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HomeMy WebLinkAboutOPM - Wet - 6.1.2020Form for Inspection, Testing and Maintenance of Wet Pipe Fire Sprinkler Systems Location Code:IZEBTJN Contact:Kevin Fredrick Contact Address:PO Box 2021 Warren, MI 48090-201 Phone:317-744-3088 Email:kevin.fredrick@cbre.com Property Evaluated:Penn Mark I (Not Specified) 11595 North Meridian Street Carmel, IN 46032 Description:Wet (Entire building ) Job Number:18704599 Company:Ryan Fireprotection Inc. Address:9740 E. 148th St. Noblesville, IN 46060 Company Phone:800-409-7606 Inspector:Mike Stearley BF06-2974 Date of Work:6/1/2020 Frequency:Quarterly Attached Files There are no attachments for this submission Deficiency Summary There are no reported deficiencies for this submission General Comments There are no general comments for this submission Ryan Fireprotection Inc., 9740 E. 148th St., Noblesville, IN, 46060 Phone: 800-409-7606 Page 1 of 4 Ryan Fireprotection Inc. 9740 E. 148th St. Noblesville, IN 46060 Phone: 800-409-7606 Form for Inspection, Testing and Maintenance of Wet Pipe Fire Sprinkler Systems This form covers the minimum requirements of NFPA 25-2011 for wet pipe fire sprinkler systems connected to water supplies without tanks or fire pumps. Separate forms are available for fire pumps, tanks, hose connections, and other fire protection systems. More frequent inspection, testing, and maintenance may be necessary depending on the conditions of the occupancy and the water supply. Notes: All questions are to be answered Yes, No, or Not Applicable. All "No" answers are to be explained in the Comments for this form.1. Inspection, Testing and Maintenance are to be performed with water supplies (including fire pumps) in service, unless the impairment procedures of Chapter 15 of NFPA 25 are followed. 2. The work covered on this form is (select one):Quarterly Date of Work 6/1/2020 All responses refer to the current work (inspection, testing and maintenance) performed on this date. Owner: Kevin Fredrick Owner's Phone Number: 317-744-3088 Owner's Address: PO Box 2021, Warren, MI, 48090-201 Property Being Evaluated: Penn Mark I (Not Specified) Property Address: 11595 North Meridian Street, Carmel, IN, 46032 System(s): Wet (Entire building ) Part I - Owner's Section A. Is the building occupied? Yes No B. Has the occupancy and hazard of contents remained the same since the last inspection? Yes No C. Are all fire protection systems in service? Yes No D. Has the system remained in service without modification since the last inspection? Yes No E. Was the system free of actuation of devices or alarms since the last inspection? Yes No Owner or Representative Kevin Fredrick Signature Date 6/1/2020 Part II - Inspector's Section A. Inspections 1. Weekly Items a. Control valves (including backflow preventer isolation valves) supervised with seals passed inspection in accordance with II.A.2.a below? Yes No N/A b. Relief port on RPZ not continuously discharging? Yes No N/A 2. Monthly Inspection Items (in addition to above items) a. Control valves and valves on backflow preventers with locks or electrical supervision: 1. In correct (open or closed) position? Yes No N/A 2. Lock or supervision in place? Yes No N/A 3. Accessible and free from external leaks? Yes No N/A 4. Provided with appropriate wrenches? Yes No N/A 5. Provided with appropriate identification? Yes No N/A b. Gauges on system in good condition and showing normal water supply pressure? Yes No N/A c. Alarm valve free from physical damage, trim in correct (open or closed) position and no leakage from retarding chamber or drains? Yes No N/A 3. Quarterly Inspection Items (in addition to above items) a. Fire department connections visible, accessible, couplings and swivels not damaged, gaskets in place and in good condition, plugs and caps are okay, identification sign(s) in place, check valve is not leaking, clapper in place and operating properly and automatic drain valve in place and operating properly? (If plugs or caps are not in place, inspect interior for obstructions) Yes No N/A b. Hydraulic nameplate (calculated systems) securely attached to riser and legible? Yes No N/A c. Alarm & supervisory devices not damaged? Yes No N/A d. Pressure reducing valves in