HomeMy WebLinkAboutFire Alarm Inspection Report - Inspection - 11 BAYFIELD DRIVE 2/2/2022 - r
6 Progress Avenue,Unit#3
Tyngsboro,MA 01879
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FIRE ALARM INSPECTION REPORT
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Property Name /01 r d d.
Name: (t �� + 4 `' r�.n Inspection Date:
ij inspection Time: _ k_-J
s:
Address: �` �'P r �
Representative:
License No:
Telephone:
Monitoring Entity Approving Agency
Contact: 01's?11� S�'� cf�'"�� �L�. Contact: -A�
Telephone: _ �( ZU r' Telephone:
Monitoring Acct#: 3U
Type Transmission Service
McCulloh Weekly
Multiplex Monthly
Quarterly
Digital
Semiannually
Reverse Priority
RF Annually
Other(Specify)Dialer Other(Specify):
'7pl-
Control Unit Manufacturer: F C Model#:
Circuit Styles:
Number of Circuits:
L'.
l 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
Duct Detectors
Heat Detectors
Waterflow Switches
Supervisory Switches
Other(Specify):
Other(Specify):
Other(5pecify):
Other(Specify):
Alarm Verification feature is disabled _ enabled
Page 1 of 4
ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION
Quantity, Circuit Style
Bells
P r , Horns/Strobes
Chimes
Strobes
-- �-'----~- Speakers
Other(Specify):Booster-Fire Lite
No.of alarm notification appliance circuits: ,/
Are Circuits monitored for integrity? Yes No
SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION
Quantity Circuit Style
Building Temp.
Site WaterTemp,
Site Water Level
Fire Pump Power
Fire Pump Running
Fire Pump or Pump Cont
rollerTrouble
I` 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 Amps
(a) Primary(Main): Nominal Val ge v----- �v
l l Amps
Overcurrent Protection: Type
Location(of Primary Supply Panelboard): r f
Disconnecting Means Location: 1
(b) Secondary Standby: X 11 L/ Storage Battery:
24 60
Calculated capacity to operate system,in hours:
Engine-driven generator dedicated to fire alarm system:
Location of fuel storage:
TYPE BATTERY Lead-Acid
Dry Cell Other(Specify)
Nickel-Cadmium
Seated 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
scribed in NFPA 70,Article 702,which also
Optional standby system de
meets the performance requirements of Article 700 or 701.
Page 2 of 4
PRIOR TO ANY TESTING Who
Y,, No Time
,,f
' NOTIFICATIONS ARE MADE ��
Monitoring Entity �. ---
Building occupants Building Management
Management ^�_ _.—•------.— J�— "—�
other(SpecifY) J�—
AHJ Notified of Any Impairments ---•--
SYSTEM TESTS AND INSPECTIONS Comments
Visual/ FunctioPal
TYPE —.---
Control Unit
Interface Equipment ✓ —
Lamps/LEDs / 1
Fuses
Primary Power SupplY
i
Trouble Signals
Disconnect switches ___—.-----
Ground-Fault Monitoring
SECONDARY POWER Comments
Visual Functional r
TYPE --� �� �` � •
Battery Condition - JD
-
_.— ---
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
Settings Pass Fait
Visual Ck Func Test Fact Salting
Device Type -^
Comments:
page 3of�
EMERGENCY COMMUNICATIONS EQUIPMENT Visual
Functional Comments
Phone Set.Phone-jacks
Tone � _-
Tone Generator(s)
Call-in Signal
System Performance
Device
Visual Operations Operation
INTERFACE EQUIPMENT
(Specify) __------
(Specify) ----
(Specify)
SPECIAL HAZARD SYSTEMS
(Specify) -----
(Specify) __-
(Specify)
special Procedures:
Comments:
No Time Comments
SUPERVISING STATION MONITORING Yes
Alarm Signal '� ----- - -`
Alarm Restoration )
Trouble Signal
Supervisory Signal
Supervisory Restoration
_�—
Who Time
NOTIFICATlOINSTFIATTESTING IS COMPLE7
Building Management -- —� b^�3_ ' -- ---
Monitoring Agency
Building Occupants --------
other(Specify)
The Following did not operate correctly:
Time:
System restored to normal operation: Date: —
AS PREFORMED IN ACCORDAyCE WITH APPLICABLE NFPA STANDARDS-
THIS
'0 6
7 HIS TESTING W / Date: Time. _-__- -
Name of inspector
Signature:
Name of owner or Representative:
i
Date. Time:�-
C' Page 4 of 4
Signature:
Building/Site:
Inspection Date:
SD: Smoke Detector DD: Duct Detector l DA: Dampermete for DH: Door Holder PS: Pull Station RESULTS
ANN:Annunciator PWRS: Power Supp YFail
Zone Address# Pass
Dev'ce Location f
rr �
1 "^ r" ,
PV1
A
l� li
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Deficiencies:
Customer's Signature: —
inspector's Signatures: J ))
Page
Building/Site:
Inspection Date: .1
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 Locati n Zone Address# Pag Fail
�! 77, ,
1
t9s 7-7
i
E
Deficiencies:
F Customer's Signature: ,�
Inspector's Signatures: -�
Page