HomeMy WebLinkAboutFire Alarm Inspection Report - Inspection - 815 CHESTNUT STREET 11/26/2019 i f ,
F6 ProgressAvenue,Unit
Tyngsboro,MA 01879
�. FIRE ALARM INSPECTION REPORT
property Nabs
. inspection Date: .� _ --
9
Name.
� Inspection Time: ,
Address:
Representative:
License No.,
Telephone.
Approving Agency
Monitoring EntitY Contact: � � e
Contact:
61C �+
Telephone,
Telephone:
Monitoring itoring Acct
Service
Type Tra sm ssio
Weekly
Mculloh
Monthly
Multiplex
Quarterly
Digital Semiannually
Reverse Priority
Annually
P
r other(Specify);
other(Specify) Dialer
oo
Model#:
Control Unit'Manufacturer:
Circuit Styles:
Number of Circuits. �
Software Rev:
Last Date System Had Any Service Performance;
that Software o onfiguration was Revised:
Last Dade y
rv�it sty
Quantity
ll
Manual Fire Alarm Pulls
Ion Detectors
Photo Detectors
Duct Detectors
Heat Detectors
Ilaterlow Switches
Supervisory Switches
Other(Specify).
Other(Specify :
Other(Specify):
Other(Specify):
i disabled
enabled
Alarm Verification feature s
}
Page 1 of
ALARM oTI IC o
orns/Strobes
Chimes
Strobes
Speakers
e i y :Booster Fire Lite
r"
` ataotn appliance Bruits-
o.of alarm not fi o
Are Circuits mo
r stored for integrity? yes iES AND CIRCUIT IFMAof,
v�So SIGNAL-INITIATING
SUPSCircuit style
fli `fir .
nti Y
Site water Tern .
ite eater Level
Fire pump Power
Fire Running
' � Controller
Fire Pump or Pump Contr
- Fire Pump Running
Generator in Auto position
enr
actor rController Trouble
Switch Transfer
Generator Engine Running
nning,
other
-Li CIRCUITS t n�
SIG ALL circuits connect to sys
an
st le f signaling line
Quantity a y
style(s),x.
Quantity '
po SUPPLIES
S 0
Amps
1S ' [ lorr)rna A
mPs
a o
Typea (Main)-'
), t
C
"
Protector :
erurrert
tion of Prime
ar ply Panlboard :
Loca
• Means o cation: �
icnect�rg storage. tier .
60
Secondary standby"•
ate system,in bourn
er dedicated to r afar system,
Calculated caacy t is -driven generator de +cat
ng� -
Location of fuel storage:
iio _
TPF BATTERY Lead-Acid
Dry Cell other(Specify)
ickelRCaciur
id per ugly,instead using .
Sealed .ead A as a backup to primary o
c Emergency o
r standby system used
ndar power uI FPA f Artie
a seco enc system described in} 700
Emerg PA 0,Article 0 .
Legally required`;red standby described�'n "'� which also
• systet�n describe
d in NFPA 70,Article02,
Optional standby
t} Article Too or 1.
meets the
performance reuirret o
Page o
}
PRIOR To ANY TESTING
A Yes w , +,
NOTIFICATIONS ARE M � {
Monitoring Entity
Building Occupants .
Building Management
ent
otter(Specify) -
A J Notified of Any impairments �.... -
SYSTEM TESTS AND I S ECTIONS
isu I u � ll Comments
TYPE
Control Unit
Interface Equipment
Larnps/LEDS
Fuses
Primaty P wer supply
Trouble Signals. T
Disconnect Switches
Ground-Fault Monitoring
-------------
SECONDARY POWER
FunTYPE n l Comore s
Vis
ti
------------
Battery Condition
Load Voltage
Discharge Test
Charge
Specific Specific ----------
Gravi y
TRANSIENT SUPPRESSORS
REMOTE TE ANNUNCIATORS
NOTIFICATION APPLIANCES no)
Audible
�.#. NN
Visible
Speakers
Voice Clarity
ERViSORY DEVICE TESTS AND INSPECTIONS
INITIATING AND SUP
Measured
'visual C urn Test � t S ��ir�
Settings
Pass - Fail
L ,&S/N Device Type
-------------
--------------
Comments:
}
}
} Page 3 of
}
`EMERGENCY VisualFunctional Comments
COMMUNICATIONS EQUIPMENT
Phone Set
Phone-Jabs '
Tone Generator
Call-ire Signal =
System Performance
Deie
INTERFACE EQUIPMENT
Visual Operations Operation
(Specify) .�
(Specify)
(Specify)
SPECIAL HAZARD SYSTEMS
(Specify)
Special Procedures:
Comments:
' IS�HG ST T No Time
ON MONITORING Yes
Comments
SUPS �
Alarm Signal
F
Alarm Restoration
Trouble Signal
Supervisory Signal
Supervisory Restoration -
WhoTime ,
NO
TI CATIONS THAT TESTING MS Co LET ;
uildinManagement � '
Monitoring Agency
Building occupants _
Other(Specify)
The Following did not operate correctly:
System restored to nor nal operation.
Da . Time: .
WITH APPLI ALE F A .
THIS 'ESTIHG WAS PREFORMED IN ACCORDANC E I f STANDARDS
4
Date: `i r e.
Name of inspector.
Signature; .. ..,.
Name of Owner or Representative:
} Time
Date:
4 , r Page
Building/Site: , -
Inspection Date:. r
t
f
SM Smoke Detector DD:Duct D ieetor BLS:Beery Detector DID:Doer Holder PS:Pull Station
A l:Annunciator PW :Power Supply DA:Damper Activation
RESULTS
Device Location Zone Address# Pass bail
V a - 6V I/
kr
5 (O t
6 1,16)
1mol
10631
. 17 r �(j
.... ...........C;0BPI
.
Lw� level
.-..L P,1z
r
1Y N-01
1(?(-) 16
A Q I I PO.1 C11 1z
P Ali
If
Ire K #
IA
I rloa -OIAN k 6�rl
Y J,
1.126) �
} f 1oo Iv
ti H
t (60 i')
0011`►
Deficiencies:
Customer's Signature:
Inspector's Signatures.
k Page
