Confidence Test Report Form - Clean Agent Or Co2system - Seattle Fire Department Page 3
ADVERTISEMENT
1
2
3
4This is a Federal Building
R
D
ELEASE
EVICES
19. The automatic release device(s) work properly, including pre-
discharge time delays. (Note: Confidence testing of the release
N/A
Yes
No
device does not require release of the clean agent after the initial full
discharge acceptance test. However, full discharge tests may be
required after changes to the protected area or system.)
20.
All manual stations used to release agents work properly and require
N/A
Yes
No
two separate and distinct actions for operation.
A
D
BORT
EVICES
21. The manual abort switch is a dead-man type switch and functions
N/A
Yes
No
properly.
A
F
UXILIARY
UNCTIONS
22.
All auxiliary functions such as alarm-sounding or displaying devices,
remote annunciators, air-handling shutdown, damper operation, and
N/A
Yes
No
power shutdown operate properly in accordance with system
requirements and design specifications.
23. The alarms can be silenced, when allowed, without affecting other
N/A
Yes
No
system functions.
S
M
YSTEM
ONITORING
N/A
Yes
No
24. The control panel sends the proper signals to the remote FAP.
25. The fire protection system, including the alarm system, works
N/A
Yes
No
correctly on standby power during a simulated power failure.
N/A
Yes
No
26. A signal was received at the Central Station monitoring company.
T
RAINING
27. All personnel working in enclosures protected by a clean agent
N/A
Yes
No
system have received up-to-date training regarding clean agent
safety issues.
F
C
INAL
HECKS
28. The Fire Alarm was removed from test mode and/or other
precautionary measures were removed to restore fire alarm
N/A
Yes
No
system to normal operation (includes removal of protective
coverings).
29. The system was left in service.
Yes
No
If “No”, explain.
30. The confidence test report was given to the owner and a current status tag was
Yes
No
posted.
Type of Extinguishing Agent ___________________
Agent Bottles
#1
#2
#3
#4
#5
Design Quantity
__________
__________
__________
__________
__________
Actual Quantity
__________
__________
__________
__________
__________
Method used
Clean Agent or CO
9-2012 Ver.1.3
2
Page 3 of 4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal