HomeMy WebLinkAbout1998-10-28 Merit Fire Protection Report of Inspection .. — _ ,,o, MERIT FIRE PROTECTION
9 Oak venue -• St. MN 55104 • (612) 6. 1
SHEET 1 OF 2 - Use separate sheet tor each building inspection
Inspection Report No. _ ' ___- REPORT OF INSPECTION Inspection Contract No. _
Conferred With Bureau File No. _
REPORT TO h ikr'L! 1 0.4' /001_4'
—_ —_ —_ BUILDING OR LOCATION
STREET - fib . /
V INSPECTOR _ /e/r., /till).. '
CITY & STATE Oi1' / ! 7 / 1 llc ,c)11 J 14v DATE �U- )9. 'To
Owner's Section (To be answered by Owner or Occupant)
A. Explain any occupancy hazard changes since the previous inspection.
B. Describe fire protection modifications made since last inspection.
C. Describe any fires since last inspection. _____
.,. D. When was the system piping last checked for stoppage, corrosion or foreign material?
E. When was the dry- piping system last checked for proper pitch?
F. Are dry valves adequately protected from freezing? _ _ t
Signature ____ Title Date
Inspector's Section (All responses reference current inspection) NA = NOT APPLICABLE
1. General �f
a. Is the building occupied? ❑ No
b. Are all systems in service? (. 'es ❑ No -
c. Is there a minimum of 18 in. (457 mm) clearance between the top of the stora and the sprinkler deflectors? 424es ❑ No
d. Does all electrical heat tape appear to be satisfactory? ❑ Yes ❑ No [ (A ;`
e. Does the hand hose on the sprinkler system(s) appear to be satisfactory? ❑ Yes ❑ No bd't
2. Control Valves (See Item 15.)
a. Are all sprinkler system control valves and all other valves in the appropriate open or closed posit ? es ❑ No
b. Are all control valves in the open position locked, sealed or equipped with a tamper switch? es ❑ No
3. Water Supplies (See Item 16.)
a. Was a water flow test of main drain made at the sprinkler riser(s)? es ❑ No
4. Tanks, Pumps, Fire Department Connections
a. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? ❑ Yes No ❑ 44/r
b. Are fire department connections in sati5factory condition, couplings free, caps in place, and check valves tight? es ❑ No ❑ NA
Are they accessible and visible ?es ❑ No ❑ NA
5. Wet Systems
a. Are cold weather valves (O.S. & Y.) in the appropriate open or clo d position? ❑ Yes ❑ No [Et1QA
b. Have antifreeze system solutions been tested? ❑ Yes ❑ No
c. Were the antifreeze test sults satisfactory? ❑ Yes ❑ No A
d. In areas protected by w system(s), does the building appear to be properly heated in all areas, including blind attics a perimeter areas
where accessible? es ❑ No ❑ NA Do all exterior openings appear to be protected against freezing? es ❑ No gabee
6. Dry Systems (See Items 11 to 13.)
a. Are dry valve(s) in service? ❑ Yes ❑ No E'NA /
b. Are the air pressures and priming water levels in accordance with the manufa er's instructions? ❑ Yes ❑ No B• Q'A
c. Has the operation of the air or nitrogen supplies been tested?❑ Yes ❑ No - Are they in service? ❑ Yes ❑ No effir
d. Were low points drained during this inspection? ❑ Yes ❑ No
• e. Did quick - opening devices operate satisfactorily? El Yes ❑ No A
f. Did the dry valve(s) trip properly during the trip pressure test? ❑ Yes ❑ No EI NA ^,�--�'
g. Did the heating equipment in the dry-pipe valve room(s) operate at the time of inspection? ❑ Yes ❑ No'A
