PRE-ACTION / DELUGE SYSTEM TEST QCDD FORM

PIN No. Date

Location Application Number
Project Name
Owner

QCDD Approved Drawing Ref. No.

Test Status Passed
SYSTEM INFORMATION
Protected Room / location
Type of Fire Protection System Pre-action Deluge
Type of Pre-action Single Interlock Non-Interlock
*Not applicable for deluge system Double Interlock
Product Approval Ref. No.
TESTING AND COMMISSIONING
Pre-Commissioning
System is installed as per approved drawing Yes No
System is in normal condition Yes No
Testing equipment is calibrated (e.g. Pressure gauge) Yes No

Functional Test
Detection devices are tested Yes No
Pre-action / deluge valve operation is tested Yes No
Manual release is tested Yes No
Interfacing with other life safety system Yes No N/A
Air System Pressure (Pre-action only) psi
Air Cut-in Pressure (Pre-action only) psi
Static Water System Pressure psi
Residual Water Pressure psi
Time to release the water sec

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

__________________________________ _______________________________________________
Fire Fighting 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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