Kitchen Hood Suppression System

Commissioning / Handing Over Report

Installation date:  ________________________ Commissioning date: ________________

TYPE OF SYSTEM:

 Wet Chemical Systems

 Dry Chemical Systems

 UL 300 Wet System

Client Name: ___Kitchen Hood Studio_________________________

Project Name: ___Khaadi Dolmen City Mall_____________________

Client P.O. No.: ________________ _____________________________

Consultant Name: __ SEM Engineers______________________________

Contractor Name: __ Kitchen Hood Studio__________________________

Representatives:

Were the following present to witness the test:

A. Client / Representative ☐ Yes ☐ No ☐ N/A

B. Consultant / Representative ☐ Yes ☐ No ☐ N/A
C. Contractor / Representative ☐ Yes ☐ No ☐ N/A

CLIENT’S REPRESENTATIVE NAME & SIGNATURE CONSULTANT REPRESENTATIVE NAME & SIGNATURE

COMMENTS COMMENTS

CONTRACTOR REPRESENTATIVE NAME & SIGNATURE ZARA ENGINEERS REPRESENTATIVE NAME & SIGNATURE

COMMENTS COMMENTS
I state that the information on this form is correct
at the time and place of my inspection and that all
equipment testes at this time were left in
operational condition upon completion of this
inspection except as noted.

Note: For further detail see attached reports.

APPLIANCE COVERAGE, NOZZLES, AND PIPING

1 All cooking appliances that can produce grease laden vapors are completely under the range hood. ☐ Yes ☐ No

2 All cooking appliances have the required number and type of nozzles to provide adequate fire protection. ☐ Yes ☐ No

3 All nozzles are properly positioned. ☐ Yes ☐ No

4 All piping and conduit are immobilized with proper hangers and brackets ☐ Yes ☐ No

SYSTEM CONTROLS

1 All system controls and components are accessible and free from obstructions. ☐ Yes ☐ No

2 The system is operational from the terminal link (last fusible link). ☐ Yes ☐ No

3 The fusible links were replaced. ☐ Yes ☐ No

4 The manual (remote) pull is configured correctly and is operational. ☐ Yes ☐ No

5 The operation of the fusible link line is not impaired by grease. ☐ Yes ☐ No

6 The micro switch that controls the gas and/or electrical power to the appliance’s functions properly. ☐ Yes ☐ No

CYLINDERS AND EXTINGUISHING AGENT

1 The extinguishing agent in the cylinders conforms to the manufacturer’s requirements for this system. ☐ Yes ☐ No
The system has adequate supply of extinguishing agent as required to meet the demand for complete coverage of the
2 ☐ Yes ☐ No
cooking appliances.

3 The cylinders are filled with the correct volume of extinguishing agent. ☐ Yes ☐ No

4 If present, the cylinder gauge is in the operational range. ☐ Yes ☐ No

5 The hydrostatic testing of the agent cylinder(s) is up-to-date. ☐ Yes ☐ No

SYSTEM SECURITY AND MONITORING

1 The tamper seals on the suppression system were installed. ☐ Yes ☐ No

2 The suppression system is connected to the fire alarm panel. (Only select N/A if there is no fire alarm system) ☐ Yes ☐ No

FINAL CHECKS, TAGGING, AND REPORTS

1 A current red, green tag was placed on the panel ☐ Yes ☐ No

The color of the tag is:
2 ☐ Green ☐ Red
Handing Over (To Client)
Except as noted, the system is occupied with the same occupancy classification and hazard of control as the last inspection. Also, the system has
remained in service without modification and has been free of the actuation of devices and alarms.

Name: _______________________________________________ Signature / Date: ______________________________________________