HomeMy WebLinkAboutFire Alarm Inspection Report - Inspection - 11 BAYFIELD DRIVE 2/26/2020 4
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6 Progress Avenue,Unit
Tyngsboro,,MA 01879
FIRE ALARM INSPECTION REPORT
Property Nat
Zane: .............. �: I n i 3 Date: A/1)
Address: I ns pecti on Time:
Representative, Ll i
License No.-
Telephone:
MonitoringEntity Approving A e c �
Contact: Contact;
{
Telephone: e;
t � Telephone:
Monitoring Acct
Type Transmission Service
Mc ull In Weekly
Multiplex Monthly
Digital Quarterly
Reverse priority Semiannually
RF Anuallyr jz
Other el Dile'r other(Specify);
Control Unit Manufacturer: Model M.
Circuit Styles:
Number of Circuits:
Software Rev:
Last ]ate System Had Any Service Performance:
Last Date that Any Software or Configuration was Revised:
Quantity Circuit Style
Manual Fire Alarm Pulls
Ion Detectors
Photo Detectors
Duct Detectors
Heat Detectors
Water low Switches
Supervisory Switches
Other(Specify):
other(Specify).-
Other Specify :
Other(Specify):
Alarm Verification feature isdisabled enabled
Pace I of
ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION
i h
antic Circuit Style
, Bells
Alt Horns/Strobes
chimes
- Strobes
Speakers
{
Other Specify):Booster—Fire Lite
No.of alarm notification appliance circuits:
Are Circuits monitored d for integrity? Yes No
SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION
Quantity Circuit Style
Building Temp.
Site dater Temp.
Site Vila to r Level
Fire Pump Power
Eire Pump Running
Fire Pump or Pump ControllerTrouble
Fire Pump Running
elnerator In Auto Position
Generator or Controller Trouble
Sll Itch Transfer
Generator Engine Running
Other(Specify):
SIGNALING LINE CIRCUITS
Quantity and style of signaling line circuits connect to system
Quantity Style(s)
SYSTEM POWER SUPPLIES
a Primary(Main): Nominal Volta a Amps .266
erculrrent Protection: Type Amps
Location ( y Su of Primary Panelboard): r �A
Supply
Disconnecting deans Location: - f��, � 42 1"
L f e Z
(b) Secondary Standby: � ......�� Storage Battery:. .�
�
Calculated capacity to operate system,in hours: 24 ..,,..,.�60
En g 1neid rive ln generator dedicated to fire alarm system:
Location of fuel storage:
TYPE BATTER'S
Dry Cell Lead-Acid
Nickel-Cadmium Other(Specify)
Sealed Lead-Acid
c Emergency or standby system used as a backup to primary power supply,instead of using
a secondary power supply
Emergency system described in NFPA 70,Article 700
Legally required standby described in C FPA 70,Article 701
ptionaI standby system described in N FPA 70,Article 70 ,w hich also
meets the perforrnance requii rem ents of Article 700 or 701.
t Page 2 of
Building/Site.
Inspection Date:
D: Smoke Detector DD: Dint Detector D: Bearer Detector D : Door Holder PS: Pull Station
NN: Annunciator MRS: Power Suppler D : Damper Activation
RESULTS
Device Location Zone Address# Pass. Fail
i 0
.
JA
f f .
t
. #
Deficiencies:
ust r er Signature-.- .<.. ... - .. ,..m�.� _�..�'•rv:s,
Inspector's Signatures: 4
,
Pge� .
Building/Site:
Inspection Date: { r }
D: Smoke Detector DD: Duct Detector BD: Beam Detector- DH: Door Holder PS: Pull Station
ANN: Annunciator P1 F : Power Supply D : Damper Activation
RESULTS
Device Location Zone Address# Pecs Fail
T
t�•� ', .'# f �F fir. `''
Deficiencies:
T
Customer's S n ture: �.-..__.._ �r..,..•..__,
Inspector's Signatures:
Pag
f
5
PRIOR TO ANY TESTING
NOTIFICATIONS ARE MADE Yes No WhoTime
t
Monitoring Entity J f# .` } WIG
Building occupants
Building Managem.ent , ram
Other(Specify)
AHJ Notified of Any Impairment
SYSTEM TESTS AND INSPECTIONS
TYPE Visual Functional Comments
Control Unit
Interface Equipment • ±
L ps ED
Fuses "
Primary Power SupplyxY -
Trouble Signals
Disconnect Switches
Ground-Fault Monitoring
SECONDARY POWER
TYPE Visual Functional Comments Battery Condition
7,111
i
Load Voltage lijij"leI
Discharge Test _ �,. #
Char er Test f41
�
Specific Gravity
TRANSIENT SUPPRESSORS
REMOTE ANNUNCIATORS
NOTIFICATION APPLIANCES
Audible t
Visible f.
Y
Speakers
Voice Clarity ' f -;
i
XNITIATING AND SUPERVISORY DEVICE TESTS'AND INSPECTIONS
Measured
i
Loc. N Device Type Visual Ck Func Test Fact Setting Settings Pass Fall
f
Comments:
is
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EMERGENCY COMMUNICATIONS EQUIPMENT T Visual Functional Comments
Phone Set
Phone-.hacks ' }
Tone Generator(s
Call-in Signal
System Performance
Device
INTERFACE EQUIPMENT Visual operations Operation
(Specify) ,,,........----.
(Specify)
i
(Specify) M .....,.... „.� �
SPECIAL HAZARD SYSTEMS
(Specify)
„M,,......
(Specify)
„....__... .......
(Specify)
....,......... -
Special Procedures:
Comments:
t
SUPERVISING STATION MONITORING lies,, No Time Comments
Alarm Signal
Alarm Restoration
Trouble Signal
Supervisory Signal
Supervisory Restoration
ration
NOTIFICATIONS THAT TESTING IS COMPLETE Who Time
Building Management ��' T�, f�,,{f,� � {���0
f
Monitoring Agency '
Building Occupants
Other (Specify
The Following dial not operate correctly:
System restored to normal o eratiom Date: - ) :
THIS TESTING WAS PREFORMED Ili ACCORDANCE CE WITH APPLICABLE NFPA STANDARDS.
Name of lnspecto. # w �.-' { ' # Time: J
4 '" -
Signature.*
Name of Owner or Representative:
i
* ate: r+'.X'
rJJ+y[ 7Ei��+y*,+��
J' i R i� : r
Signature:
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