HomeMy WebLinkAboutFire Alarm Inspection Report - Inspection - 1070 OSGOOD STREET 1/26/2022 4A, 6 Progress Avenue,Unit#3
A&I �. Tyngsboro,MA 01879
FIRE ALARM INSPECTION REPORT
Property Name f
Name: Inspection Date: "
Address: t Inspection Time: _ r
Representative: '
License No:
Telephone; i ---
Monitoring Entity Approving Ag c
Contact: ( Aro,, i�n Contact:- 711m J'
Telephone: �r Telephone: � 5 '
Monitoring Acct#:
Type Transmission Service
McCuiloh Weekly
Multiplex Monthly
Digital Quarterly
Reverse Priority Semiannually
RF Annually
Other(Specify)Dialer Other(Specify):
Control Unit Ma f turer: e 1) Model#: -
Circuit Styles:
Number of Circuits: r (I
Software Rev:
Last Date 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
gg Duct Detectors
Heat Detectors
Waterflow Switches
Supervisory Switches
Other(Specify):
Other(Specify):
Other(Specify):
Other(Specify):
Alarm Verification feature is disabled enabled
Page 1 of 4
ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION
Quantity Circuit Style
Bells
Horns/Strobes
Chimes
Strobes
Speakers
Other(Specify):Booster—Fire Lite
No.of alarm notification appliance circuits:
Are Circuits monitored for integrity? Yes i<f No
SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION
Quantity Circuit Style
Building Temp.
Site Water Temp.
Site Water Level
Fire Pump Power
Fire Pump Running
Fire Pump or Pump Controller Trouble
Fire Pump Running
Generator In Auto Position
Generator or Controller Trouble
Switch 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 Voltage Amps
3
Overcurrent Protection: Type 46AL C'f Amps 1 ry
Location (of Primary Supply Panelboar�): sclv1c'�,
Disconnecting Means Location. "6 01
(b) Secondary Standby: re, Storage Battery: "
Calculated capacity to operate system,in hours:_ .__ z 24 50
Engine-driven generator dedicated to fire alarm system:
Location of fuel storage:
TYPE BATTERY
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 NFPA 70,Article 701
Optional standby system described in NFPA 70,Article 702,which also
meets the performance requirements of Article 700 or 701.
Page 2 of 4
PRIOR TO ANY TESTING
NOTIFICATIONS ARE MADE Yes No Who Time
F
Monitoring Entity }....,__._ 1' T� . '..�.........._..
Building Occupants _....... . ......... °�9 i
Building Management f
Other(Specify)
AH] Notified of Any Impairments
SYSTEM TESTS AND INSPECTIONS
TYPE Visual Functional Comments
Control Unit _ _
Interface Equipment 1
Lamps/LEDS _ b�.
Fuses f
Primary Power Supply
Trouble Signals '#
Disconnect Switches
Ground-Fault Monitoring ' f'
SECONDARY POWER
TYPE Visual Functional Comments
Battery Condition E <�'
Load Voltage
Discharge Test
Charger Test
Specific Gravity
TRANSIENT SUPPRESSORS
REMOTE ANNUNCIATORS
NOTIFICATION APPLIANCES
Audible
Visible
Speakers
Voice Clarity
INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS
Measured
Loc.&S/N Device Type Visual Ck Func Test Fact Setting Settings Pass Fail
Comments:
Page 3 of 4
EMERGENCY COMMUNICATIONS EQUIPMENT Visual Functional Comments
Phone Set
Phone-Jacks
Tone Generator(s)
Call-in Signal
System Performance
Device
INTERFACE EQUIPMENT Visual Operations Operation
(Specify)
(Specify)
(Specify)
SPECIAL HAZARD SYSTEMS
(Specify)
(Specify)
(Specify)
Special Procedures:
Comments:
SUPERVISING STATION MONITORING Yes No Time Comments
Alarm Signal : d
Alarm Restoration
Trouble Signal
Supervisory Signal
Supervisory Restoration
NOTIFICATIONS THAT TESTING IS COMPLETE Who Time
Building Management L,
ge-
g'
Monitoring Agency "
Building Occupants iI
Other(Specify)
The Following did not operate correctly:
System restored to normal operation: Date: ' Time:
THIS TESTING WAS PREFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS.
Name of Inspector: � Date: 40
'" Time:
Signature:
Name of Owner or Representative:
Date: Time:
Signature .x 4
- Page 4 of 4
Building/Site:
Inspection Date:
SD: Smoke Detector DD: Duct Detector BD: Beam Detector DH: Door Holder PS: Pull Station
ANN: Annunciator PWRS: Power Supply DA: Damper Activation
RESULTS
Device Location Zone Address# Pass i=ail
f00,'a
.� f°ez. , .;jC
f
_ q i
&41�44Aj
_i 3
Deficiencies:
Customer's Signature: r' C % r10 `3 i ; , f
Inspector's Signatures: t-r -�
L-
a
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