The 5 year fire sprinkler inspection form is a document that must be filled out by the fire department and submitted to the property owner. The purpose of this inspection is two-fold: it ensures that your system is in working order, and it helps you remember when your next inspection will take place. It's important for both safety and legal reasons that you complete this form before submitting it back to the fire department. The 5 Year Fire Sprinkler Inspection Form serves many purposes, one of which being ensuring that your system is in working order.
Here is the details in regards to the file you were looking for to fill out. It will tell you how long it will require to complete 5 year fire sprinkler inspection form, what fields you will have to fill in, and so forth.
| Question | Answer |
|---|---|
| Form Name | 5 Year Fire Sprinkler Inspection Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 5 year internal inspection report, nfpa 5 year sprinkler inspection form, sprinkler testing form, nfpa 25 internal pipe inspection form |
5 year Fire Sprinkler Inspection, Testing, and Maintenance
Business Name: ________________________________________________________________
Business Address: _______________________________________________________________
Contact Number: _____________________________ Date: _____________________________
The following are the requirements Bullhead City Fire Department is requiring to complete a 5 year fire sprinkler inspection. This information is taken from NFPA 25 Table 5.1.
Yes |
No |
N/A |
|
|
|
|
1. Inspection: Valves (all types); follow Table 13.1. |
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Yes |
No |
N/A |
|
|
|
|
2. Inspection: Obstruction; follow Section 14.2.2, also the inspection |
shall include removing and examining a minimum of three (3) fire sprinkler heads. One on a branch line near the riser, one on a branch line near the inspectors test, and one on a branch line in a remote area in the middle of the system looking for debris or anything that would impair the proper flow of water.
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Yes |
No |
N/A |
|
|
|
|
3. Test: Gauges; follow Section 5.3.2. |
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Yes |
No |
N/A |
|
|
|
|
4. Test: Sprinklers‐extra high temperature; follow section 5.3.1.1.1.3. |
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Yes |
No |
N/A |
|
|
|
|
5. Test: Sprinklers – fast response; follow Section 5.3.1.1.1.2. |
Comments:____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Yes |
No |
N/A |
|
|
|
|
6. Maintenance: Obstruction investigation; follow Sections 13.2.1 and |
13.2.2.
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Yes |
No |
N/A |
|
|
|
|
7. Investigation: Obstruction; follow Section 14.2.1, (the flushing |
connection can be the inspectors test valve). Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Yes |
No |
N/A |
|
|
|
|
8. All annual requirements shall be completed. |
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Company Name, Address & Phone:
______________________________________________________________________________
Signature |
Date |