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NATIONAL FIRE PROTECTION ASSOCIATION

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NFPA® 13 eForms

The enclosed eForms have been provided to assist users of the 2019 edition of NFPA 13, Standard for the Installation of Sprinkler
Systems. They are based on figures from the NFPA 13 standard and exhibits from the Automatic Sprinkler Systems Handbook. The
content has been reformatted where necessary for fit, and form fields and check boxes have been added so that data can be entered
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Table of Contents
Owner’s Information Certificate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 3
Seismic Bracing Calculation Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 5
Hydraulic Report Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 6
Storage Sprinkler Design Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 10
Plan Review Checklist ....................................................................... ............ Page 11
Contractor’s Material and Test Certificate for Aboveground Piping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 16
Contractor’s Material and Test Certificate for Underground Piping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 19
Sprinkler System General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 21
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Owner's Information Certificate

Name/address of property to be protected with sprinkler protection:

Name of owner:

Existing or planned construction is:


❏ Fire resistive or noncombustible
❏ Wood frame or ordinary (masonry walls with wood beams)
❏ Unknown

Describe the intended use of the building:

Note regarding speculative buildings: The design and installation of the fire sprinkler system is dependent on an
accurate description of the likely use of the building. Without specific information, assumptions will need to be made
that will limit the actual use of the building. Make sure that you communicate any and all use considerations to the fire
sprinkler contractor in this form and that you abide by all limitations regarding the use of the building based on the
limitations of the fire sprinkler system that is eventually designed and installed.

Is the system installation intended for one of the following special occupancies:
Aircraft hangar ❏ Yes ❏ No
Fixed guideway transit system ❏ Yes ❏ No
Race track stable ❏ Yes ❏ No
Marine terminal, pier, or wharf ❏ Yes ❏ No
Airport terminal ❏ Yes ❏ No
Aircraft engine test facility ❏ Yes ❏ No
Power plant ❏ Yes ❏ No
Water-cooling tower ❏ Yes ❏ No
If the answer to any of the above is “yes,” the appropriate NFPA standard should be referenced for sprinkler
density/area criteria.

Indicate whether any of the following special materials are intended to be present:
Flammable or combustible liquids ❏ Yes ❏ No
Aerosol products ❏ Yes ❏ No
Nitrate film ❏ Yes ❏ No
Pyroxylin plastic ❏ Yes ❏ No
Compressed or liquefied gas cylinders ❏ Yes ❏ No
Liquid or solid oxidizers ❏ Yes ❏ No
Organic peroxide formulations ❏ Yes ❏ No
Idle pallets ❏ Yes ❏ No
If the answer to any of the above is “yes,” describe type, location, arrangement, and intended maximum quantities.

NFPA 13 (p. 1 of 2)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
Owner's Information Certificate (continued)
Indicate whether the protection is intended for one of the following specialized occupancies or areas:
Spray area or mixing room ❏ Yes ❏ No
Solvent extraction ❏ Yes ❏ No
Laboratory using chemicals ❏ Yes ❏ No
Oxygen-fuel gas system for welding or cutting ❏ Yes ❏ No
Acetylene cylinder charging ❏ Yes ❏ No
Production or use of compressed or liquefied gases ❏ Yes ❏ No
Commercial cooking operation ❏ Yes ❏ No
Class A hyperbaric chamber ❏ Yes ❏ No
Cleanroom ❏ Yes ❏ No
Incinerator or waste handling system ❏ Yes ❏ No
Linen handling system ❏ Yes ❏ No
Industrial furnace ❏ Yes ❏ No
Water-cooling tower ❏ Yes ❏ No

If the answer to any of the above is “yes,” describe type, location, arrangement, and intended maximum quantities.

Will there be any storage of products over 12 ft (3.7 m) in height? ❏ Yes ❏ No


If the answer is “yes,” describe product, intended storage arrangement, and height.

Will there be any storage of plastic, rubber, or similar products over 5 ft (1.5 m) high except as described above?
❏ Yes ❏ No
If the answer is “yes,” describe product, intended storage arrangement, and height.

Is there any special information concerning the water supply? ❏ Yes ❏ No


If the answer is “yes,” provide the information, including known environmental conditions that might be responsible
for corrosion, including microbiologically influenced corrosion (MIC).

I certify that I have knowledge of the intended use of the property and that the above information is correct.

