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Inspection Manual
Inspection Manual
INSPECTION MANUAL
FOR
FIRE PROTECTION AND
DETECTION SYSTEMS
In accordance with
Assembly Group A. Assembly Group A occupancy includes, among others, the use of a building
or structure, or a portion thereof, for the gathering of persons for purposes such as civic, social
or religious functions; recreation, food or drink consumption or awaiting transportation.
Exceptions:
1. A building or tenant space used for assembly purposes with an occupant load of less than 50
persons shall be classified as a Group B occupancy
2. A room or space used for assembly purposes with an occupant load of less than 50 persons
and accessory to another occupancy shall be classified as a Group B
occupancy or as part of that occupancy.
3. A room or space used for assembly purposes that is less than 750 square feet (70m2) in area
and accessory to another occupancy shall be classified as a Group B occupancy or as part of that
occupancy.
4. Assembly areas that are accessory to Group E occupancies are not considered separate
occupancies except when applying the assembly occupancy requirements of Chapter 11.
5. Accessory religious educational rooms and religious auditoriums with occupant loads of less
than 100 are not considered separate occupancies
A-1 Assembly uses, usually with fixed seating, intended for the production and viewing of the
performing arts or motion pictures including, but not limited to:
Motion picture theaters
Symphony and concert halls
Television and radio studios admitting an audience
Theaters
A-2 Assembly uses intended for food and/or drink consumption including, but not limited to:
Banquet halls
Night clubs
Restaurants
Taverns and bars
A-3 Assembly uses intended for worship, recreation or amusement and other assembly uses
not classified elsewhere in Group A including, but not limited to:
A-4 Assembly uses intended for viewing of indoor sporting events and activities with spectator
seating including, but not limited to:
Arenas
Skating rinks
Swimming pools
Tennis courts
A-5 Assembly uses intended for participation in or viewing outdoor activities including, but not
limited to:
Amusement park structures
Bleachers
Grandstands
Stadiums
General Description
Sample Project : MITI’s Restaurant
Mumbai- 400083
Means of Egress :
Occupant load calculations as per LSC table 7.3.1.2
Interior Finishes :
One way to attack the problem is to look at occupancy and list the most
common hazards found. This method will help you generate a list of
areas or items to inspect. The following are hazards peculiar to Assembly
occupancies, and ones you frequently will find violated.
Assembly occupancies
Decorations (combustible or
flammable type).
Non-flame-retardant drapes.
Heating hazards.
No. of Stories below/ above grade Mention Number of story below and above ground
level
Is building High Rise Check the height of highest occupiable floor from
the level of FD access
Is it underground ? Check
Occupancy Classification Classify occupancy and suboccupancy as applicable
Min. Construction Type Refer NFPA 5000 & IBC
Approved Fire & Life Safety drawing Available Check for approved FLS drawing
Approved Shop drawing Available Check for approved Shop drawing
Is building construction acceptable for height Refer NFPA 5000 & IBC
and occupancy ?
Were alterations/renovation made since last Check the records
inspection ?
Building Surroundings Mention about surrounding of builidng from all of its
directions.
2. Observations/Findings/Recommandations :
FOR
In Accordance with
Mehboob Shaikh
B.Eng(Mech.) || AMIE || CFPS || CFI-1
CONTENT
Sr. No Description Page No.
1 Inspection Report
1.1 Hospital General Information 3
1.2 Hospital Performance Summary 3
1.3 Hospital Safety Evaluation Profile (SEP) Summary 5
1.4 Observation/Findings and Recommandations 6
A Building Exterior Analysis 6
B Exit Features / Means of Egress 7
C Occupancy Construction Features 20
D Storage Safety 21
E Hazardous Materials 22
F Fire Extinguishers 23
G Hazards of Combustible and Flammable Liquids 24
H Sprinkler System 26
I Fire Pump Systems 27
J Fire Alarm and Detection System 31
K Wet Chemical System 33
L Smoke Control System 33
M Emergency Planning 35
2 Fire and Safety Check Lists
2.1 General Safety Overview 37
2.2 Nursing General Safety 38
2.3 Slip, Trip, and Fall Prevention 38
2.4 Facility and Design Electrical Safety 40
2.5 Hazard Communication Evaluation 41
2.6 Basic Control of Hazardous Energy (Lockout/Tagout) 42
2.7 Confined Space Entry 43
2.8 Surgical Department 44
2.9 Storage Area Safety 44
2.10 Laboratories 46
2.11 Pharmacy 50
3 Explanation on Selected Topics
3.1 Operating Room (OR) Fire safety /Sugical Fires Safety 51
3.2 Safe Quantity of Open Medical Gases Storage in Health Care facilities 55
4 Inspection, Testing and Maintanence Requirement for FPS 59
5 Safety Evaluation Profile (SEP) 70
6 Partial List of NFPA Standards for Health Care Facilities 71
INSPECTION REPORT
Hospital General Information :
No. of Stories below/ above grade Mention Number of story below and above ground
level
Is building High Rise Check the height of highest occupiable floor from
the level of FD access
Is it underground ? Check
Occupancy Classification Classify occupancy and suboccupancy as applicable
Min. Construction Type Refer NFPA 5000
Approved Fire & Life Safety drawing Available Check for approved FLS drawing
Approved Shop drawing Available Check for approved Shop drawing
Buiding Surroundings Mention about surrounding of builidng
Deficiencies — Fire safety deficiencies are found on a building-by-building basis and are rated
according to how the deficiency affects overall fire safety. Deficiencies are classified as level I, II,
or III
Fire and Life Safety Program Element Possible Score Actual Score
Management Leadership 36
Workplace Analysis 28
Hazard Prevention and Control 24
Safety and Health Training 12
Total 100
Observations/Findings/Recommandations :
Protected Staircases
1 Provision for Protected Provisions given for internal NDM Hospital Safety
Staircases staircases shall apply to NFPA 101, Ch.
protected staircases 18,19,07
The staircases shall be NDM Hospital Safety
enclosed by walls having 02 NFPA 101, Ch.
hrs fire resistance 18,19,07
The external exit doors at NDM Hospital Safety
ground floor shall open NFPA 101, Ch.
directly onto open spaces or 18,19,07
a lobby and Fire & Smoke
check doors shall be
provided
Protected staircases shall be NDM Hospital Safety
pressurized. Under no NFPA 101, Ch.
circumstances shall they be 18,19,07
connected to a corridor,
lobby and staircase which is
unpressurized.
Pressurization systems shall NDM Hospital Safety
be incorporated in protected NFPA 101, Ch.
staircases where the floor 18,19,07
area is more than 500 sq.
mtr. The difference in
pressurization levels
between staircase and
lobby/corridor shall not be
greater than 5 Pa. Where 2
stage pressurization system
is is use the pressure
difference shall be as under:
(a) In normal conditions -
Minimum 8Pa to 15 Pa.
(b) In emergency conditions -
50 Pa.
2 Provision of Interfacing with The pressurization system NDM Hospital Safety
staicase pressurization system shall be interconnected with
3 StairCase Complying with the The Stair shall be in NDM Hospital Safety
code requirement accordance with Cl. 7.2.2 NFPA 101, Ch.
18,19,07
External Staircases
1 Provision for External Staircases External staircases serving as NDM Hospital Safety
a required means of egress NFPA 101, Ch.
shall be of permanent fixed 18,19,07
construction.
External staircases shall be NDM Hospital Safety
protected by a railing or NFPA 101, Ch.
guard. The height of such a 18,19,07
guard/ railing shall not be
less than 1200 mm.
External staircases shall be NDM Hospital Safety
separated from the interior NFPA 101, Ch.
of the building by walls that 18,19,07
are fire resistant and have
fixed or self closing opening
protectives’, as required for
enclosed stairs. External
staircases shall extend
vertically from the ground to
a point 3 meters above the
topmost landing of the
stairway or the roof line
whichever is lower, and
atleast 3 meters horizontally
All openings below and NDM Hospital Safety
outside the external NFPA 101, Ch.
staircases shall be protected 18,19,07
with requisite fire resistance
rating.
External staircases shall be NDM Hospital Safety
so arranged to avoid any NFPA 101, Ch.
discomfort/obstruction for 18,19,07
persons with a fear of
heights, from using them.
External staircases shall be NDM Hospital Safety
so arranged to ensure a clear NFPA 101, Ch.
direction of egress to the 18,19,07
street.
Horizontal Exit
1 Provision of Horizontal Exit Width of the horizontal exits NDM Hospital Safety
shall be same as the exit NFPA 101, Ch.
doorways. 18,19,07
A horizontal exit shall be NDM Hospital Safety
equipped with at least one NFPA 101, Ch.
fire/smoke door of minimum 18,19,07
2 hrs fire resistance of self
closing type. Further they
shall have direct access to
the fire escape staircase for
evacuation.
A refuge area of 15 Sq. Mtr. NDM Hospital Safety
or an area equivalent to 0.3 NFPA 101, Ch.
Sq Mtr. per person for the 18,19,07
number of occupants in two
consecutive floors,
whichever is more, shall be
provided on the periphery of
the floor or preferably on an
open air cantilever
projection with at least one
side protected with suitable
railings/guards with a height
not less than 1 mtr.
Within the aggregated area NDM Hospital Safety
of corridors, patient rooms, NFPA 101, Ch.
treatment rooms, lounges, 18,19,07
dining area and other low
hazards areas on each side of
the horizontal exit, a single
door may be used in a
horizontal exit given that the
exit serves one direction
only. Such doors shall be
swinging doors or a
horizontal sliding door.
1 Provision for Corridors and The minimum width and NDM Hospital Safety
Passageways height of corridors and NFPA 101, Ch.
passage ways shall be 2.4 18,19,07
mtr. The exit corridor and
1 Provision of Fire protection for Service shafts/ducts shall be NDM Hospital Safety
Service shafts and ducts enclosed by walls with 2 hr NFPA 101, Ch.
and doors with 1 hr fire 18,19,07
resistance rating. All such
ducts/shafts shall be
properly shielded and
facilities shall be available to
control fires along these
shafts/ducts at all levels.
1 Fire rated construction Materials and firestop systems NFPA 101, Table
present/maintained used to protect membrane and 18.1.6.1 & 19.1.6.1
through penetrations in fire-
resistance-rated construction and
construction installed to
resist the passage of smoke shall
be maintained. The materials and
firestop systems shall be securely
attached to or bonded to the
construction being penetrated
with no openings visible through
or into the cavity of the
construction. Where the system
design number is known, the
system shall be inspected to the
listing criteria and manufacturer’s
installation instructions.
2 Min. Construction Requirement Min Construction requirement NFPA 101, Table
are met shall be maintained as per the 18.1.6.1 & 19.1.6.1
code
Compartmentation
1 Adequate Compartmentation is The following good practices are NFPA 101, Ch. 18 &
observed with required fire recommended: 19
resistance rating. • Every floor forms a single fire
compartment
• Every occupancy type / function
area forms a single fire
compartment
• High-risk areas are located in
separate fire compartments
• Safe means of egress are
enclosed by fire-rated walls and
doors
• Vertical openings (stairs,
elevators, utility shafts) are
enclosed by fire-rated walls and
doors.