open position, not leaking, with downstream pressure per design criteria, and in good condition with handwheels not broken? Yes No N/A ©2013 National Fire Sprinkler Association, 40 Jon Barrett Road, Patterson, NY 12563 (845) 878-4200, Form 25-13W-11 v2.2 Page 2 of 4 Ryan Fireprotection Inc. 9740 E. 148th St. Noblesville, IN 46060 Phone: 800-409-7606 4. Annual Inspection Items (in addition to above items) Not applicable 5. Fifth Year Inspection Items (in addition to above items) Not applicable B. Testing - Report any failures in the Comments for this form 1. Quarterly Tests a. Mechanical waterflow alarm devices passed tests (alarms actuated and flow observed)? Yes No N/A b. Main drain test for system downstream of backflow device or pressure reducing valve: 1. Record static pressure (psi) and residual pressure(psi): System Test Pipe Size Static (psi)Residual (psi)Time to Stabilize (sec) Pressure After (psi) Comments Results 5th Floor 1”Na Na Pass Fail N/A 4th Floor 1”Na Na Pass Fail N/A 3rd Floor 1”Na Na Pass Fail N/A 2nd Floor 1”Na Na Pass Fail N/A 1st Floor 1”Na Na Pass Fail N/A Pump Room Main Flow NA 94 Na Pass Fail N/A 2. Was flow observed? Yes No N/A 3. Are results comparable to previous tests? Yes No N/A 2. Semiannual Tests (in addition to previous items) Not applicable 3. Annual Tests (in addition to previous items) Not applicable 4. Tests for every fifth year (in addition to appropriate items) Not applicable C. Maintenance 1. Regular Maintenance Items a. If any sprinkler failed the sampling testing of Parts II.B.3.d, e, f, g or h of this form, were all sprinklers represented by that sample replaced? Yes No N/A b. If sprinklers have been replaced, were they proper replacements? Yes No N/A c. Marine systems normally having fresh water were drained and refilled twice if raw water got into the system? Yes No N/A d. Heat tape inspected per manufacturer's instructions? Yes No N/A e. If any of the following were discovered, was an obstruction investigation conducted? Explain reason(s) and obstruction investigation findings in the Comments Yes No N/A 1. Defective intake screen on pump supplied from open sources 2. Obstructive material discharged during flow tests 3. Foreign material in dry-pipe valves, check valves or pumps 4. Foreign material in water during drain test or plugging of inspector's test connection 5. Plugging of pipe or sprinklers found during activation or work 6. Record of broken mains in the vicinity 7. Abnormally frequent false-tripping of dry-pipe valves 8. Failure to flush yard piping or surrounding mains following new installation or repairs 9. System is returned to service after an extended period of time out of service (more than one year) 10. There is reason to believe the system contains sodium silicate or its derivatives or highly corrosive fluxes in copper pipe 11. Raw water was pumped into the fire department connection 12. Pinhole leaks f. If conditions were found that required flushing, was flushing of the system conducted? Yes No N/A g. Was a drain test conducted after opening any closed valves? Yes No N/A h. Adjusted, repaired, reconditioned or replaced components had the associated tests and/or inspections performed? Yes No N/A 2. Annual Maintenance Items (in addition to previous items) Not applicable ©2013 National Fire Sprinkler Association, 40 Jon Barrett Road, Patterson, NY 12563 (845) 878-4200, Form 25-13W-11 v2.2 Page 3 of 4 Ryan Fireprotection Inc. 9740 E. 148th St. Noblesville, IN 46060 Phone: 800-409-7606 Part III - Comments Any "No" answers, test failures or other problems found with the sprinkler system must be explained using the comment specific for each question. Additional comments can be added here. Please see the summary section at the top of the form for the comments. Part IV - Inspector's Information Inspected By Mike Stearley Inspector License:BF06-2974 I state that the information on this form is correct at the time and place of my inspection, and that all equipment tested at this time was left in operating condition upon completion of this inspection except as noted in the Comments. Signature of Inspector Date 6/1/2020 ©2013 National Fire Sprinkler Association, 40 Jon Barrett Road, Patterson, NY 12563 (845) 878-4200, Form 25-13W-11 v2.2 Page 4 of 4