Signature of owner’s representative or agent: Date:

Name of owner’s representative or agent completing certificate (print):


Relationship and firm of agent (print):

NFPA 13 (p. 2 of 2)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
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Seismic Bracing Calculations Here

Sheet of

Project: Contractor:

Address: Address:

Telephone:

Fax:

Brace Information Seismic Brace Attachments


Length of brace: Structure attachment fitting or tension-only bracing system:
Make: Model:
Diameter of brace:
Transition attachment fitting (where applicable):
Type of brace:
Make: Model:
Angle of brace:
Listed load rating: Adjusted load rating per 18.5.2.3:
9.3.5.2.4:
Least radius of gyration:*
Sway brace (pipe attachment) fitting:
l/r value:* Make: Model:
Maximum horizontal load: Listed load rating: Adjusted load rating per 18.5.2.3:
9.3.5.2.4:

Fastener Information Seismic Brace Assembly Detail


(Provide detail on plans)
Orientation of connecting surface:

Fastener:
Type:

Diameter:

Length (in wood):

Maximum load:
Brace identification no.
(to be used on plans)
Lateral brace Longitudinal brace 4-way brace
Sprinkler System Load Calculation (Fpw = Cp Wp )
Cp =
Diameter Type Length (ft) Total (ft) Weight per ft Weight
lb/ft lb
lb/ft lb
lb/ft lb
lb/ft lb
lb/ft lb

Subtotal weight lb

Wp (incl. 15%) lb
Main Size Type\Sch. Spacing (ft) Total (Fpw ) lb
Maximum Fpw per 18.5.5.2 (if applicable)
* Excludes tension-only bracing systems
© 2018 National Fire Protection Association NFPA 13

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
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Hydraulic Report Sheets Your Logo


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HYDRAULIC CALCULATIONS for

Project name:
Location:
Drawing no.: Date:

Design
Remote area number:
Remote area location:
Occupancy classification:
Density: gpm/ft2 (mm/min)
Area of application: ____________ ft 2 (m2 )
Coverage per sprinkler: ____________ ft 2 (m 2)
Type of sprinklers calculated:
No. of sprinklers calculated:
In-rack demand:
Hose streams:
Total water required (including hose streams): gpm (mm/min) @ psi (bar)
Type of system:
Volume of dry or preaction system: gal (l)

Water supply information


Date:
Location:
Source:

Name of contractor:
Address:
Phone number:
Name of designer:
Authority having jurisdiction:

Notes: (Include peaking information or gridded systems here.)

NFPA 13 (p. 1 of 4)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
FLOW TEST SUMMARY SHEET
N 1.85

Contract name and number:

150 10.3

140 9.7

130 9.0

120 8.3

110 7.6

100 6.9

90 6.2

Pressure (bar)
Pressure (psi)

80 5.5

70 4.8

60 4.1

50 3.4

40 2.7

30 2.1

20 1.4

10 0.7

0
0 100 150 200 250 300 350 400 450 500 550 575
(0) (380) (570) (760) (950) (1150) (1325) (1500) (1700) (1900) (2080) (2175)
Flow: gpm (lpm)

Notes:

NFPA 13 (p. 2 of 4)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
SUPPLY ANALYSIS

Node at Static Residual Available


Source Pressure Pressure Flow Pressure Total Demand Required Pressure

NODE ANALYSIS

Pressure Discharge
Node Tag Elevation Node Type at Node at Node Notes

NFPA 13 (p. 3 of 4)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
DETAILED WORKSHEET

Project Name: Sheet of

Pipe Friction

Ref Step
Step No.

Nozzle Equiv.
Flow in Pipe Fittings Loss Pressure Normal
Ident. and Pipe Notes
gpm Size and psi / Summary Pressure
Location Length
Devices Foot

L Pt Pt
q
F Pe Pv

Q T Pf Pn
L Pt Pt
q
F Pe Pv

Q T Pf Pn
L Pt Pt
q
F Pe Pv

Q T Pf Pn

L Pt Pt
q
F Pe Pv

Q T Pf Pn
L Pt Pt
q
F Pe Pv

Q T Pf Pn
L Pt Pt
q
F Pe Pv

Q T Pf Pn
L Pt Pt
q
F Pe Pv

Q T Pf Pn
L Pt Pt
q
F Pe Pv

Q T Pf Pn
L Pt Pt
q
F Pe Pv

Q T Pf Pn

L Pt Pt
q
F Pe Pv

Q T Pf Pn

L Pt Pt
q
F Pe Pv

Q T Pf Pn

NFPA 13 (p. 4 of 4)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
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NFPA 13 Storage Sprinkler System Design Your Logo


