Confidence Test Report Form - Fire Alarm - Seattle Fire Department Page 2

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This is a Federal Building
The items on the checklists below shall be inspected and tested. This list does not constitute all of the required
inspecting and testing of the fire and life safety system. Refer to the 2009 Seattle Fire Code (SFC) Section 907, Sec.
510 and Appendix J; SFC Administrative Rules 9.02.09 and 9.04.07; and 2007 NFPA 72 for inspecting and testing
requirements.
P
-T
C
RE
EST
HECK
Prior to starting work precautions were taken to prevent an alarm from going to
the fire department by making notification of the test to: (check all that apply)
Yes
No
1. The building occupants
N/A
Yes
No
N/A
2. The onsite supervisory station
Yes
No
N/A
3. The Central Station Monitoring Service
G
ENERAL
N/A
Yes
No
4. The key to the panel is available at the FACP.
Yes
No
5. The operating instructions are available at the FACP.
6. Materials and equipment needed to restore pull stations are available at the
N/A
Yes
No
main panel, e.g. glass rods, and plates; keys and allen wrenches, etc.
A
P
LARM
ANEL
7. All signals on the FACP operate on AC power.
Yes
No
Yes
No
8. All signals on the FACP operate on Battery power.
N/A
Yes
No
9. All signals on the FACP operate on emergency generator/standby power
Yes
No
10. The trouble indicators function properly and a trouble signal comes on with AC power off.
I
D
A
A
NITIATING
EVICES AND
LARM
PPLIANCES
Yes
No
11. All initiating and annunciating devices tested operate properly on AC power.
Yes
No
12. All initiating and annunciating devices tested operate properly on generator/standby power.
Yes
No
13. All initiating and annunciating devices tested operate properly on battery power.
14. 100% of the INITIATING DEVICES per circuit were tested in accordance with 2007 NFPA
72 Chapter 10. (NOTE: 2 or 20%, whichever is greater, of r
estorable fixed-temperature,
spot-type heat detectors need to be tested annually. Records shall be kept to ensure that every
Yes
No
detector is tested every five years.)
15. 100% of the AUDIBLE ALARM APPLIANCES per circuit were tested in
Yes
No
accordance with 2007 NFPA 72 Chapter 10.
Yes
No
16. The audible alarm appliances tested operate at the levels designed by the manufacturer.
17. The audible appliances tested in residential units generate a minimum of
N/A
Yes
No
60dBA in the sleeping areas.
18. 100% of the VISUAL ALARM APPLIANCES per circuit were tested in
accordance with 2007 NFPA 72 Chapter 10
Yes
No
19. The visual alarm appliances tested operate as designed by the
Yes
No
manufacturer.
B
ATTERIES
20. The batteries are rated for:
____ hours ____ minutes
21. Battery voltage (no load)
________ volts
22. Battery voltage (full load)
________ volts (signals operating)
23. Charge circuit voltage
________ volts
Fire Alarm
6-2013 Ver.1.4
Page 2 of 4

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