6 Wrench/spare sprinklers present As per the requirement of NFPA NFPA -13 6.2.9
13 & 25
codes Pressurization
systems impede smoke
spread to certain areas
of the building by
creating an
overpressure. They are
commonly used and
highly recommended in
staircases in high-rise
buildings, since they
provide an extra grade
of protection that allows
for longer evacuation
times.
Pressurization systems
in staircases should be
carefully designed: they
should create a pressure
difference of at least 50
Pa (all doors closed)
and an airflow of at least
0.75 m.s-1 through an
open door. On the other
hand, it should still be
possible to open the
staircase doors easily
(most codes prescribe a
maximum opening
force of 100 N).
Pressurization systems
can also be installed to
protect elevator shafts
against vertical smoke
spread.
CHECK LISTS
enclosures?
12 Sufficient access to and working space around provided and
maintained for all electrical equipment to permit ready and
safe operation and maintenance?
13 Electrical enclosures such as switches, receptacles, junction
boxes, etc. provided with tight-fitting covers or plates?
14 Electrical cords in good condition and properly used and no
“permanent” extension cords being substituted for fixed
wiring?
15 Adequate lighting provided throughout the facility, especially
at stairs and other hazardous areas?
16 Fuses (or circuit breakers) on lighting and small appliance
circuits are of proper capacity, and the use of multiple plugs
monitored to prevent overloading of circuits?
17 Switches for electrical equipment located so they can be
reached easily in the event of an emergency, without having
to lean on or against metal equipment?
For large fires on or in the patient, stop the flow of oxidizers, remove burning
materials from the patient, extinguish burning material, and care for the patient.
Follow correct procedures for using recommended types of fire extinguishers, such
as carbon dioxide (for surgical fires, water-based and dry-powder extinguishers are
not recommended).
Use aqueous solutions, fire blankets, sprinkler systems, and fire hoses to extinguish
fires (fire blankets and fire hoses are specifically not recommended, and sprinkler
systems are not likely to become activated by a surgical fire).
Develop evacuation procedures (RACE: rescue the patient, alert staff, confine the
smoke and fire, evacuate the area).
First Response
Small fires on a patient, such as those caused when a hot electrosurgical pencil ignites
drapes on a patient or when an electrocautery pencil ignites a blotting sponge,can be
extinguished by patting out the fire with a gloved hand or towel.
Large fires on or in the patient require a more comprehensive response that stops the flow
of oxidizers to the patient. In many cases, doing so will cause the fire to go out or at least
lessen in intensity.
The burning materials must then be removed from the patient and extinguished to protect
the patient from the heat of these materials.
The patient should receive immediate care; breathing should be restored, if necessary (with
air, never O2), and injuries dealt with. Some debate exists with regard to this sequence —
specifically, the order in which these steps should be carried out. In any case, they should
both be done as close to instantaneously as possible.
Fire Extinguishers
Although they should not be the weapon of first resort when dealing with a surgical fire,
fire extinguishers may be required to deal with fires that engulf or have migrated off the
patient.
As noted earlier, the correct procedure for using any fire extinguisher can be recalled by
the acronym PASS (pull the pin, aim the horn or nozzle, squeeze the trigger, and spray in
a sweeping motion to put out the fire).
The types of fire extinguishing devices commonly available in operating rooms are water
based, CO2, and dry powder. Not all of these are equally safe or effective. Some experts
recommend CO2 extinguishers and recommend that a 5-lb CO2 extinguisher be mounted
just inside the entrance of each operating room in the hospital.
Fire Blanket
Typically, fire blankets are wool blankets treated with fire retardants that are placed over a
fire to smother it.
They should never be located in an operating room and should never be used for patient
fires.
Their use will likely cause more severe injuries to the patient; however, they can be placed
outside the operating room in case of a fire on a conscious person, such as a surgical team
member.
In such a fire, the person can exit the operating room to use the blanket in a room that likely
is not oxygen enriched and can tell others about the fire.
Sprinkler Systems
Sprinkler systems can be found in the operating rooms of newer facilities but may activate
only in response to large fires.
Like water from extinguishers, sprinkler system water is not sterile and could, under some
circumstances, present an electricshock hazard.
Fire hoses are sometimes found in hallways and stairwells of older facilities. Water from
hoses is also not sterile and can also create an electric shock hazard. In addition,the water
stream itself can deliver sufficient force to cause injury or mechanical damage and can
make the hose dif difficult to hold onto. The use of fire hoses to extinguish surgical fires is
not recommended.
