Inspection, Testing, And Maintenance Foam-Water Sprinkler Systems - Nfpa 25, Chapter 11 As Amended By Ccr, Title 19 Page 2

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Inspection, Testing, and Maintenance Foam-Water Sprinkler Systems
NFPA 25, Chapter 11 as amended by CCR, Title 19
Page 2 of 4
Date of Inspection, Testing, Maintenance: ___________________
System Riser ID: __________
Property Information:
Name:
__________________________________________
Abbreviation Key:
I = Inspection
Address: __________________________________________
T = Test
M = Maintenance
__________________________________________
A-O = After Operation
MI = Per Manufacturer’s Instructions
City:
__________________________________________
NFPA 25
Item
Activity
Frequency
Description
Fail
N/A
Pass
Reference
2.1
T
See Chapter 12
Deluge Pre – Action Valve(s)
11.2.1
2.2
T
Annually
Discharge device location
11.3.3.6
2.3
T
Annually
Discharge device position
11.3.3.6
2.4
T
Annually
Discharge device obstruction
11.3.3.6
2.5
T
Annually
Foam Concentrate Strainer(s)
11.2.7.2
2.6
T
Annually
Proportioning System(s) –All
11.2.9
2.7
T
Annually
Complete foam – water system(s)
11.3.3
2.8
T
Annually
Foam-water solution
11.3.6
2.9
T
Annually
Manual actuation device(s)
11.3.5
2.10
T
Annually
Water Supply Piping
Chapter 10
2.11
T
Annually
Control valve(s)
12.3.3
2.12
T
Annually
Backflow Prevention
12.6.2
See Fire Pump
2.13
T
Fire Pump(s)
Chapter 8
Form
See Water Storage
2.14
T
Water Supply Tank(s)
Chapter 9
Tank Form
2.15
T
See Chapter 4
Water supply flow test
11.2.6
2.16
T
See NFPA 72
Detection system
11.2.2
11.4.6(A)
3.1
M
Monthly
Foam concentrate pump operation
11.4.7(A)
Section
3.2
M
Quarterly
Foam concentrate strainer(s)
11.4
3.3
M
Annually
Foam concentrate samples
11.2.10
Proportioning system(s) standard pressure
type
3.4
M
5 - Years
Ball drip (automatic type) drain valves
11.4.3(A)
Inspection Document NFPA_Foam-Water Sprinkler Systems.Doc
Revised by Lawhorn & Tam on 1/5/2010

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