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Commodity class: Class I Class II Class III Class IV

(See Section 20.4) Group A plastic Group B plastic Group C plastic

Pallet type (20.3.2): Wood pallet (no class modification)

Unreinforced plastic pallet (one class modification)

Reinforced plastic pallet (two class modification)

Storage arrangement:

Rack Shelf storage Back-to-back shelf Solid pile Palletized Bin box

For Rack Storage:

Rack type: Single-row rack Double-row rack Multiple-row rack

Shelf type: Open rack Solid shelving Slatted shelf rack Solid shelf rack

Determine ceiling height (20.6.2):

Storage height:

From floor (20.6.3):

Clearance to sprinkler minimum (9.5.6):

Clearance to ceiling (20.6.4):

Storage arrangement (20.5):

Miscellaneous storage (3.3.124): Yes No

Maximum 12 ft (3.7 m)

Incidental to occupancy

Maximum 10 percent or 4000 ft2 (372 m2) of sprinklered area

Maximum 1000 ft2 (93 m2) pile

25 ft (7.6 m) separation

Other considerations that may impact NFPA 13 design options:

Smoke vents Draft curtains HVLS fans Slope exceeding 2:12

Excessive clearances Open top containers Flammable/combustible liquids

NFPA 13

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
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Automatic Sprinkler System Your Logo


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Plan Review Checklist
NFPA 13
STEP 1: GENERAL PROJECT INFORMATION

Permit no.: _____________________ Project/occupancy name: ______________________________________________


Project address: ____________________________________________________________________________________
Owner’s name: _____________________________________________________________________________________

Sprinkler contractor name: ___________________________________________________________________________


Contractor address: _________________________________________________________________________________
Point of contact (name): _____________________________________________________________________________
Contractor phone: __________________________________ e-mail: _________________________________________

Date of review by AHJ: _______________________ Date comments sent to contractor: ___________________________


Name of AHJ plans examiner: ________________________________________________________________________

• Code and edition governed by project: ________________________________


• Edition of NFPA 13 used for design: __________________________________

• Type of system being installed: ❑ Wet ❑ Dry ❑ Preaction ❑ Deluge


• Is this a new system or a change to an existing system? ❑ New system ❑ Change to existing system
• Owner certificate included: ❑ Yes ❑ No

• Building description:
Square footage of the project: ________________________
Use of building: __________________________ Building height: __________________
Total area of building: _____________________ Area per floor: __________________
Total number for floors above grade: __________ below grade: __________________

• What is the construction type?


❑ Fire resistive ❑ Noncombustible ❑ Ordinary
❑ Heavy timber ❑ Wood frame ❑ Mixed

• What is the fire sprinkler occupancy hazard classification? [4.3]


❑ Light hazard ❑ Extra hazard Group I ❑ Storage
❑ Ordinary hazard Group I ❑ Extra hazard Group II
❑ Ordinary hazard Group II ❑ Special occupancy

• Are there special occupancy requirements for the system? ❑ Yes ❑ No


(Flammable/combustible liquids, aircraft hangars, oxidizers, etc.)

• Is there storage over 12 ft (3.7 m)? ❑ Yes ❑ No

• If this is a storage occupancy, what is the commodity classification?


❑ Class I ❑ Class II ❑ Class III ❑ Class IV
❑ Group A ❑ Group B ❑ Group C

NFPA 13 Handbook (p. 1 of 5)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
Plan Review Checklist (continued )

STEP 2: GENERAL PLANS INFORMATION


The following has been shown on plans correctly:
YES NO
❑ ❑ Name of owner or occupant [27.1.3(1)]
❑ ❑ Location, including street address [27.1.3(2)]
❑ ❑ Point of compass [27.1.3(3)]
❑ ❑ Full height cross section [27.1.3(4)]
❑ ❑ Ceiling/roof heights and slopes not shown in the full height cross section [27.1.3(5)]
❑ ❑ Location of partitions [27.1.3(6)]
❑ ❑ Location of fire walls [27.1.3(7)]
❑ ❑ Occupancy class of each area or room [27.1.3(8)]
❑ ❑ Location and size of concealed spaces, closets, attics, and bathrooms [27.1.3(9)]
❑ ❑ Small enclosures in which no sprinklers are to be installed [27.1.3(10)]
❑ ❑ Scale the plans were drawn to [23.1.3(34)]

