FOAM WATER DELUGE SYSTEM TEST QCDD FORM

PIN No. Date

Location Application Number
Project Name
Owner

QCDD Approved Drawing Ref. No.

Test Status Passed

FUNCTIONAL TESTING

Type of sequence Single Zoning Cross Zoning

Manual Release Yes No

Alarm Valve or Flow Indicator

Alarm Device Minimum time to operate through test connection
Type Model Manufacurer Minutes Seconds

Flow Test Data Design Actual

Static Pressure (psi):
Residual Pressure (psi):
Water Flow (gpm, L/min):

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 FOAM WATER DELUGE SYSTEM TEST QCDD FORM

MODE OF OPERATON OPERATION DESCRIPTION TEST RESULTS REMARKS

YES N/A
A. Activation of any of the detector
1. Illumination of “Alarm” indication on
the Foam control panel.
2. Activation of Alarm Bell (1st stage
alarm.)
3. “Pre-Alarm” signal has been sent to
AUTOMATIC Main Fire Alarm Control Panel.
OPERATION B. Subsequent Operation of a “cross-
zoned” detector.
1. Illumination of “PRE-DISCHARGE”
indication on the Foam control panel.
2. Activation of Strobe/Horn (2nd stage
alarm)
3. “Alarm” signal has been sent to Main
Fire Alarm Control Panel.
Electrical Activation
1. Activate Manual Release Station.
Check if it duplicates the “cross-zoned
detection sequence” describe above
except delay, pre-discharge indication &
alarm bell.
2. Illumination of “RELEASE”
MANUAL OPERATION indication on the Foam control panel.
3. Activation of Strobe/Horn located
outside protected area.
4. “Alarm” signal has been sent to Main
Fire Alarm Control Panel.

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 FOAM WATER DELUGE SYSTEM TEST QCDD FORM

FOAM CONDUCTIVITY TESTING

Protected Room / Location:

Foam Concentrate Type:
Meter Type: Conductivity Refractometer

Pre-mix Foam Concentrate (%) Meter Reading

Water
Foam
Sample No. 1
Sample No. 2
Sample No. 3

Remarks
System Discharge Time (sec) Meter Reading Foam Solution (%)
Passed
Sample No. 1
Sample No. 2
Sample No. 3

CERTIFICATION
The system as specified above has been installed and tested, in accordance with latest edition of NFPA, QCDD FSS and QCDD
approved drawings.

__________________________________ _______________________________________________
Contractor (QCDD Certificate No. / ID No. / Mobile No.)
(Signature over Printed Name with Company Stamp)

CERTIFICATION
The undersigned accepted the installation and testing of the system as specified above.

__________________________________ _______________________________________________
Consultant (UPDA No. / ID No. / Mobile No.)
(Signature over Printed Name with Company Stamp)
Note: All fields are mandatory.

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