RESIDUAL PRESSURE (flowing)
HYDROSTATIC: Hydrostatic tests shall be made at not less than 200 ps i (13.6 bars) for two hours or 50 psi (3.4 bars) above static pressure in excess of
150 psi (10.2 bars) for two hours. Differential Dry-Pipe Valve clappers shall be left open during test to prevent damage. All aboveground piping leakage
shall be stopped.
PNEUMATIC: Establish 40 psi (2.7 bars) air pressure and measure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours. Test pressure tanks at
normal water level and air pressure and measure air pressure drop, which shall not exceed 1 -1/2 psi (0.1 bars) in 24 hours.
All pipe hydraulically tested at: psi (_______ bar) for hrs
Dry Pipe pneumatically tested
No
Equipment operates properly
Do you certify as the sprinkler contractor that additives and corrosive chemicals, sodium silicate or derivatives of sodium s ilicate, brine, or other corrosive
chemicals were not used for testing systems or stopping leaks? Yes No
Reading of gage located near
water supply test connection: psi (________ bar)
Residual pressure with valve
in test connection open wide. psi (________ bar)
Underground mains and lead in connections to system risers flushed before connection made to sprinkler piping
Verified by copy of the Contractor’s Material & Test
No
Certificate for Underground Piping.
Flushed by installer of underground sprinkler piping.
If powder driven fasteners are used in concrete, has representative
sample testing been satisfactorily completed?
Do you certify as the sprinkler contractor that welding procedures comply with the requirements of
No
Do you certify that the welding was performed by welders qualified in compliance with the requirements
of at least AWS B2.1?
No
Do you certify that the welding was carried out in compliance with a documented quality control procedure
to ensure that all discs are retrieved, that openings in piping are smooth, that slag and other welding
residue are removed, and that the internal diameters of piping are not penetrated?
Do you certify that you have a control feature to ensure that all cutouts (disks) are retrieved? Yes No
DATE left in service with all control valves open: _______________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Name of sprinkler contractor
For property owner (signed) Title Date
For sprinkler contractor (signed) Title Date
Additional explanation and notes
I certify that the information herein is true and that this sprinkler system was installed in accordance with
Chapter 6003, Texas Insurance Code and the rules and standards adopted by the State Fire Marshal’s Office.
Responsible Managing Employee (signature)
Responsible Managing Employee (print or type name)
DIST RIBUT ION: Original COPY 1 Posted at site or give to owner COPY 2 for the installing firm in file accessible to SFMO
COPY 3 for local approving authority within 10 days after completion
SF041 Rev. 07/09 Contractor's Material and T est Certificate for Aboveground Piping Page 2 of 2
