HomeMy WebLinkAboutClean Agent Inspection - Inspection - 420 GREAT POND ROAD 9/10/2020 t
IMPACT FIRE
2$HAMPSHIRE OR
A T I E
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HUD ON,NH 03051
CLEAN! AGENT INSPECTION,TION,TESTING & MAINTENANCE REPORT I
ACCORDANCE WITH NFPA 2001, 12, 1 A, and 72 STANDARDS
Customer Name:TOWN OF NORTH ANDOVER-DIVISION of PUBLIC WORKS System Location:
Street: AT€N:STEVE FOSTER FACILITIES DIRECTOR,W OSGOOD STREE1 North Andover Water Treatment
City: NORTH ANDOVER 420 Groat Fond Rd
State: MA FZIP: 01845 forth Andover, MA o 1845
Impact Invoice#: Academy WO# Inspector:
19524895 Mike Lorandeau
System Location:Control room Date:09 10/20 0 0:00am EDT
1.SYSTEM TYPE
Manufacturer:Amerex
.. ........................................
I-Talon 1301 H - a F - O0 I over l pphir ARO-25
IIEREII -54 FE-1.3 other:
Date of Installation: Month: Year: 2013 Unknown: ❑
Installed By: Tri State Fire ProtectionUnknown:
Type of System: Engineered: Pre-En ineered:R]
II. PROTECTED SPACE
1. Are as built drawings available for use Yes o NA
2. Protected space reflects as built drawings Yes v. fro CIA
3, Correct nozzle coverage and spacing for protected space Yes v No NA
4. All visible discharge piping and conduit is properly supported Yes v No NA
5. All visible discharge piping is the proper pipe schedule and rating Yes No I
5. Has the room/protected space been modified since the last Yes o A
inspection/installation?
f
7.
Are there wall penetrations in protected space which may impair
performance?
Yes o � IAA
system p
g. Appropriate signage in place and legible Yes E7] No NA
(Votes:
fll.SIRE SUPPRESSION CYLINDERS
1. Cylinders are free from damage or corrosions Yes E
l: No NA2. Cylinders are mounted and secured Yes No NA
3. Flexible hoses are attached,undamaged,and have been hydro- Yes �✓ No NA
tested within 5 years.
4. Flexible discharge/actuation hoses QTY Size Hydro
1 24°pilot 2018
QTY Size Hydro
CYLINDER RECORDS(Provide Additional Sheet if Required)
Serial No. Grass k.bs.Agent/ PSI Temp Liquid Level Hydro Date
Weight Cu Ft. (in)
AA569014 189.5# 104# 360 70 2012
AA568991 : 189.8# 104# 360 70 2012
Ill. DETECTION i CONTROLS
OL
(Quantities must be recorded)
Basic Data
1. Primary Panel Manufacturer: Potter* Modek PF -607 R
. Secondary Panel Manufacturer: Model:
. Remote Annunciators Yes fro v QTY
4. Remote Power Supply Yes fro V QTY
S. Air Sampling Detectors i.e.VESDA Units) Yes No v CITY
. Abort Switches Yes No QTY 1
7. Keyed Maintenance Switches Yes No. TY 1
Detection&Controls Functional Inspection
1. System normal upon arrival Yes v N
. Tested signals to building fire alarm panel Pass v Fail NA
3. Tested signals to Building Management Systems Pja
Fail N
4. Tested ground-fault/open circuits for trouble signal PFail
S. Tested Disconnect Switches PFail
. Remote graphic annunciators tested PFall f A ry]
7. Emergency power provided Yes No
. Battery charger and load test performed Pass + Fail
. Battery Type: SLA Size: 120 o h Date:2018
10. Sequence of operations Pass Fail
11. Audio Visual devices tested Pass v Fail
FI
12. where all equipment shutdown features exercised Yes No NA �
13. Dampers close Yes v No NA
14. Doors close and clear of obstructions Yes . .. No NA
15. HVAC shutdown Yes No NA
16. Actuation Devices Tested Yes No
17. System connected to Pre-action sprinkler Yes No v
Seguence of 0 erations:
Bell ❑ NIA ❑Trouble d 1st alarm ff] 2m alarm El Discharge
Horn/strobe El N/A ❑Trouble ❑ 1st alarm El 2 alarm El Discharge
Strobe
ffI N/A ❑Trouble ❑ 1st alarm ❑ 2rd alarm ❑ Discharge
Fire alarm trouble signal El NIA �Trouble ❑ 1st alarm El2na alarm ❑ Discharge
Fire alarm signal ❑ ILIA ❑Trouble El st alarm El �' alarm ❑ Discharge
g
HVAC shutdown El NIA ElTrouble El 'Ist alarm El 2` alarm ❑ Discharge
Equipment shutdown NIA ❑ Trouble El1st alarm El a alarm ❑ Discharge
Monitoring company 0 NIA ❑ Trouble El t alarm Eln alarm ❑ Discharge
Other 2 i t El Trouble El 1st alarm ❑ �alarm ❑ Discharge
Notification Appliances
Device Type QTY Manufacturer Model Location Test Results
Bell 1 Potter MBA-6-24 Control room Pass
Horn strobe 3 Potter 2 Inside,2 outside mnW mm Pass
Initiating Devices
Device Type Manufacturer/Model Address Quantity Test Results Transport Time
Pass/Pall (If Applicable)
Photo Smoke Potter PSA 4 Pass NIA
Man release Potter 2 Pass NIA