Fire Drills
Fire drills not only allow staff to practice for a fire but also help troubleshoot any
difficulties that might occur. Some elements to consider in planning a fire drill include:
• The proper response of surgical team members and the operating suite staff
• How the patient can easily and safely be moved to another operating room
• How the spread of smoke could be prevented (for example, through the use of
smoke doors and air duct dampers)
• Location and operation of fire extinguishers, fire alarm pull stations, and exits
• The response of additional firefighting personnel (such as the fire response team
and local fire department)
Sprinklers - solder-type 325°F or greater No test after 5 years, every 5 years thereafter Red Critical 5.3.1.1.1.4
Sprinklers - standard No test after 75 years, every 5 years thereafter Red Critical 5.3.1.1.1.5
Sprinklers - dry No test after 10 years, every 10 years thereafter Red Critical 5.3.1.1.1.6
(Corrosive atmospheres, corrosive water supply, includes freezers and coolers) No test after 5 years,
Sprinklers - subject to harsh environments Red Critical 5.3.1.1.2
every 5 years thereafter
Sprinklers - solder type (Commercial-type cooking eqpt. & ventilating systems) No replacement after one year Red Critical 5.4.1.7
Not protected or plastic or paper bags used to protect against overspray residue, with deposits or
Sprinklers in spray coating areas Red Impairment 5.4.1.8.3
residue accumulation
Gauges Not replaced or calibrated in 5 years, not accurate within 3% of scale Yellow Noncritical 5.3.2
Alarm devices Water motor and gong not functioning Red Critical 5.3.3
Alarm devices Pressure switch or vane-type switch not functioning or no alarm Red Critical 5.3.3
Antifreeze systems Mixture and concentration does not meet requirements of 5.3.4.2.1 Red Critical 5.3.4
Antifreeze systems Concentration is inadequate to prevent freezing Red Impairment Table A.5.3.4.2.1 (1)
Main drain More than 10% drop in full flow pressure Red Critical 13.2.5.3
Assessment of internal condition Inspection revealed presence of MIC, zebra mussels, rust and scale Red Critical 14.2.1
Assessment of internal condition No assessment of internal condition of main and branch line piping after 5 years Yellow Noncritical 14.2.1
STANDPIPE & HOSE SYSTEM - INSPECTION
Piping Leaking - slowly dripping and /or moisture on surface Red Critical 6.2.1, Tble 6.1.2
Piping Leaking - spraying or running water Red Impairment 6.2.1, Tble 6.1.2
Piping Critical mechanical damage Red Critical 6.2.1, Tble 6.1.2
Piping Poor condition/external corrosion, mechanical damage, external loads Red Critical 6.2.1, Tble 6.1.2
Gauges Poor condition Yellow Noncritical 6.2.2.1, 13.2.7.1
Gauges Not showing normal water/air pressure Red Critical 6.2.2.1, 13.2.7.1
Hydraulic design information sign Missing Yellow Noncritical 6.2.3
Hose connection pressure reducing valves Handwheel broken or missing, hose threads damaged, leaking, reducer missing Red Critical 13.5.2.1
Hose connection pressure reducing valves Cap missing Yellow Noncritical 13.5.2.1
Hose rack assembly pressure reducing valve Handwheel broken or missing, leaking Red Critical 13.5.3.1
Leaking, visible obstructions, caps, hose threads, valve handle, cap gasket, no restricting device,
Hose valves Red Critical 13.5.6.1
damaged, or in poor condition
Hose valves Hose threads not compatible Red Impairment 13.5.6.1
Hose Cuts, couplings not of compatible threads Red Critical Tble 6.1.2, NFPA 1962
Hose Deterioration, no gasket or damaged gaskets Red Critical Tble 6.1.2, NFPA 1962
Hose Mildew present, corrosion present, hose not connected, hose test outdated Yellow Noncritical Tble 6.1.2, NFPA 1962
Hose nozzle Missing, broken parts or thread gasket damaged Red Critical Tble 6.1.2, NFPA 1962
Hose storage Hose not properly racked or rolled, nozzle clip missing, nozzle not contained, damaged, obstructed Red Critical Tble 6.1.2, NFPA 1962
Corroded or damaged parts, not easy to open, not accessible, not identified, door glazing in poor
Cabinet condition, lock not functioning in break glass type, valve, hose nozzle, fire extinguisher, etc.. not readily Red Critical Tble 6.1.2, NFPA 1962
accessible
STANDPIPE & HOSE SYSTEM - TESTING NFPA #25
Hose connection pressure-regulating devices Test results not comparable to previous results Red Critical 13.5.2.2
Hose connection pressure-regulating devices No full flow test done after 5 years Yellow Noncritical 13.5.2.2
Hose rack assembly pressure-regulating devices Test results not comparable to previous results Red Critical 13.5.3.2
Hose rack assembly pressure-regulating devices No full flow test done after 5 years Yellow Noncritical 13.5.3.2
Pump house/room Heat not adequate, temperature less than 40° F Red Impairment 8.2.2 (1)
Pump house/room Heat not adequate, temperature less than 70° F for diesel pumps without engine heaters Red Impairment 8.2.2 (1)
Heat not adequate, temperature less than 40° F, not as recommended by the engine manufacturer, for
Pump house/room diesel pumps with engine heaters Red Impairment 8.2.2 (1)
Electrical connections loose, pressure switch settings not calibrated, mechanical parts not lubricated,
Electrical system motor bearings not greased, voltmeter and ammeter not accurate, corrosion on printed circuit boards, Yellow Noncritical Table 8.1.2
cracked cable/wire insulation, leaks in plumbing repairs, water on electrical parts
Diesel engine system - fuel Fuel tank not voided of water and foreign material, strainer, filter or dirt leg not cleaned Yellow Noncritical Table 8.1.2
Lube oil heater not operational, crankcase oil level not within acceptable range, crank case breather
Diesel engine system - lubrication system Yellow Noncritical Table 8.1.2
needs cleaned or replaced
Not adequate cooling water to heat exchanger, flexible hoses and connections damaged, cooling water
Diesel engine system - cooling system jacket heater not operational, water strainer needs cleaned, antifreeze needs changed, heat exchanger Yellow Noncritical Table 8.1.2
