Represent A Problem, Or Comments From The Inspector Adjustments Or Corrections Made: Signatures Inspection Contractor: Grunau Company, Inc. 6011 E Hanna Avenue, Suite A Indianapolis, IN 46203 Owner/Owners Authorized Representative: Technician: Signature: Signature: Name: Name: Date: Date: