The National Fire Protection Association (NFPA) provides a number of resources to help organizations keep their employees safe from fire and other emergencies. One such resource is the NFPA testing form, which allows businesses to test their employees' knowledge of emergency evacuation procedures. This form can be used to evaluate employee understanding of evacuation plans, as well as identify areas where additional training may be needed. By using the NFPA testing form, organizations can ensure that their employees are properly prepared for emergencies.
Listed here, you can find some specifics about nfpa testing form PDF. It's a good idea that you read through this information before you decide to begin editing the file.
Question | Answer |
---|---|
Form Name | Nfpa Testing Form |
Form Length | 4 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min |
Other names | nfpa testing forms, nfpa form, fire alarm inspection form, nfpa 72 form |
|
|
|
|
|
|
|
|
|
|
|
|
INSPECTION AND TESTING FORM |
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
DATE: |
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
TIME: |
|
|||||||
SERVICE ORGANIZATION |
|
PROPERTY NAME (USER) |
|||||||||||||||||||
Name: |
|
|
Name: |
|
|||||||||||||||||
Address: |
|
|
Address: |
|
|||||||||||||||||
Representative: |
|
|
Owner Contact: |
|
|||||||||||||||||
License No.: |
|
|
Telephone: |
|
|||||||||||||||||
Telephone: |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
MONITORING ENTITY |
|
APPROVING AGENCY |
|||||||||||||||||||
Contact: |
|
|
Contact: |
|
|||||||||||||||||
Telephone: |
|
|
Telephone: |
|
|||||||||||||||||
Monitoring Account Ref. No.: |
|
|
|
|
|
|
|
|
|
|
|||||||||||
TYPE TRANSMISSION |
|
SERVICE |
|||||||||||||||||||
❏ McCulloh |
|
❏ Weekly |
|||||||||||||||||||
❏ Multiplex |
|
❏ Monthly |
|||||||||||||||||||
❏ Digital |
|
❏ Quarterly |
|||||||||||||||||||
❏ Reverse Priority |
|
❏ Semiannually |
|||||||||||||||||||
❏ RF |
|
❏ Annually |
|||||||||||||||||||
❏ Other (Specify) |
|
❏ Other (Specify) |
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Control Unit Manufacturer: |
|
|
Model No.: |
|
|||||||||||||||||
Circuit Styles: |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Number of Circuits: |
|
|
|
|
|
|
|
|
|
|
|
||||||||||
Software Rev.: |
|
|
|
|
|
|
|
|
|
|
|
Last Date System Had Any Service Performed:
Last Date that Any Software or Configuration Was Revised:
Quantity |
Circuit Style |
Manual Fire Alarm Boxes
Ion Detectors
Photo Detectors
Duct Detectors
Heat Detectors
Waterflow Switches
Supervisory Switches
Other (Specify):
(NFPA Inspection and Testing 1 of 4)
ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION
Quantity |
Circuit Style |
Bells
Horns
Chimes
Strobes
Speakers
Other (Specify):
No. of alarm notification appliance circuits:
Are circuits monitored for integrity? ❏ Yes ❏ No
SUPERVISORY
Quantity |
Circuit Style |
Building Temp.
Site Water Temp.
Site Water Level
Fire Pump Power
Fire Pump Running
Fire Pump Auto Position
Fire Pump or Pump Controller Trouble
Fire Pump Running
Generator In Auto Position
Generator or Controller Trouble
Switch Transfer
Generator Engine Running
Other:
SIGNALING LINE CIRCUITS |
|
|
|
|
|
|
|
|
|
|
|||||||||
Quantity and style (See NFPA 72, Table |
|
|
|
||||||||||||||||
Quantity |
|
|
Style(s) |
|
|
|
|
||||||||||||
SYSTEM POWER SUPPLIES |
|
|
|
|
|
|
|
|
|
|
|||||||||
a. |
Primary (Main): Nominal Voltage |
|
|
|
, Amps |
|
|
|
|
||||||||||
|
Overcurrent Protection: Type |
|
|
|
, Amps |
|
|
|
|
||||||||||
|
Location (of Primary Supply Panelboard): |
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
Disconnecting Means Location: |
|
|
|
|
|
|
|
|
|
|
|
|||||||
b. |
Secondary (Standby): |
|
|
|
|
|
|
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
Storage Battery: |
|
|
|
|||||||
|
Calculated capacity to operate system, in hours: |
|
24 |
|
|
|
60 |
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|||||||||||
|
Location of fuel storage: |
|
|
|
|
|
|
|
|
|
|
|
TYPE BATTERY
❏Dry Cell
❏
❏Sealed
❏
❏Other (Specify):
c.Emergency or standby system used as a backup to primary power supply, instead of using a secondary power supply: Emergency system described in NFPA 70, Article 700
Legally required standby described in NFPA 70, Article 701
Optional standby system described in NFPA 70, Article 702, which also meets the performance requirements of Article 700 or 701.