not rodded out, ductwork and louvers need cleaned
Diesel engine system - exhaust system Leaking, condensate trap needs drained Yellow Noncritical Table 8.1.2
Battery case corroded, battery case needs cleaned, charger and charge rate not equalized, terminals
Diesel engine system - battery system need cleaned or tightened, cranking voltage exceeds 9 volts on 12 volt system or 18 volts on 24 volt Yellow Noncritical Table 8.1.2
system
Wiring subject to movement chafing, boxes, panels and cabinets need cleaned, corrosion on printed
Diesel engine system - electrical system Yellow Noncritical Table 8.1.2
circuit boards, cracked cable/wire insulation, leaks in plumbing parts and water on electrical parts
Diesel engine system - electrical system Circuit breakers and fuses over 2 years old, Red Critical Table 8.1.2
Steam system Steam pressure gauge reading not normal Red Critical 8.2.2 (5)
FIRE PUMP - TESTING NFPA #25
Pump did not start automatically, electric pump did not run 10 minutes, diesel pump did not run 30
Fire pump test Red Impairment 8.3.2.2, 8.3.2.3, 8.3.2.4
minutes
Fire pump test - pump system System suction and discharge gauge reading, or pump starting pressure not acceptable Red Critical 8.3.2.8(1), 8.3.2.9(1)
Pump packing gland discharge not acceptable, unusual noise or vibration, packing boxes, bearings or
Fire pump test - pump system Red Critical 8.3.2.9(1)
pump casing overheating
Time for motor to accelerate to full speed, time controller is on first step or time pump runs after
Fire pump test - electrical motor - driven system Red Impairment 8.3.2.9(2)
starting not acceptable
Time for engine to crank and time for engine to reach running speed not acceptable (engine to reach
Fire pump test - diesel engine - driven system Red Critical 8.3.2.9(3)
rated speed within 20 seconds per 11.2.7.1 of NFPA 20, 2013 edition)
Fire pump test - diesel engine - driven system Low rpm Red Impairment 8.3.2.9(3)
Fire pump test - diesel engine - driven system Low oil pressure, high temperature, high cooling water pressure Red Critical 8.3.2.9(3)
Fire pump test - steam system Gauge reading and time for turbine to reach running speed not acceptable Red Critical 8.3.2.9(4)
Fire pump annual test Circulation relief valve and/or pressure relief valve did not work properly at churn condition Red Critical 8.3.3.2 (1)
Fire pump annual test Pressure relief valve did not work properly at each flow condition Red Critical 8.3.3.3.1
Overcurrent protective devices opened when simulating a power failure condition at peak load, power
Fire pump annual test (with transfer switch) not transferred to alternate source, pump did not continue to perform at peak load, pump did not Red Impairment 8.3.3.4
reconnect to normal power after removing power failure condition
Fire pump annual test Alarms did not properly operate Red Critical 8.3.3.5
Pump house/room Heating, lighting, ventilating systems did not pass test Red Critical 8.3.6.3
Fire pump annual test Parallel or angular alignment not correct Red Critical 8.3.6.4
Fire pump annual test Flow test results are not within 5% of acceptance test or nameplate Red Critical 8.3.7.3
Fire pump annual test Voltage readings at motor not within 5% below or 10% above rated (nameplate) Red Critical 8.3.7.6
Fire pump annual test Flow test results not within 5% of initial unadjusted acceptance test or nameplate Red Critical 8.3.7.3
Positive displacement pump annual test Flow test did meet the specified rated performance criteria Red Critical 8.3.5.2
Electronic fuel management control system Backup ECM and/or primary and redundant sensors failed test Yellow Noncritical 8.3.3.8
WATER STORAGE TANK - INSPECTION NFPA #25
Water level Water level and/or condition not correct Red Critical 9.2.1
Water level Tank is empty Red Impairment 9.2.1
Air pressure Air pressure in pressure tanks not correct Red Impairment 9.2.2
Heating system Heating system not operational, water temperature below 40°F Red Critical 9.2.3, 9.2.4
Heating system Water temperature below at or below 32°F Red Impairment 9.2.3, 9.2.4
Exterior Tank exterior, supporting structure, vents, foundation, catwalks or ladders where provided damaged Yellow Noncritical 9.2.5.1
Area around tank has fire exposure hazard in form of combustible storage, trash, debris, brush or
Exterior Yellow Noncritical 9.2.5.2
material
MechSoft EDC Design|Inspections|Training info@mitionline.com
MechSoft EDC Contact Number : +91 9146861270
Exterior Accumulation of material on or near parts that could result in accelerated corrosion or rot Yellow Noncritical 9.2.5.2
Exterior Ice buildup on tank and support Red Critical 9.2.5.2
Exterior Erosion exists on exterior sides or top of embankments supporting coated fabric tanks Yellow Noncritical 9.2.5.2
Exterior Expansion joints leaking or cracking Red Critical 9.2.5.3
Exterior Hoops and grills of wooden tanks in poor condition Yellow Noncritical 9.2.5.4
Exterior Exterior painted, coated, or insulated surfaces of tanks or supporting structure degraded Yellow Noncritical 9.2.5.5
Automatic tank fill valve Exterior damaged, strainers, filters and orifices not cleaned Yellow Noncritical Table 9.5.1.1
Interior (pressure tanks or steel tanks w/o corrosion Pitting, corrosion, spalling, rot, other forms of deterioration, waste materials exist, aquatic growth, local
Yellow Noncritical 9.2.6.3
protection every 3 years, all others every 5 years) or general failure of interior coating
Water spray nozzles Discharge devices missing, not properly positioned or pointed in design direction, loaded or corroded Red Critical 10.2.5.1
Water spray nozzles Missing caps or plugs if required or not free to operate as intended. Red Critical 10.2.5.2
Mainline strainers and individual water spray nozzle
Strainer plugged or fouled Red Impairment 10.2.7
strainers
Automatic detection equipment Not inspected in accordance with NFPA 72 Yellow Noncritical 10.2.3.1
Automatic detection equipment (Not covered by Missing detectors, loose, not protected from corrosion or weather, damaged, communication wiring,
Red Critical 10.2.3.2
NFPA #72) control panels or pneumatic tubing system not functional
Ultra-High-Speed Detectors have physical damage or deposits on lenses of optical detectors Red Critical 10.4.2
Ultra-High-Speed Controllers found to have faults Red Critical 10.4.3
WATER SPRAY FIXED SYSTEMS TESTING NFPA #25
Heat detection system did not operate within 40 seconds, flammable gas detection system did not
Operational test Red Impairment 10.3.4.1
operate within 20 seconds
Operational test Test not done after 1 year Yellow Noncritical 10.3.4.1
Operational test Nozzles are plugged Red Impairment 10.3.3.3.1
Operational test Nozzles not correctly positioned Red Critical 10.3.3.3.1
Operational test Pressure readings are not comparable to original design requirements Red Critical 10.3.3.4.3
Operational Test Test not performed performed with maximum number of systems expected to operate Yellow Noncritical 10.3.4
Operational test Manual actuation devices did not work properly Red Impairment 10.3.5
Low point drains/weep holes Piping not drained, weep holes not clear or obstructed Yellow Noncritical 10.3.6.1.2
Main drain More than 10% drop in full flow pressure Red Critical 10.3.7.1
Ultra-High-Speed Operational test Response time was more than 100 milliseconds Red Impairment 10.4.5.2
Ultra-High-Speed Operational test Test not done after 1 year Yellow Noncritical 10.4.1
Assessment of internal condition Inspection revealed presence of MIC, zebra mussels, rust and scale Red Critical 14.2.1
Assessment of internal condition No assessment of internal condition of piping within the last five years Yellow Noncritical 14.2.1
FOAM-WATER SPRINKLER SYSTEM INSPECTION (NFPA 16 systems only, not NFPA 11 or 409) NFPA #25
Alarm devices Physical damage apparent Yellow Noncritical 11.1.4.1.3
Automatic detection equipment Not inspected in accordance with NFPA 72 Yellow Noncritical 11.2.2
Mechanical damage, missing or damaged paint or coating, rusted or corroded, not properly aligned or
Pipe and fittings trapped sections, low point drains not functioning, improper location or poor condition of rubber- Red Critical 11.2.3
gasketed fittings
Damaged or missing, not securely attached to structural or piping, missing or damaged paint or
Hangers & seismic braces Red Critical 11.2.4
coating, rusted or corroded.
Foam-water discharge devices Discharge devices missing Red Impairment 11.2.5.1
Foam-water discharge devices Discharge devices not properly positioned or pointed in design direction, loaded, or corroded Red Critical 11.2.5.1
Foam-water discharge devices Caps and plugs not free to operate as intended. Red Critical 11.2.5.2
Foam-water discharge devices Missing caps or plugs if required Red Critical 11.2.5.2
Foam-water discharge devices Incorrect foam concentrate for application and devices Red Critical 11.2.5.4
Mainline and/or discharge device strainers Baskets or screens damaged, plugged or fouled Red Impairment 11.2.7.1
Mainline and/or discharge device strainers Corroded Red Critical 11.2.7.1
Foam concentrate strainers Blow-down valve open or not plugged Red Critical 11.2.7.2
Drainage Trap sumps and drainage trenches blocked, retention embankments or dikes in disrepair Yellow Noncritical 11.2.8
Proportioning system valves not in correct open/closed position in accordance with specified operating
Proportioning systems (all) Red Impairment 11.2.9.3
conditions
Proportioning systems (all) Concentrate tank does not have correct quantity required by original design Red Critical 11.2.9.4
Proportioning systems (all) Concentrate tank empty Red Impairment 11.2.9.4
Standard pressure proportioner Automatic drains (ball drip valves) not free or open, external corrosion on foam concentrate tanks Yellow Noncritical 11.2.9.5.1.2
Standard pressure proportioner Ball drip drain valves not cleaned within last 5 years Yellow Noncritical 11.4.3.1
Standard pressure proportioner Foam liquid storage tank not flushed within last 10 years Yellow Noncritical 11.4.3.2
Standard pressure proportioner Foam liquid storage tank not hydrostatically tested within the last 10 years Yellow 11.4.3.3
Bladder tank proportioner Water control valve to foam concentrate in "closed" position Red Impairment 11.2.9.5.2.2
Bladder tank proportioner Foam in water surrounding bladder Red Impairment 11.2.9.5.2.2
Bladder tank proportioner External corrosion on foam concentrate tank Yellow Noncritical 11.2.9.5.2.2
Bladder tank proportioner Sight glass not cleaned within last 10 years (where provided) Yellow Noncritical 11.4.4.1
Bladder tank proportioner Foam concentrate tank not hydrostatically tested within the last 10 years Yellow Noncritical 11.4.4.2
Line proportioner Strainer damaged, corroded, pressure vacuum vent not operating freely Red Critical 11.2.9.5.3
Line proportioner Strainer plugged or fouled Red Impairment 11.2.9.5.3
Line proportioner External corrosion on foam concentrate tank Yellow Noncritical 11.2.9.5.3
Line proportioner Foam liquid storage tank not flushed within last 10 years Yellow Noncritical 11.4.5.3
Line proportioner Foam liquid storage tank not internally inspected within last 10 years Yellow Noncritical 11.4.5.1
Line proportioner Pickup pipes inside the tank corroded, not separated or plugged Yellow Noncritical 11.4.5.2
FOAM-WATER SPRINKLER SYSTEM INSPECTION (NFPA 16 systems only, not NFPA 11 or 409) cont.. NFPA #25
Standard balanced pressure proportioner Sensing line valves not open, no power to foam liquid pump Red Impairment 11.2.9.5.4
Strainer damaged, corroded, plugged or fouled, pressure vacuum vent not operating freely, gauges
Standard balanced pressure proportioner Red Critical 11.2.9.5.4
damaged or not showing proper pressures
Standard balanced pressure proportioner Foam concentrate pump not operated and foam circulated within the last 5 years Yellow Noncritical 11.4.6.1
Standard balanced pressure proportioner Foam pumps, drive train and drivers not serviced within the last 5 years Yellow Noncritical 11.4.6.2