STEP 3: WATER SUPPLY


The following water supply information is clearly indicated on plans:
❑ Capacity is verified at _______ gpm (L/min) for a duration of ______ hours for a
total capacity of ______ gal (L). [19.3.3.1.2]

Type of water supply:


❑ Public ❑ Stored water (tanks) ❑ Raw water source
YES NO
❑ ❑ Location and elevation of static and residual hydrants in relationship to the riser location [4.6.1]
❑ ❑ Date and time of flow test (must be within one year of design) [4.6.1]
❑ ❑ Static, residual, and flow from test [4.6.1]
❑ ❑ Name of person who conducted or source of water supply information [4.6.1]

Private Fire Service Mains


The following information is clearly indicated on plans:
❑ Size, length, and location of main [27.1.3(30)]
❑ Material listed for use [10.1.1 / 10.2.1]
❑ Point of connection to city main [27.1.3(30)]
❑ Size, type, and location of valves [27.1.3(30)]
❑ Size, type, and location of valve indicators [27.1.3(30)]
❑ Size, type, and location of regulators [27.1.3(30)]
❑ Size, type, and location of meters [27.1.3(30) / 5.1.7]
❑ Size, type, and location of valve pits [27.1.3(30) / 16.9.10]
❑ Depth of top of pipe laid below grade [27.1.3(30) / 6.4]
❑ Size and location of all thrust blocks [6.8.2]
❑ Size and location of hydrants (showing size and number of outlets and whether outlets to be equipped with
independent gate valves) [27.1.3(45)]
❑ Whether hose houses and equipment are to be provided and by whom [27.1.3(45)]

Fire Pump
❑ Electric ❑ Diesel ❑ Steam ❑ N/A
Rated Capacity: ____________________
❑ The pump layout complies with NFPA 20.

NFPA 13 Handbook (p. 2 of 5)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
Plan Review Checklist (continued )

Water Tank
❑ Steel ❑ Wood ❑ Concrete ❑ Fiberglass ❑ NA
❑ Water tanks comply with the requirements of NFPA 22.

STEP 4: SPRINKLER SYSTEM TYPE AND COVERAGE


• Type of sprinkler system ❑ Wet [8.1] ❑ Dry [8.2] ❑ Preaction [8.3] ❑ Deluge [8.3]
• Classification of occupancy: (Chapter 4)
❑ Light hazard
❑ Ordinary: Group 1 ❑ Group 2 ❑
❑ Extra hazard: Group 1 ❑ Group 2 ❑
• Classification of commodity: (Chapter 4)
❑ Class I ❑ Group A plastic
❑ Class II ❑ Group B plastic
❑ Class III ❑ Group C plastic
❑ Class IV ❑ Mixed commodity
❑ Plastic pallet storage? Reinforced ❑ Unreinforced ❑
• Are sprinklers omitted in any areas? ❑ Yes ❑ No [9.1.1]
• If yes, are omissions allowed per NFPA 13? ❑ Yes ❑ No ❑ N/A [9.3]
• What is the area of coverage? [9.1.1(1)]
❑ Total ❑ Partial ❑ Special hazard ❑ Other
❑ All wet piping is in areas that can be maintained above 4°C (40°F) [16.4.1]

STEP 5: SPRINKLER SYSTEM COMPONENTS


The following sprinkler component information is clearly indicated on plans /specifications:
❑ Product data is included in the shop drawing submittal
❑ Make, type, model, nominal K-factor of sprinklers, and sprinkler identification number [7.2]
❑ Temperature rating and location of high-temperature sprinklers [7.2.4.1 / 9.4.2]
❑ Pipe type and schedule of wall thickness [7.3.1.1 / 27.1.3(19)]
❑ Nominal pipe size and cutting lengths of pipe (or center-to-center dimensions) [27.1.3(20)]
❑ Location and size of riser nipples [27.1.3(21)]
❑ Type of fittings and joints and location of all welds and bends [7.4.1 / 27.1.3(22)]
❑ Specifications of any sections to be shop welded and type of fittings or formations to be used [7.5.2]
❑ Type and location of hangers, sleeves, braces, and methods of securing sprinklers when applicable [27.1.3(23) / 17.1]
❑ All control valves and check valves [27.1.3(24) / 16.9]
❑ Make, type, model, and size of wet pipe, dry pipe, preaction, or deluge valves [27.1.3(26)(27) /8.1 / 8.2 / 8.3]
❑ Size and location of standpipe risers, hose outlets, hand hose, monitor nozzles, and related equipment [27.1.3(29) /
16.15]
❑ Calculation of loads for sizing and details of sway bracing [27.1.3(41) / Chapter 18]
❑ Setting for pressure-reducing valves [27.1.3(43) / 16.9.8]
❑ Manufacturer, size, type of backflow preventers [27.1.3(25) / 16.14.5]
❑ Type and amount of antifreeze solution used [27.1.3(44) / 8.6]
❑ A pressure gauge on the system and the supply [8.1.1]

