Pre-Action Sprinkler Systems

Quarterly Maintenance
Date_____________________ Facility_____________________________________________________________ Building__________________________________________ System No._____________ Checkpoints Fire Department Connection Inlet caps missing. Couplings damaged. Couplings do not rotate smoothly. Gaskets missing or deteriorated. Clapper valves do not close completely. Visible or exterior obstructions. Control Valves Valves leak. Valve not secured in open position. Visible or exterior obstructions. Riser Leaks. Visible or exterior obstructions. Bracing damaged. Gauges Gauges damaged. Gauge valves turned off. System pressure. [ psig] Supply pressure. [ psig] Air supply not in service. Sprinklers Leaking, corroded, or painted. Flow obstructed. Installed in incorrect position (upright or pendant). Extra sprinklers and wrench not available. 18" of clearance not provided below all sprinklers. Detection Devices Air piping damaged. Heat actuation devices damaged. Electrical wiring damaged. Miscellaneous Pipe supports missing or damaged. System pipe used to support non-system components. Operate inspector's test valve and verify that local and remote water flow alarms actuate within 90 seconds. Main drain test static pressure. [ psig] Main drain test residual pressure. [ psig] Test all tamper switches or supervisory devices for receipt of trouble alarm at the fire alarm control panel. Trip test the system annually by actuating detection devices. Test all detection devices. Inspected by_________________________________________________________________
(Print name and company)

N/A

Yes

No

Signature_____________________________________________ Date__________________
Copyright 2003 American Institute of Chemical Engineers