Standard balanced pressure proportioner Diaphragm balancing valve not flushed within the last 5 years Yellow Noncritical 11.4.6.3
Standard balanced pressure proportioner Foam concentrate tank not internally inspected for corrosion within the last 10 years Yellow Noncritical 11.4.6.4
Sensing line valves at pump unit or individual proportioner stations not open, no power to foam liquid
In-Line balanced pressure proportioner Red Impairment 11.2.9.5.5
pump
strainer damaged, corroded, pressure vacuum vent not operating freely, gauges damaged or not
In-Line balanced pressure proportioner Red Critical 11.2.9.5.5
showing proper pressures
In-Line balanced pressure proportioner Strainer plugged or fouled Red Impairment 11.2.9.5.5
In-Line balanced pressure proportioner Foam concentrate pump not operated and foam circulated within the last 5 years Yellow Noncritical 11.4.7.1
In-Line balanced pressure proportioner Foam pumps, drive train and drivers not serviced within the last 5 years Yellow Noncritical 11.4.7.2
In-Line balanced pressure proportioner Diaphragm balancing valve not flushed within the last 5 years Yellow Noncritical 11.4.7.3
In-Line balanced pressure proportioner Foam concentrate tank not internally inspected for corrosion within the last 10 years Yellow Noncritical 11.4.7.4
Orifice plate proportioner No power to foam liquid pump Red Impairment 11.2.9.5.6
strainer damaged, corroded, pressure vacuum vent not operating freely, gauges damaged or not
Orifice plate proportioner Red Critical 11.2.9.5.6
showing proper pressures
Orifice plate proportioner Strainer plugged or fouled Red Impairment 11.2.9.5.6
Foam concentrate Samples not taken and submitted for test Yellow Noncritical 11.2.10
FOAM-WATER SPRINKLER SYSTEM TESTING (NFPA 16 systems only, not NFPA 11 or 409) NFPA #25
Alarm devices Water motor and gong not functioning Red Critical 11.1.4.1.1, 11.3.1.1
Alarm devices Pressure switch or vane type switch not functioning or no alarm Red Critical 11.1.4.1.2, 11.3.1.2
Pressure vacuum vents Not flushed and serviced within the last 5 years Yellow Noncritical 11.4.8
Operational Test Fire detection system did not operate within requirements of NFPA #72 Red Critical 11.3.2.4
Operational Test Test not done after 1 year Yellow Noncritical Tble 11.1.1.2
Operational Test Nozzles are plugged Red Impairment 11.3.2.6.1
Operational Test Nozzles are not correctly positioned Red Critical 11.3.2.6.1
Operational Test Pressure readings are not comparable to original design requirements Red Critical 11.3.2.7.3
Operational Test Test not performed with maximum number of systems expected to operate Yellow Noncritical 11.3.3
Operational Test Manual actuation devices did not work properly Red Impairment 11.3.4
Operational Test Foam sample failed concentration test Red Impairment 11.3.5.3
Main drain More than 10% drop in full flow pressure Red Critical 13.2.5.2
Assessment of internal condition Inspection revealed presence of MIC, zebra mussels, rust and scale Red Critical 14.2.1
Assessment of internal condition No assessment of internal condition of main and branch line piping within the last five years Yellow Noncritical 14.2.1
VALVE, VALVE COMPONENTS & TRIM - INSPECTION NFPA #25
Control valve Improper closed position Red Impairment 13.3.2.2
Control valve Improper open position, leaking Red Critical 13.3.2.2
Control valve Not accessible, no appropriate wrench if required, no identification Yellow Noncritical 13.3.2.2
Control valve Not sealed, locked or supervised Red Critical 13.3.2.2
External physical damage, trim valves not in appropriate open or closed position, retard chamber or
Alarm valve Red Critical 13.4.1.1
alarm drain leaking
Alarm valve Alarm valve, strainers, filters and restricted orifices not internally inspected after 5 years Yellow Noncritical 13.4.1.2
Check valve Check valve not internally inspected after 5 years Yellow Noncritical 13.4.2.1
Valve enclosure Upon visual observation, enclosure not maintaining minimum 40°F temperature Red Critical 13.4.3.1.1, 13.4.4.1.1
Valve enclosure Low temperature alarms (if installed) are physically damaged Red Critical 13.4.3.1.1, 13.4.4.1.1
Preaction valve and deluge valve External physical damage, trim valves not in appropriate open or closed position, valve seat leaking Red Critical 13.4.3.1.6
Preaction valve and deluge valve Electrical components not in service Red Impairment 13.4.3.1.6
Preaction valve and deluge valve Internal inspection of valve after trip test not acceptable Yellow Noncritical 13.4.3.1.7,
Interior of preaction valve/or deluge valve (that can be reset w/o removal of faceplate), strainers, filters, 13.4.3.1.7.1, 13.4.3.1.8
Preaction valve and deluge valve Yellow Noncritical
restricted orifices, and diaphragm chambers not internally inspected after 5 years
Dry pipe valve and preaction valve auxiliary drains Missing identification sign Yellow Noncritical 13.4.4.1.3
External physical damage, trim valves not in appropriate open of closed position, intermediate chamber
Dry pipe valve/quick opening device Red Critical 13.4.4.1.4
leaking
Dry pipe valve/quick opening device Internal inspection of valve after trip test not acceptable Yellow Noncritical 13.4.4.1.5
Dry pipe valve/Quick opening device Strainers, filters and restricted orifices not internally inspected after 5 years Yellow Noncritical 13.4.4.1.6
Air dryer Not being maintained per mfg. instructions Yellow Noncritical 5.4.2.3
Air compressor Filters not cleaned, oil not changed or other mfg. recommendations not performed Yellow Noncritical 5.4.2.4
Sprinkler pressure-reducing control valves Not in open position Red Impairment 13.5.1.1
Sprinkler pressure-reducing control valves Not maintaining downstream pressures in accordance with design criteria Red Critical 13.5.1.1
Sprinkler pressure reducing control valves Leaking, valve damaged, handwheel missing or broken Red Critical 13.5.1.1
Master pressure reducing valve Not in open position Red Impairment 13.5.4.1