NFPA 13 Handbook (p. 3 of 5)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
Plan Review Checklist (continued )

STEP 6: DESIGN
The following design information is clearly indicated on plans or specifications:
❑ Total area protected by each system on each floor [4.5 / 23.1.3(15)]
❑ Number of sprinklers on each riser per floor [23.1.3(16)]
❑ Sprinkler spacing and location verified [9.5]
❑ Spray patterns free of obstruction [9.5.5]
❑ Total number of sprinklers on each dry pipe, preaction, combined dry pipe-preaction, or deluge system [23.1.3(17)]
❑ Approximate capacity [in gal (L)] of each dry pipe system [8.2.3 / 23.1.3(18)]
❑ Pitch of pipe for dry pipe, preaction, combined dry pipe-preaction, or deluge system [16.10.3]
❑ Size and capacity for air compressor (where provided) for dry pipe, preaction, combined dry pipe-preaction, or deluge
system [8.2.6.6]
❑ Details of air supply connections for other types of air supply [8.2.6]
❑ Piping provisions for flushing [27.1.3(31) / 16.6]
❑ Size, location, and arrangement of all auxiliary drain connections [16.10.5]
❑ Where equipment is to be installed as an addition to an existing system, enough detail of the existing system indicated to
make all conditions clear [27.1.3]
❑ Hydraulic data nameplate (for hydraulically designed systems) [28.5]
❑ Size, location, thread type, and piping arrangement of fire department connections [27.1.3(46) / 816.12]
❑ Size, location, and arrangement of inspector’s test connection [27.1.3(24) / 16.14.2]
❑ Location of main drain connection [27.1.3(24) / 16.14.1]

STEP 7: HYDRAULIC DESIGN SPECIFICATIONS


The following information has been clearly indicated on plans / specifications / hydraulic calculations:
• Type of system: ❑ Hydraulically calculated [27.2] ❑ Pipe schedule [27.5]
❑ Proper hydraulic calculations forms used?
❑ Design area and water application rate:
❑ Density/area method [19.3.3.2] ❑ Special design areas [19.3.3.4]
❑ Room design method [19.3.3.3] ❑ Special design approaches [19.4]
• Density/area method
❑ Area of operation and density noted?
❑ Area of operation reduced for: Quick-response sprinklers ❑ High-temperature sprinklers ❑
❑ Area of operation increased for: Sloped ceilings ❑ Dry pipe/double-interlock preaction systems ❑
❑ Multiple adjustments needed?
❑ Area per sprinkler [9.5.2.1]
❑ Water supply sufficient? [19.2.5.1]
❑ Allowance for in-rack sprinklers provided (where required) [27.2.5]
❑ Limitations (dimension, flow, and pressure) for listed special sprinklers specified [27.2.4.6.1]
❑ Most demanding area calculated [27.2.4]
❑ Hydraulic reference points shown on the plan that correspond with comparable reference points on the hydraulic
calculation sheets [27.1.3(36)]
❑ Pipe sizes and lengths shown on the plan correspond with the sizes and lengths shown on the hydraulic calculations
sheets [23.1.3(20)]
❑ Total quantity of water and pressure required noted at a common reference point for each system
❑ Relative elevations of sprinklers, junction points, and supply or reference points [27.1.3(39)]
❑ All unprotected wall openings throughout the floor protected for room design method where permitted [19.3.3.3]
❑ Pressure loss for backflow preventer, meter or other devices included in hydraulic calculations [27.2.3.3]

NFPA 13 Handbook (p. 4 of 5)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
Plan Review Checklist (continued )
STEP 8: ALARMS
The following alarm connections are clearly indicated on plans/specifications:
❑ Type and location of alarm bells [16.11.8]
❑ Fire alarm system connection [16.11.10]
❑ Type and location of waterflow switch / pressure switch [16.11.2]
❑ Type and location of low air pressure switch [8.2.6.3]
❑ Type and location of all tamper switches [16.9.3.3.1]

Reviewer: ______________________________________________________ Date: ____________________________

ALL ITEMS NOT CHECKED, UNDERLINED, OR HIGHLIGHTED REQUIRE REVISION AND RESUBMITTAL.

Review Disposition:
❑ Approved ❑ Approved as noted (construction may proceed)
❑ Revise and resubmit ❑ Rejected (resubmission required)

Comments:

NFPA 13 Handbook (p. 5 of 5)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
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Contractor’s Material and Test Certificate for Aboveground Piping


PROCEDURE
Upon completion of work, inspection and tests shall be made by the contractor’s representative and witnessed by the property owner or
their authorized agent. All defects shall be corrected and system left in service before contractor’s personnel finally leave the job.

A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and
contractor. It is understood the owner’s representative’s signature in no way prejudices any claim against contractor for faulty material, poor
workmanship, or failure to comply with approving authority’s requirements or local ordinances.
Property name Date

Property address
New installation? ❏ Yes ❏ No
Modification? If yes, complete applicable portions of the form. ❏ Yes ❏ No
Provide a description of the scope of work on page 3.
Accepted by approving authorities (names)
Plans Address

Installation conforms to accepted plans ❏ Yes ❏ No


Equipment used is approved ❏ Yes ❏ No
If no, explain deviations

Has person in charge of fire equipment been instructed as ❏ Yes ❏ No


to location of control valves and care and maintenance
of this new equipment?
If no, explain
Instructions
Have copies of the following been left on the premises? ❏ Yes ❏ No
1. System components instructions ❏ Yes ❏ No
2. Care and maintenance instructions ❏ Yes ❏ No
3. NFPA 25 ❏ Yes ❏ No
Location of
system Supplies buildings

Year of Orifice Temperature


Make Model manufacture size Quantity rating

Sprinklers

Pipe and Type of pipe


fittings Type of fittings

Maximum time to operate


Alarm Alarm device through test connection
valve or
Type Make Model Minutes Seconds
flow
indicator

Dry valve Q. O. D.
Make Model Serial no. Make Model Serial no.

Time to trip Time water Alarm


through test Water Air Trip point reached operated
Dry pipe connection a,b pressure pressure air pressure test outlet a,b properly
operating
test Minutes Seconds psi psi psi Minutes Seconds Yes No
Without
Q.O.D.
With
Q.O.D.
If no, explain
a Measured from time inspector’s test connection is opened.
b NFPA 13 only requires the 60-second limitation in specific sections. NFPA 13 (p. 1 of 3)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
Contractor’s Material and Test Certificate for Aboveground Piping ( continued)
Operation ❏ Pneumatic ❏ Electric ❏ Hydraulics
Piping supervised ❏ Yes ❏ No Detecting media supervised ❏ Yes ❏ No
Does valve operate from the manual trip, remote, or both control stations? ❏ Yes ❏ No
Deluge and Is there an accessible facility in each circuit for testing? If no, explain
preaction
valves
❏ Yes ❏ No
Does each circuit operate Does each circuit operate Maximum time to
Make Model supervision loss alarm? valve release? operate release
Yes No Yes No Minutes Seconds

Location Make and Residual pressure


Pressure-
and floor model Setting Static pressure (flowing) Flow rate
reducing
valve test Inlet (psi) Outlet (psi) Inlet (psi) Outlet (psi) Flow (gpm)

Backflow device Indicate means used for forward flow test of backflow device:
forward
flow test When means to test device was opened, was system flow demand created? ❏ Yes ❏ No ❏ N/A
Hydrostatic: Hydrostatic tests shall be made at not less than 200 psi (13.8 bar) for 2 hours or 50 psi (3.4 bar)
above static pressure in excess of 150 psi (10.3 bar) for 2 hours. Differential dry pipe valve clappers shall be left
open during the test to prevent damage. All aboveground piping leakage shall be stopped.
Test
description Pneumatic: Establish 40 psi (2.7 bar) air pressure and measure drop, which shall not exceed 1¹⁄₂ psi (0.1 bar)
in 24 hours. Test pressure tanks at normal water level and air pressure and measure air pressure drop, which shall
not exceed 1¹⁄₂ psi (0.1 bar) in 24 hours.

All piping hydrostatically tested at psi ( bar) for hours If no, state reason
Dry piping pneumatically tested
❏ Yes ❏ No
Equipment operates properly
❏ Yes ❏ No
Do you certify as the sprinkler contractor that additives and corrosive chemicals, sodium silicate or derivatives
of sodium silicate, brine, or other corrosive chemicals were not used for testing systems or stopping leaks?
❏ Yes ❏No
Tests Drain Reading of gauge located near water Residual pressure with valve in test
test supply test connection: psi ( bar) connection open wide: psi ( bar)
Underground mains and lead-in connections to system risers flushed before connection made to
sprinkler piping
Verified by copy of the Contractor's Material and Test ❏ Yes ❏ No Other Explain
Certificate for Underground Piping.
Flushed by installer of underground sprinkler piping ❏ Yes ❏ No
If powder-driven fasteners are used in concrete,
has representative sample testing been ❏ Yes ❏ No If no, explain

satisfactorily completed?
Blank testing Number used Locations Number removed
gaskets
Welding piping ❏ Yes ❏ No
If yes . . .
Do you certify as the sprinkler contractor that welding procedures used complied with
the minimum requirements of AWS B2.1, ASME Section IX Welding and Brazing
❏ Yes ❏ No
Qualifications, or other applicable qualification standard as required by the AHJ?
Do you certify that all welding was performed by welders or welding operators
qualified in accordance with the minimum requirements of AWS B2.1, ASME Section
❏ Yes ❏ No
Welding
IX Welding and Brazing Qualifications, or other applicable qualification standard as
required by the AHJ?

Do you certify that the welding was conducted in compliance with a documented
quality control procedure to ensure that (1) all discs are retrieved; (2) that openings in
❏ Yes ❏ No
piping are smooth, that slag and other welding residue are removed; (3) the internal
diameters of piping are not penetrated; (4) completed welds are free from cracks,
incomplete fusion, surface porosity greater than ¹⁄₁₆ in. (1.6 mm) diameter, undercut
deeper than the lesser of 25% of the wall thickness or ¹⁄₃₂ in. (0.8 mm); and (5)
completed circumferential butt weld reinforcement does not exceed ³⁄₃₂ in. (2.4 mm)?
NFPA 13 (p. 2 of 3)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
Contractor’s Material and Test Certificate for Aboveground Piping ( continued)

Cutouts
(discs)
Do you certify that you have a control feature to ensure that
all cutouts (discs) are retrieved?
❏ Yes ❏ No

Hydraulic Nameplate provided If no, explain


data
nameplate ❏ Yes ❏ No
Sprinkler contractor removed all caps and straps? ❏ Yes ❏ No
Date left in service with all control valves open
Remarks

Name of sprinkler contractor

Tests witnessed by
Signatures
The property owner or their authorized agent (signed) Title Date

For sprinkler contractor (signed) Title Date

Additional explanations and notes

NFPA 13 (p. 3 of 3)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
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Contractor’s Material and Test Certificate for Underground Piping


PROCEDURE
Upon completion of work, inspection and tests shall be made by the contractor’s representative and witnessed by an owner’s
representative. All defects shall be corrected and system left in service before contractor’s personnel finally leave the job.
A certificate shall be filled out and signed by both representatives. Copies shall be prepared for approving authorities, owners, and
contractor. It is understood the owner’s representative’s signature in no way prejudices any claim against contractor for faulty material, poor
workmanship, or failure to comply with approving authority’s requirements or local ordinances.
Property name Date

Property address

Accepted by approving authorities (names)

Address
Plans
Installation conforms to accepted plans ❏ Yes ❏ No
Equipment used is approved ❏ Yes ❏ No
If no, state deviations

Has person in charge of fire equipment been instructed as to location of ❏ Yes ❏ No


control valves and care and maintenance of this new equipment?
If no, explain

❏ ❏
Instructions
Have copies of appropriate instructions and care and maintenance Yes No
charts been left on premises?
If no, explain

Location Supplies buildings


Pipe types and class Type joint

Pipe conforms to standard ❏ Yes ❏ No


Underground
Fittings conform to
If no, explain
standard ❏ Yes ❏ No
pipes and joints

