Inspection, Testing, And Maintenance Foam-Water Sprinkler Systems - Nfpa 25, Chapter 11 As Amended By Ccr, Title 19 Page 3

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Inspection, Testing, and Maintenance Foam-Water Sprinkler Systems
NFPA 25, Chapter 11 as amended by CCR, Title 19
Page 3 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
3.5
M
10 - Years
Foam concentrate tank –drain and flush
11.4.3(B)
3.6
M
10 - Years
Corrosion / Hydrostatic test
11.4.3(C)
Bladder Tank Type
3.7
M
10 - Years
Sight Glass
11.4.4(A)
3.8
M
10 - Years
Foam Concentrate Tank—Hydrostatic Test
11.4.4(B)
Line Type
Foam Concentrate Tank – Corrosion and pickup
3.9
M
10 - Years
11.4.5(A)
pipes
3.10
M
10 - Years
Foam Concentrate Tank – Drain and Flush
11.4.5(B)
Standard balance pressure type
3.11
M
5 - Years
Foam concentrate pump(s)
11.4.6(B)
3.12
M
5 - Years
Balancing valve diaphragm
11.4.6(C)
3.13
M
10 - Years
Foam concentrate tank
11.4.6(D)
In-line balance pressure type
3.14
M
5 - Years
Foam concentrate pump(s)
11.4.7(B)
3.15
M
5 - Years
Balancing valve diaphragm
11.4.7(C)
3.16
M
10 - Years
Foam concentrate tank
11.4.7(D)
3.17
M
Annually
Water Supply
11.2.6.1
3.18
M
Annually
Control valve(s)
12.3.4
Chapter 10
Annually
3.19
M
Strainer(s) – Mainline
10.2.1.8
5 - Years
11.2.7
Inspection Document NFPA_Foam-Water Sprinkler Systems.Doc
Revised by Lawhorn & Tam on 1/5/2010

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