(NFPA Inspection and Testing 2 of 4)
PRIOR TO ANY TESTING
NOTIFICATIONS ARE MADE |
Yes |
No |
Who |
|
Time |
Monitoring Entity |
❏ |
❏ |
|
|
|
Building Occupants |
❏ |
❏ |
|
|
|
Building Management |
❏ |
❏ |
|
|
|
Other (Specify) |
❏ |
❏ |
|
|
|
AHJ (Notified) of Any Impairments |
❏ |
❏ |
|
|
|
SYSTEM TESTS AND INSPECTIONS
TYPE |
Visible |
Functional |
Comments |
Control Unit |
❏ |
❏ |
|
Interface Eq. |
❏ |
❏ |
|
Lamps/LEDS |
❏ |
❏ |
|
Fuses |
❏ |
❏ |
|
Primary Power Supply |
❏ |
❏ |
|
Trouble Signals |
❏ |
❏ |
|
Disconnect Switches |
❏ |
❏ |
|
❏ |
❏ |
|
|
SECONDARY POWER |
|
|
|
TYPE |
Visible |
Functional |
Comments |
Battery Condition |
❏ |
|
|
Load Voltage |
|
❏ |
|
Discharge Test |
|
❏ |
|
Charger Test |
|
❏ |
|
Specific Gravity |
|
❏ |
|
TRANSIENT SUPPRESSORS |
❏ |
|
|
REMOTE ANNUNCIATORS |
❏ |
❏ |
|
NOTIFICATION APPLIANCES |
|
|
|
Audible |
❏ |
❏ |
|
Visual |
❏ |
❏ |
|
Speakers |
❏ |
❏ |
|
Voice Clarity |
|
❏ |
|
INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS
|
|
|
Device |
Visual |
Functional |
Factory |
|
Meas. |
|
|
Loc. & S/N |
|
Type |
Check |
Test |
Setting |
|
Setting |
Pass |
Fail |
|
|
|
|
|
❏ |
❏ |
|
|
|
❏ |
❏ |
|
|
|
|
❏ |
❏ |
|
|
|
❏ |
❏ |
|
|
|
|
❏ |
❏ |
|
|
|
❏ |
❏ |
|
|
|
|
❏ |
❏ |
|
|
|
❏ |
❏ |
|
|
|
|
❏ |
❏ |
|
|
|
❏ |
❏ |
|
|
|
|
❏ |
❏ |
|
|
|
❏ |
❏ |
Comments: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(NFPA Inspection and Testing 3 of 4)
EMERGENCY COMMUNICATIONS EQUIPMENT |
Visual |
Functional |
Comments |
Phone Set |
❏ |
❏ |
|
Phone Jacks |
❏ |
❏ |
|
❏ |
❏ |
|
|
Amplifier(s) |
❏ |
❏ |
|
Tone Generator(s) |
❏ |
❏ |
|
❏ |
❏ |
|
|
System Performance |
❏ |
❏ |
|
|
|
|
Device |
Simulated |
|
|
Visual |
Operation |
Operation |
INTERFACE EQUIPMENT |
|
|
|
|
(Specify) |
|
❏ |
❏ |
❏ |
(Specify) |
|
❏ |
❏ |
❏ |
(Specify) |
|
❏ |
❏ |
❏ |
SPECIAL HAZARD SYSTEMS |
|
|
|
|
(Specify) |
|
❏ |
❏ |
❏ |
(Specify) |
|
❏ |
❏ |
❏ |
(Specify) |
|
❏ |
❏ |
❏ |
Special Procedures:
Comments:
SUPERVISING STATION MONITORING |
Yes |
No |
Time |
Comments |
|
Alarm Signal |
❏ |
❏ |
|
|
|
Alarm Restoration |
❏ |
❏ |
|
|
|
Trouble Signal |
❏ |
❏ |
|
|
|
Supervisory Signal |
❏ |
❏ |
|
|
|
Supervisory Restoration |
❏ |
❏ |
|
|
|
NOTIFICATIONS THAT TESTING IS COMPLETE |
Yes |
|
No |
|
|
Who |
|
|
Time |
||||||||||
Building Management |
❏ |
|
|
❏ |
|
|
|
|
|
|
|
|
|||||||
Monitoring Agency |
❏ |
|
|
❏ |
|
|
|
|
|
|
|
|
|||||||
Building Occupants |
❏ |
|
|
❏ |
|
|
|
|
|
|
|
|
|||||||
Other (Specify) |
❏ |
|
|
❏ |
|
|
|
|
|
|
|
|
|||||||
The following did not operate correctly: |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
System restored to normal operation: Date: |
|
|
|
Time: |
|
|
|
|
|
|
|
|
|
||||||
THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS. |
|
|
|
||||||||||||||||
Name of Inspector: |
|
|
|
|
|
|
Date: |
|
|
Time: |
|
||||||||
Signature: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Name of Owner or Representative: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Date: |
|
Time: |
|
|
|
|
|
|
|
|
|
|
|
||||||
Signature: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(NFPA Inspection and Testing 4 of 4)