Joints needing anchorage clamped, strapped, or blocked in ❏ Yes ❏ No


accordance with standard
If no, explain

Flushing: Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets such as
hydrants and blow-offs. Flush in accordance with the requirements of 6.10.2.1.3.
Hydrostatic: All piping and attached appurtenances subjected to system working pressure shall be hydrostatically tested at 200 psi
(13.8 bar) or 50 psi (3.4 bar) in excess of the system working pressure, whichever is greater, and shall maintain that pressure ±5 psi
(0.34 bar) for 2 hours.
Test Hydrostatic Testing Allowance: Where additional water is added to the system to maintain the test pressures required by 6.10.2.2.1,
the amount of water shall be measured and shall not exceed the limits of the following equation (for metric equation, see 6.10.2.2.6):
description
L = testing allowance (makeup water), in gallons per hour
SD P S = length of pipe tested, in feet
L=
148,000 D = nominal diameter of the pipe, in inches
P = average test pressure during the hydrostatic test, in pounds per square inch (gauge)

New underground piping flushed according to ❏ Yes ❏ No


standard by (company)
If no, explain

How flushing flow was obtained Through what type opening


Flushing ❏ Public water ❏ Tank or reservoir ❏ Fire pump ❏ Hydrant butt ❏ Open pipe
tests
Lead-ins flushed according to standard by (company) ❏ Yes ❏ No
If no, explain

How flushing flow was obtained Through what type opening


❏ Public water ❏
Tank or reservoir ❏ Fire pump ❏ Y connection to flange ❏ Open pipe
and spigot

NFPA 13 (p. 1 of 2)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
Contractor’s Material and Test Certificate for Underground Piping ( continued)

All new underground piping hydrostatically tested at Joints covered


Hydrostatic
test psi for hours ❏ Yes ❏ No

Total amount of leakage measured

gallons hours
Leakage
test Allowable leakage

gallons hours

Forward flow Foward flow test performed in accordance with 6.10.2.5.2:


test of backflow
preventer ❏ Yes ❏ No

Number installed Type and make All operate satisfactorily


Hydrants
❏ Yes ❏ No

Water control valves left wide open ❏ Yes ❏ No


If no, state reason
Control
valves
Hose threads of fire department connections and hydrants interchangeable with ❏ Yes ❏ No
those of fire department answering alarm

Date left in service

Remarks

Name of installing contractor

Tests witnessed by

Signatures For property owner (signed) Title Date

For installing contractor (signed) Title Date

Additional explanation and notes

NFPA 13 (p. 2 of 2)

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.
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Sprinkler System — General Information Your Logo


Here

__________________________________________________________________________

__________________________________________________________________________

Pipe schedule system ❏ Yes ❏ No


Flow test data:
High-piled storage ❏ Yes ❏ No
Static: ____________ psi (bar)
Rack storage ❏ Yes ❏ No
Resid: ____________ psi (bar)
Commodity class: _________________________________
Flow: ____________ gpm (lpm)
Max. storage height ____________ ft (m)
Pitot: ____________ psi (bar)
Min. aisle width _____________ ft (m)
Date: ___________________________________________
Encapsulation ❏ Yes ❏ No Location: _______________________________________

Solid shelving ❏ Yes ❏ No _______________________________________________


Location of aux/low point drains:
Flammable/combustible liquids ❏ Yes ❏ No
_______________________________________________
Other storage ❏ Yes ❏ No
_______________________________________________
________________________________________________
Dry pipe/double interlock preaction valve test results:
Hazardous materials ❏ Yes ❏ No
Idle pallets ❏ Yes ❏ No ________________________________________________

Antifreeze systems ❏ Yes ❏ No Original main drain test results:

Location: _______________________________________ Static: ___________ psi (bar)

_______________________________________________ Residual: ___________ psi (bar)


Venting valve location:
Dry or auxiliary systems ❏ Yes ❏ No
Location: _______________________________________
_______________________________________________
Date: __________________________________________

Where injection systems are used to treat MIC or corrosion:


Type of chemical: ___________________________________ Concentration: ________________________________________
For proper disposal, see: ___________________________________________________________________________________

Name of contractor or designer: _____________________________________________________________________________


Address: _______________________________________________________________________________________________
Phone: _________________________________________________________________________________________________

NFPA 13

© 2018 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution.
No other reproduction or transmission in any form permitted without written permission of NFPA. For inquiries or to report unauthorized use, contact licensing@nfpa.org.

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