Inspection, Testing, and Maintenance Standpipe System
NFPA 25, Chapter 6 as amended by CCR, Title 19
Page 1 of 3
Date of Inspection, Testing, Maintenance: ___________________
System Riser ID: __________
Type of System:
Manual Wet
Property Information:
Manual Dry
Auto Wet
Name:
__________________________________________
Auto Dry
Semi Auto Dry
Address: __________________________________________
Class of System:
Class I
__________________________________________
Class II
Class III
City:
__________________________________________
Combination Sprinkler / Standpipe
Yes
No
Main Drain Test Results:
Abbreviation Key:
I = Inspection
Initial Static Pressure:
__________________ (psi)
T = Test
M = Maintenance
Residual Pressure:
__________________ (psi)
A-O = After Operation
MI = Per Manufacturer’s Instructions
Restored Static Pressure: __________________ (psi)
NFPA 25
Item
Activity
Frequency
Description
Fail
N/A
Pass
Reference
1.1
I
Quarterly
Control Valves
12.3.2.1
12.5.2.1
1.2
I
Quarterly
Pressure Regulating Devices
12.5.3.1
1.3
I
Quarterly
Back Flow Prevention
12.6.1
Simi
1.4
I
Piping
6.2.1
Annually
Simi
1.5
I
Hose Connections
Chapter 12
Annually
Simi
NFPA
1.6
I
Cabinet
Annually
1962
Simi
NFPA
1.7
I
Hose
Annually
1962
Simi
NFPA
1.8
I
Hose Storage Device
Annually
1962
2.1
T
Annually
Alarm Device (90 sec)
12.2.7
NFPA
2.2
T
Annually
Hose Nozzle
1962
12.2.6
2.3
T
Annually
Main Drain Test (Enter Data on Page 1)
12.3.3.4
2.4
T
Annually
Control Valve – Position
12.3.3.1
2.5
T
Annually
Control Valve – Operation
12.3.3.5
2.6
T
Annually
Supervisory
12.3.3.5
2.7
T
Annually
Back Flow Prevention Assemblies
12.6.2
Inspection Document NFPA_Standpipe System.Doc
Revised by Lawhorn & Tam on 12/30/2009