The preventive maintenance inspection report summarizes the inspection of a site's firefighting and fire alarm systems. It lists components checked including the fire alarm system, fire hose cabinets, fire hydrants, sprinklers network, and fire extinguishers. For each item, checking points like physical status, accessories, pressures, and expiry dates are noted along with any issues. The report is signed off by the client supervisor after the inspection.
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Inspection Form - Fire Fighting and Fire Alarm
The preventive maintenance inspection report summarizes the inspection of a site's firefighting and fire alarm systems. It lists components checked including the fire alarm system, fire hose cabinets, fire hydrants, sprinklers network, and fire extinguishers. For each item, checking points like physical status, accessories, pressures, and expiry dates are noted along with any issues. The report is signed off by the client supervisor after the inspection.
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PREVENTIVE MAINTENANCE INSPECTION REPORT
Fire Fighting / Fire Alarm
Site Name: Region/ City: Date:
Item Checking Points Notes
Fire Alarm System - Power AC ………………………………………………………….... Model/Brand: ………………………………………………………….... - Backup Batteries ………………………………………………………….... ……………………………………………. - Wiring Connections ………………………………………………………….... Type: Addressable ………………………………………………………….... Conventional - Loop Cards / Zones ………………………………………………………….... Zones/Loops: - Faults / Troubles ………………………………………………………….... ……………………………………………. ………………………………………………………….... - Devices: SD QTY.……………………………….. ………………………………………………………….... Smoke Detector ( SD ) ………………………………………………………….... HD QTY..……………………………… ………………………………………………………….... Heat Detector ( HD ) BG/MCP QTY ……………………… ………………………………………………………….... Break Glass / Manual Call Point ( BG/MCP ) ………………………………………………………….... Bell / Siren QTY ………………….. ………………………………………………………….... Bell / Siren Other …………………………………. ………………………………………………………….... - Repeater Panels if exist
Fire Hose Cabinets - Landing Valves …………………………………………………………....
………………………………………………………….... - Drums & Hoses ………………………………………………………….... QTY.…………………………………… - Physical Status of Bodies ………………………………………………………….... ………………………………………………………….... - Nozzles
Fire Hydrants - Physical Status of Bodies …………………………………………………………....
………………………………………………………….... - Accessories ………………………………………………………….... QTY……………………………………… - Seal Status ………………………………………………………….... ………………………………………………………….... - Valve ( Open / Close )
Sprinklers Network - End of Line Valves …………………………………………………………....
………………………………………………………….... - Flow Valves ………………………………………………………….... QTY……………………………………… - Physical Status of Sprinklers Heads ………………………………………………………….... ………………………………………………………….... - Zone Control Valves ( Open / Close )
Fire Extinguishers - Expiry Dates …………………………………………………………....
DP QTY. …..………….……………… ………………………………………………………….... - Pressure of Cylinders ………………………………………………………….... CO2 QTY. ……………………………. - Physical Status of FE body ………………………………………………………….... Foam QTY. …………………………. ………………………………………………………….... - Accessibility
C.G Use the Following: CLIENT SUPERVISOR
NAME Not Applicable N/A NAME DATE Not Working x DATE SIGNATURE Checked / Working SIGNATURE