Report of Inspection, Testing, and Maintenance of Fire Pump

Pump ID: Sample Fire Pump

Building Name: Sample Building
Building Owner: Acme, Inc
Job Site: 123 Maple Ln
5th Floor
Gotham City, IL 60042

Date of Test: 2013-06-21

Type of Test: Sample Work Order
Testing Firm: FEC
Testing Firm Fazil Yoosuf
Contact: fyoosuf@fecint.com
966550699897
 Customer Information

Company Name: Sample Customer

Full Name: William Watson
Phone Number: 555-555-1234
Fax Number: 555-555-5678
Email: wwatson@sample.com
Address: 123 Elm St
Suite 42
Springfield, AK 99542
 Fire Pump
Pump ID: Sample Fire Pump
Pump Type (check one): Horizontal
Vertical In-Line
Vertical Turbine
End-Suction
Manufacturer: Fire Pump Industries
Model: 1594BF
Serial Number: 12-2217984
Listed (check all that apply): FM
UL
ULC
Rated Capacity (GPM): 1000
Total Dynamic Head (ft): 231
Head at Churn 0% (PSI): 120
Head at Rated 100% (PSI): 100
Head at Overload 150% (PSI): 67
Rated Speed (RPM): 3500
Pump Rotation: Clockwise
Counterclockwise
Suction From: City Main
Impeller Diameter (In): 7.9
Fire Pump Driver
Type: Diesel Engine
Electric Motor
Other _________________________
Manufacturer: US Motor
Model: DK79/FDF-1
Serial Number: T0175100936-0026M
Listed (check all that apply): FM
UL
ULC
Rated HP: 75
Rated Speed (RPM): 3555
Frame Size: 364TS
Motor Enclosure Type: ODP
Electric Driver
Rated Voltage: 460
Rated Full Load Amps: 81.6
Phase: 3
Cycles (Hz): 60
Service Factor: 1.15
Fire Pump Controller
Type: Across the line
Manufacturer: Controller Industries
Model: MP300-60-840D
Serial Number: 2287801
Listed (check all that apply): FM
UL
ULC
Rated HP: 2
Phase: 3
Cycles (Hz): 60
Rated Voltage: 480
On PSI: 165
Off PSI: 175
Type of Start: Automatic
Run Timer Setting (min): 10
Jockey Pump
Manufacturer: Jockey Industries
Model: BH1014
Rated HP: 3450
Rated Speed (RPM): 3450
Rated Flow (GPM): 0
Rated Pressure (PSI): 0
Phase: 3
Cycles (Hz): 60
Rated Voltage: 208
Service Factor: 1.15
Rated Amps: 0
Jockey Pump Controller
Manufacturer: Pump Controller Industries
Model: CPJ-1.5-3-20-24
Serial Number: 597611
Listed (check all that apply): FM
UL
ULC
Rated HP: 1.5
Phase: 3
Cycles (Hz): 60
Rated Voltage: 208
On PSI: 160
Off PSI: 165
Other Information
Notes: This is a sample fire pump. Manufacturers, models, and serial numbers
were made up.
custom-field custom value

Report generated by Fire Pump Tester Software ™ by Hydro Flow Products, Inc.
 Test Results
Date of Test: 2013-06-21
Type: Sample Work Order
Fire Department Attendee: Daniel Hockensmith
Building Representative Attendee: Amanda Davis
Testing Firm Attendee: Terry Johnston
Pump Manufacturer Attendee: Austin Stutes
Flow Device Used: 1 3/4" Nozzle Insert (HM2H)
Other Information: The fire pump passed the test. No failures to report.
Pressures Streams Total Flow Corrected
% Rated
RPM Disch. Vert. Net Flow 1 2 3 Flow GPM Volts Amps Flow % Press.
Capacity
Flow 490 76
- - -
Device
495 80
1 3574 164 9 167.9 PSI 0 0 0 161
493 82
GPM
Flow HMNI1.75 HMNI1.75 487 82
-
Device -HM2H -HM2H
491 85
2 3570 160 9 163.9 PSI 8 9 519 51.9 50.9 157.5
488 87
GPM 251.8 267.1
Flow HMNI1.75 HMNI1.75 486 88
-
Device -HM2H -HM2H
489 92
3 3566 155 9 158.9 PSI 18 18 755.5 75.6 74.2 153.1
487 95
GPM 377.8 377.8
Flow HMNI1.75 HMNI1.75 484 95
-
Device -HM2H -HM2H
487 99
4 3561 144 9 147.9 PSI 33 34 1030.7 103.1 101.3 142.9
485 101
GPM 511.5 519.2
Flow HMNI1.75 HMNI1.75 HMNI1.75 483 94
Device -HM2H -HM2H -HM2H
487 98
5 3561 114 9 117.9 PSI 26 27 28 1387.8 138.8 136.4 113.9
485 100
GPM 454 462.7 471.2
Flow HMNI1.75 HMNI1.75 HMNI1.75 483 94
Device -HM2H -HM2H -HM2H
487 98
6 3563 99 9 102.9 PSI 32 33 34 1534.4 153.4 150.7 99.3
485 100
GPM 503.7 511.5 519.2