Nfpa Testing Form – Fill Out and Use This PDF

Enter the DATE and the TIME.

Under SERVICE ORGANIZATION, fill in Name, Address, Representative, License No. and Telephone. Under PROPERTY NAME (USER), fill in Name, Address, Owner Contact and Telephone.

Under MONITORING ENTITY and under APPROVING AGENCY, fill in Contact and Telephone. Enter the Monitoring Account Ref. No.

Check the boxes for TYPE TRANSMISSION: McCulloh, Multiplex, Digital, Reverse Priority, RF or Other (Specify). Check the boxes for SERVICE: Weekly, Monthly, Quarterly, Semiannually, Annually or Other (Specify).

Enter the Control Unit Manufacturer, Model No., Circuit Styles, Number of Circuits and Software Rev. Then enter the Last Date System Had Any Service Performed and the Last Date that Any Software or Configuration Was Revised.

Under Alarm-initiating devices and circuit information, enter the Quantity and Circuit Style for Manual Fire Alarm Boxes, Ion Detectors, Photo Detectors, Duct Detectors, Heat Detectors, Waterflow Switches, Supervisory Switches and Other (Specify).

Under Alarm notification appliances and circuit information, enter the Quantity and Circuit Style for Bells, Horns, Chimes, Strobes, Speakers and Other (Specify).

Enter the No. of alarm notification appliance circuits. For Are circuits monitored for integrity?, check Yes or No.

Under Supervisory signal-initiating devices and circuit information, enter the Quantity and Circuit Style for 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 and Other.

Under SIGNALING LINE CIRCUITS, enter the Quantity and Style(s) of signaling line circuits connected to system (See NFPA 72, Table 3-6).

Under SYSTEM POWER SUPPLIES, a. Primary (Main), enter the Nominal Voltage, Amps, Overcurrent Protection Type and Amps, Location (of Primary Supply Panelboard) and Disconnecting Means Location.

Under b. Secondary (Standby), enter the Storage Battery Amp-Hr. Rating, the Calculated capacity to operate system, in hours (24, 60), and the Location of fuel storage for an Engine-driven generator dedicated to fire alarm system. Check the TYPE BATTERY: Dry Cell, Nickel-Cadmium, Sealed Lead-Acid, Lead-Acid or Other (Specify).

Under c., an emergency or standby system may be used as a backup to the primary power supply, instead of using a secondary power supply. The systems are: 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.

Under PRIOR TO ANY TESTING, NOTIFICATIONS ARE MADE, check Yes or No for Monitoring Entity, Building Occupants, Building Management, Other (Specify) and AHJ (Notified) of Any Impairments, and enter Who and Time.

Under SYSTEM TESTS AND INSPECTIONS, for Control Unit, Interface Eq., Lamps/LEDS, Fuses, Primary Power Supply, Trouble Signals, Disconnect Switches and Ground-Fault Monitoring, check Visible and Functional and add Comments.

Under SECONDARY POWER, for Battery Condition, Load Voltage, Discharge Test, Charger Test and Specific Gravity, check Visible and Functional and add Comments.

Check TRANSIENT SUPPRESSORS and REMOTE ANNUNCIATORS. Under NOTIFICATION APPLIANCES, check Audible, Visual, Speakers and Voice Clarity.

Under Initiating and supervisory device tests and inspections, for each Device enter the Loc. & S/N and Type, check Visual Check and Functional Test, enter the Factory Setting and Meas. Setting, and check Pass or Fail. Write Comments.

Under EMERGENCY COMMUNICATIONS EQUIPMENT, for Phone Set, Phone Jacks, Off-Hook Indicator, Amplifier(s), Tone Generator(s), Call-in Signal and System Performance, check Visual and Functional and add Comments.

Under INTERFACE EQUIPMENT and under SPECIAL HAZARD SYSTEMS, fill in each (Specify) line and check the boxes under Device Simulated Visual Operation Operation. Write the Special Procedures and the Comments.

Under SUPERVISING STATION MONITORING, for Alarm Signal, Alarm Restoration, Trouble Signal, Supervisory Signal and Supervisory Restoration, check Yes or No and add Time and Comments.

Under NOTIFICATIONS THAT TESTING IS COMPLETE, for Building Management, Monitoring Agency, Building Occupants and Other (Specify), check Yes or No and enter Who and Time.

Write what did not operate correctly. Enter the Date and Time the System was restored to normal operation.

Before signing: THIS TESTING WAS PERFORMED IN ACCORDANCE WITH APPLICABLE NFPA STANDARDS., then enter the Name of Inspector, the Date and the Time, and sign on the Signature line.

Enter the Name of Owner or Representative, the Date and the Time, and sign on the Signature line.