Fillable Fire Alarm Pre-Test Verification Example (Town of Prosper)

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Fire Alarm Pre-Test Verification Example (Town of Prosper)

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Rev. 10-19 Subject to Change
Prosper Fire Rescue
Fire Marshal’s Office
PO Box 307
1500 E. First Street
Prosper, Texas 75078
Phone (972) 346-9469 Fax (972) 347-3010 www.prosperfire.com
Fire Alarm Pre-Test Verification Example
Address: Suite: Date:
Occupancy Name:
PFD Inspector:
Fire Alarm Representative: Installer? Y N
TDL: Exp. Date: FAL: Exp. Date:
PFD Dispatch Notified: (Time): __________ Comments:
Required paperwork must be submitted via email in PDF Format to: fire.inspections@prosperfire.com.
• Fully executed SF-035 Contractor “Fire Alarm Installation Certificate”
• Pre-Test system commissioning report per NFPA 72, Chapters 7 & 14
• Confirmation activity report of signals received @ the supervising station from pre-testing
• Inspection request form
• Inspection request receipt
Operation & Maintenance Manual:
Y N N/A O & M Manual left on the Premises
Y N N/A As-Built Drawings complete with wire runs, wire splice locations, revised power
calculations & device alterations/locations
Y N N/A Emergency contact personnel, phone numbers and operational procedures
Fire Alarm Panel:
P F N/A State new system installation & inspection tags
P F N/A Battery month & date
P F N/A Battery operation Start: _______ End: _______
P F N/A Dedicated & labeled 120vac circuit with breaker lockout
P F N/A Offsite communications method
P F N/A Class “A” Initiating Circuits
P F N/A Class “B” Notification Circuits
P F N/A Grounding
P F N/A Manual pull station, red in color & double action
P F N/A Smoke detector above the panel
NFPA 70 Installation Methods:
P F N/A FPLP/FPLR or approved substitute, red in color installed per NEC
P F N/A Wire installed using proper NEC installation & support methods
P F N/A Approved boxes installed using NEC installation & support methods
P F N/A Protection against physical damage observed
P F N/A Abandoned wire removed per NEC
Notification Devices:
P F N/A Horns #__________
P F N/A Strobes #__________
P F N/A Horn/Strobes #__________
P F N/A Mini Horns #__________
P F N/A Voice Evacuation #__________ Speaker Voltage: 25v / 70v Watts: ___________
P F N/A Fireman’s Phone #__________ Phone Jacks # __________
Initiating Devices:
P F N/A Smoke Detectors #__________
P F N/A Heat Detectors fixed temp. /# __, fixed temp. /#________
P F N/A Heat Detectors (Rate Compensated) __________/#
P F N/A Manual pull station, red in color & double action
Sprinkler Interface:
P F N/A Bell/Water Gong
P F N/A Exterior Horn/Strobe
P F N/A Pull Station
P F N/A Heat/Smoke Detector
P F N/A Systems Tagged
P F N/A Main Drain Test
Zone/System Notification: System / >30 <90sec. / Dispatch < 4 minutes
P F N/A Wet / Dry / Antifreeze 1 / /
P F N/A Wet / Dry / Antifreeze 2 / /
P F N/A Wet / Dry / Antifreeze 3 / /
Supervisory Devices:
P F N/A Tamper Switches #__________
P F N/A Low Air Pressure Alert #__________
Elevator Interface:
Number of Elevators:
P F N/A Smoke Detectors
P F N/A Heat Detectors Floors: 1 2 3 Mechanical Room
P F N/A Electrical Shutdown/Shunt
P F N/A Fire Department Operation
P F N/A Recall to Primary Floor
P F N/A Recall to Alternate Floor
P F N/A Elevator Phone
HVAC Interface:
P F N/A Duct Detector Shutdown Unit: 1 2 3 4 5 6
P F N/A Duct Detectors #__________ >2,000 cfm on the return side
P F N/A Supervisory Signal Only
Auxiliary Control/Monitoring Interface:
P F N/A Access Control Floors: 1 2 3
P F N/A Smoke Control Floors: 1 2 3
P F N/A Stairwell Pressurization Fans #_______
P F N/A Door Holders Floors: 1 2 3
Hood Suppression System Interface:
P F N/A Activation of fire alarm system: 1 2 3
Clean Agent System Interface:
P F N/A Activation of the fire alarm system: 1 2 3
Verified all signals with dispatch & confirmed emergency dispatch number:
P F PFD Dispatch – Test Terminated (time): ___________
System Results: Accepted Re-Inspection
Building Contractor Rep.
Signature Printed Name Date
Fire Alarm Contractor Rep.
Signature Printed Name Date
Further Comments:
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Fire Alarm Pre-Test Verification Example (Town of Prosper)

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Completed 24 January 2021

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