APPENDIX C (STANDPIPE SYSTEM INSPECTION CHECK LIST)

To be completed by the Inspector at the time of Inspection

Attach additional sheets, data or calculation as necessary to provide a complete record

FACTORY INFORMATION

Factory Name: Aptech Caswier Ltd.

Representative Name: Md. Aminul Islam

Designation: Officer- Fire & Safety

Phone: 01724127417 Fax: _______________

E-mail: fires1@aptechdesignsltd.com

INSTALLATION, SERVICE AND TESTING CONTRACTOR INFORMATION

Contractor Name: Mechanical Engineering Solution Ltd.

Address: Baridhara DOHS, Road#10, House#521.

Inspector or Tester Name: Md. Yousuf

Qualification of Inspector or Tester: Mechanical Engineer

Phone: _________________ Fax: _______________

E-mail:_________________

A Contract for Inspection & testing in accordance with NFPA is in effect as of: ________

The Contract Expires: ________________Frequency of Test: __________________

WITNESS BY

Company Name: Aptech Caswier Ltd.

Address: 30 Sharabo, Kasimpur, Gazipur.

Representative Name: Md. Mehedi Hasan

Designation: Manager (HR & Compliance)

Phone: 01724537541 Fax: _______________

E-mail: mehedi@aptechdesignsltd .com

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 Inspection, Testing & Maintenance: Weekly Scope Action Taken

Control Valve - (sealed) Inspection YES / NO

Gauges Inspection YES / NO

Inspection, Testing & Maintenance: Monthly Scope Action Taken

Control Valve - (locked) Inspection YES / NO

Control Valve - (tamper switches) Inspection YES / NO

Inspection, Testing & Maintenance: Quarterly Scope Action Taken

Fire Department Connection Inspection YES / NO

Maintenance

Hose Valves Inspection YES / NO

Low Air Pressure Alarms Testing YES / NO

Main Drain Testing YES / NO

Pressure Regulating Devices and Connections Inspection YES / NO

Waterflow Alarms Testing YES / NO

Inspection, Testing & Maintenance: Scope Action Taken

Semiannually

Control Valve – (tamper switches) Testing YES / NO

Inspection, Testing & Maintenance: Annually Scope Action Taken

Cabinet Inspection YES / NO

Fire Hose Inspection YES / NO

Testing

Hose Connections Maintenance YES / NO

Hose Connection/Pressure Regulating Devices Inspection YES / NO

Hose Nozzles Inspection YES / NO

Hose Racks Inspection YES / NO

Hose Storage Device Testing YES / NO

Main Drain Testing YES / NO

Piping Inspection YES / NO

 Pressure Reducing Valves Inspection YES / NO

Valves (all types) Maintenance YES / NO

Inspection, Testing & Maintenance: Annually Scope Action Taken

Flow Test Most Remote Hose Connection Testing YES / NO

Hydrostatic Test (dry systems or pipe) Testing YES / NO

Pressure Control Valve Testing YES / NO

Pressure Reducing Valve Testing YES / NO

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