Master pressure reducing valve Not maintaining downstream pressures in accordance with the design criteria Red Critical 13.5.4.1
Master pressure reducing valve Leaking, valve and/or trim damaged, supply pressure not in accordance with design criteria Red Critical 13.5.4.1
VALVE, VALVE COMPONENTS & TRIM - TESTING NFPA #25
Control valve Valve not operating through its full range Red Critical 13.3.3.1
Control valve No spring or torsion felt in rod when opening post indicator valve Red Impairment 13.3.3.2
No signal from two revolutions of hand wheel from normal position or when stem has moved one-fifth of
Supervisory switches Red Critical 13.3.3.5
distance from normal position, signal restored in position other than normal
Preaction valve Priming water level not correct Red Critical 13.4.3.2.1
Preaction valve No full flow trip test done after 3 years Yellow Noncritical 13.4.3.2.3
Preaction valve Three year leakage test failed Red Critical 13.4.3.2.6
Preaction valve No air leakage test after 3 years Yellow 13.4.3.2.6
Deluge valve Annual full flow trip test revealed plugged nozzles, manual actuation devices did not Red Impairment 13.4.3.2.2.6
operate properly
Pressure reading at hydraulically most remote nozzle and/or at valve not
Deluge valve Red Critical 13.4.3.2.7.3
comparable to original design values
Preaction valve Low air pressure switch did not send signal, no alarm Red Critical 13.4.3.2.13
Preaction and deluge valve Low temperature switch did not send signal, no alarm Red Critical 13.4.3.2.14
Preaction valve Automatic air maintenance device did not pass test Yellow Noncritical 13.4.3.2.15
Dry pipe valve/Quick opening device Priming water level not correct Red Critical 13.4.4.2.1
Dry pipe valve Annual trip test results were not comparable to previous tests Red Critical 13.4.4.2.2
Dry pipe valve No full flow trip test done after 3 years Yellow Noncritical 13.4.4.2.2.2
Dry pipe valve Quick opening device did not pass test Red Critical 13.4.4.2.4
Dry pipe valve Low air pressure switch did not send signal or no alarm Red Critical 13.4.4.2.6
Dry pipe valve Low temperature switch did not send signal or no alarm Red Critical 13.4.4.2.7
Dry pipe valve Automatic air maintenance device did not pass test Red Critical 13.4.4.2.8
Dry pipe valve Trip test tag or card missing Yellow Noncritical 13.4.4.2.5
Dry pipe valve No air leakage test a<er 3 years Yellow Noncritical 13.4.4.2.9
Dry pipe valve Three year air leakage test failed Red Critical 13.4.4.2.9
Sprinkler pressure reducing control valves Test results not comparable to previous results Red Critical 13.5.1.2
Sprinkler pressure reducing control valves No full flow test done after 5 years Yellow Noncritical 13.5.1.2
Master pressure reducing valve Test results not comparable to previous results Red Critical 13.5.4.3
Master pressure reducing valve No full flow test not performed after 1 year Yellow Noncritical 13.5.4.3
A Score
Safety and Health (4) Workforce accepts, can explain, and fully understands the safety and health
Policy policy.
(3) Majority of personnel can explain policy.
(2) Some personnel can explain policy.
(1) There is a written (or oral, where appropriate) policy.
(0) No such policy exists.
Comments:
A Score
Hazard Review (4) Every planned or new facility, process, material, or equipment is fully
reviewed by competent personnel.
(3) A hazard review of each planned or new facility, process, material, or
equipment is conducted by experts.
(2) Planned or new facilities, processes, materials, and equipment that are
considered high hazards are reviewed.
(1) Hazard reviews of new facilities, processes, materials, and equipment are
problem driven.
(0) No system or requirement exists for hazard review of planned or new
operations.
Comments:
Job Safety Analysis (4) Employees are involved in the development of current hazard analysis on
their jobs.
(3) A current hazard analysis program exists for appropriate jobs and processes
and is understood by affected employees.
(2) A hazard analysis program exists for appropriate jobs and processes and is
understood by affected employees.
(1) A hazard analysis program exists, but few employees are involved and most
are not aware of the results.
(0) No routine hazard analysis system is in place at this facility.
Comments:
Hazard Prevention :
A Score
Hazard Control (4) Hazard controls are fully in place that concentrate on engineering controls and
Program on reinforced and enforced safe work procedures and are known to the
workforce.
(3) Hazard controls are fully in place that give priority to engineering controls, safe
work procedures, administrative controls, and personal protective equipment (in
that order).
(2) Hazard controls are fully in place, but the order of priorities is variable.
(1) Hazard controls are generally in place, but priorities and completeness vary.
(0) Hazard controls are not considered complete, effective, or appropriate in this
workplace.
Comments:
B Score
Preventive (4) Operators are trained to recognize maintenance needs and to perform or
Maintenance order timely maintenance.
(3) An effective preventive maintenance schedule is in place and applicable to all
equipment.
(2) A preventive maintenance schedule is in place and is usually followed except
for higher priorities.
(1) A preventive maintenance schedule is in place but is often allowed to slide.
(0) Little or no attention is paid to preventive maintenance.
Comments:
A Score
Employee (4) Employees are involved in hazard assessment and help develop and deliver
Training training, and all are trained.
(3) Facility is committed to high-quality employee hazard training, requires
everyone to participate, and provides regular updates.
(2) Facility provides legally required training and makes an effort to include all
personnel.
(1) Training is provided when the need is apparent, and experienced personnel
are assumed to know the material.
(0) Facility depends on experience and informal peer training to meet needs.
Comments:
End of Document