7. Special Systems (See Item 14.)
s a. Did the deluge or pre -action valves operate properly during testing? ❑ Yes ❑ No
b. Did the heat - responsive devices operate properly during testing? ❑ Yes No A
c. Did the supervisory devices operate during testing? ❑ Yes ❑ No [�'NA
8. Alarms
a. Did water motor(s) and gong(s) test satisfo Ej rily? ❑ Yes ❑ No -NA
b. Did electric alarm(s) test satisfactorily? Yes ❑ ❑ NA
c. Did supervisory alarm service test satisfactorily. Yes ❑ No ❑ NA
9. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? ❑ No
b. Are sprinklers less than 50 years old? (Old r sprinklers require sample testing) es ❑ No
c. Are quick response and residential spri rs less than 20 years old? (Older sprinklers require sample testing) es ❑ No
d. Is stock of spare sprinklers available? Yes ❑ No
e. Does the exterior condition of sprinkler system appear to be satisfa ? es ❑ No
f. Are sprinklers of proper temperature ratings for their locations? es ❑ No
10. Explain any "No" answers and comments: —
Signature: i...- / Date:
ifir
W E - Original GREEN - Subscriber YELLOW - Insurance Bureau
••• /'••■
' MERIT FIRE PROTECTION '' --.,
9 Oakt., , .venue • St. Paul, MN 55194 • (612) 65 .,-> .,1
0sHEET 2 OF 2 - Use separate sheet for each system inspection. PA ,H L r .' s System N. or Descript n if multiple
111 " b bl / e i systems d " "�' / s .el
Inspection Report S �V �" / % ` /;; % r r , , /J:.r) r —
No. art jrj �, i /ii.. ,/lie mi" .
i
11. Date dry-pipe valve trip tested (control valve partially open) 4 (See Trip Test Table which follows.)
12. Date dry-pipe valve trip tested (control valve fully open) _ (See Trip Test Table which follows.)
13. Date quick- opening device tested /ii //) (See Trip Test Table which follows.)
DRY VALVE TRIP TEST TABLE c.o. •
M • MODEL SERIAL NO. MAK MODEL SERIAL NO.
DRY PIPE Time to Trip . ter • it Trip Point Time Water Reached Alarm Operated
OPERATING Thru Test Pipe Pressu Pressure Air Pressure Test Outlet Properly
n/ } TEST MIN. SEC. - PSI PSI MIN. SEC. YES NO.'
7 " �t Without
Q.O.D.
With
14. Date deluge or preaction valve tested /" !�! (See Trip Test Table which follows.)
T' IP TEST TABLE
Oper - . .n 0 PNEUMATIC z ELECTRIC D HYDRAULIC
Piping Su. ised 0 YES O NO I Detecting media supervised DYES DNO
DELUGE & Does valve ope - from the . ual trip and /or remote control stations DYES DNO
PREACTION
VALVES Is there an accessible in each cvcuit for testing Method of testing-circuits
• S ONO
Does each circuit operate Does each circuit Maximum time to
MA MODEL vision loss alarm operate valve release operate release
Y NO YES NO YES NO
15. See Control Valve Maintenance Table.
Control Valve Maintenance Table Explain
Abnormal
Control Valves Number Type L Open Secured Closed Signs Condition
City Connection Control /� f
Valve / V ✓' r� i ,,, , ; IeA' e / `gJ,'y) /"
Tank Control Valves j'
Pump Control Valves
Sectional Control Valves
System Control Valves //
j .,/ 4. �
^ '
.X (f� 3 /Ai�jt' Y"t'r� °
j /,riv ,,, A /Other Control Valves / t /�vj'+(� 1� .•- ' _ V }- /. . r � y '�o c/
r 0..v y ot Q /
16. Water Flow Test at Sprinkler Riser ✓
Water Supply Source: City Tank Pump
Date Test Pipe Size of Static Residual
Location Test Pipe Pressure (Flow)
9P Pressure
Last Water Flow Test S-6 ..9d , 5P/ o' �✓ 1 5',5-- This Water Flow Test /p -0 SP" i/ 4 0 r5"
17. Explain any "No" answers and comments:
18. Adjustments or corrections made during this inspection:
19. Although these comments are not the result of an engineering review, the following desirable improvements are recommended:
Signature: 1-'t•, s eV Date:
/ 24f) i�i
WHI GREEN - Subscriber YELLOW - Insurance Bureau