Spreadsheet: 69352d1269895910-is-there-a-way-to-have-a-check-mark-come-up-in-a-cell-just-by-clicking-the-cell-book3
Sheet: Page 3

 |  | DIESEL FIRE PUMP - INCINERATOR
 | Report of Inspection, Testing & Maintenance of Fire Pump Assemblies…continued
 | Inspecting Firm: |  |  |  |  |  |  |  | WO#: | 6600016830
 | Inspector Name: |  |  |  |  |  |  |  |  | 2010-03-29 00:00:00
 | Inspection Frequency:
 | *Items necessary only in the absence of manufacturer's recommendations
 | Annual Testing for Fire Pump Assemblies
 |  |  | Y | N/A | N |  |  |  |  | Y | N/A | N
 | G.1.0  System in service before testing |  | x |  |  |  |  |  | G.5.6  Pump suction and discharge pressures and |  |  | x
 | G.1.1  Pertinent parties notified before testing |  | x |  |  |  |  |  | flow measurements at each [NAME] stream used
 | G.1.2  Adequate drainage provided before flow testing |  | x |  |  |  |  |  | to determine total pump output where hose
 | G.2.0  Main drain test conducted |  |  | x |  |  |  |  | streams used in testing (must be conducted
 | G.2.1  Supply water gauge reading before flow (static) |  | n/a |  | [NAME] |  |  |  | every 3 years at minimum)
 | G.2.2  Gauge reading during stable flow (residual) |  | n/a |  | [NAME] |  |  |  | G.5.7  Pump suction and discharge pressures and |  | x
 | G.2.3  Time for supply pressure to return to normal |  | n/a |  | sec |  |  |  | flowmeter measurements used to determine total
 | G.3.0  Control valves (including backflow and PIVs) |  | x |  |  |  |  |  | pump output where flowmeter used in testing
 | operated through full range and returned to |  |  |  |  |  |  |  | (not to exceed 2 consecutive annual tests)
 | normal position |  |  |  |  |  |  |  | G.5.8  Flow meter adjusted immediately prior to |  |  | x
 | G.3.1  PIVs opened until spring or torsion felt in rod |  |  | x |  |  |  |  | testing in accordance with mfg.inst.
 | G.3.2  PIVs and OS&Ys backed 1/4 turn from full open |  | x |  |  |  |  |  | G.5.9  Test results using flow meter consistent with |  | x
 | G.3.3  Main drain test conducted |  |  | x |  |  |  |  | previous annual test results (if "NO" complete
 | G.3.4  Supply water gauge reading before flow (static) |  | n/a |  | [NAME] |  |  |  | flow test using hose streams OR calibrate
 | G.3.5  Gauge reading during stable flow (residual) |  | n/a |  | [NAME] |  |  |  | flow meter)
 | [NAME] for supply pressure to return to normal |  | n/a |  | sec |  |  |  | WHILE PUMP IS RUNNING:
 | G.4.0  Backflow prevention assembly forward flow |  |  | x |  |  |  |  | G.6.0  At churn, circulation relief valve checked for | x
 | test conducted |  |  |  |  |  |  |  | operation and water discharge
 | G.4.1  System demand flow was achieved through |  |  | x |  |  |  |  | G.6.1  At churn, pressure relief valve checked for |  | x
 | the device |  |  |  |  |  |  |  | proper operation
 | G.4.2  Forward flow test conducted at maximum |  |  | x |  |  |  |  | G.6.2  At churn, pressure control valve checked for |  | x
 | rate possible (only where connections do not |  |  |  |  |  |  |  | proper operation
 | permit full flow test) |  |  |  |  |  |  |  | G.6.3  At churn, test continued for minimum of ___  hour | 0.5
 | G.4.3  Forward flow test conducted without measuring |  |  | x |  |  |  |  | G.6.4  At each flow condition, electric motor voltage | x
 | flow (device </=2" and outlet sized to flow |  |  |  |  |  |  |  | and current in all lines recorded
 | system demand) |  |  |  |  |  |  |  | (see appropriate section on page 5)
 | [NAME] prevention assembly internal |  |  | x |  |  |  |  | G.6.5  At each flow condition, pump speed recorded |  | x
 | inspection conducted (where shortages last |  |  |  |  |  |  |  | (see appropriate section on page 5)
 | more than 1 year and rationing enforced by AHJ) |  |  |  |  |  |  |  | G.6.6  At each flow condition, simultaneous readings |  |  | x
 | G.4.5  Forward flow test satisfied by annual fire |  |  | x |  |  |  |  | of pump suction and discharge pressures and
 | pump flow test |  |  |  |  |  |  |  | pump discharge flow recorded
 | G.4.6  Backflow prevention assembly performance test |  |  | x |  |  |  |  | (see appropriate section on page 5)
 | conducted as required by the AHJ |  |  |  |  |  |  |  | G.6.7  Pressure relief valve closely observed during |  | x
 | FLOW TEST: |  |  |  |  |  |  |  | each flow condition
 | G.5.0  Care taken to prevent water damage by |  | x |  |  |  |  |  | G.6.8  Pressure control valve closely observed during |  | x
 | verifying adequate drainage |  |  |  |  |  |  |  | each flow condition
 | G.5.1  Flow test conducted under minimum, rated, |  |  |  | x |  |  |  | G.6.9  Pressure relief valve functioning properly (pump |  | x
 | and peak fire pump flows |  |  |  |  |  |  |  | discharge pressure did not exceed normal
 | G.5.2  Flow test conducted by controlling quantity of |  |  |  | x |  |  |  | operating pressure rating of system components)
 | water discharged through test devices |  |  |  |  |  |  |  | G.6.10 Pressure control valve functioning properly |  | x
 | G.5.3  Fire pump operated at maximum allowable |  | x |  |  |  |  |  | (system not exposed to pressures higher than
 | discharge (where available suction supplies |  |  |  |  |  |  |  | rating
 | do not allow flowing of 150 percent of rated |  |  |  |  |  |  |  | G.6.11 Pressure relief valve observed closing at |  | x
 | pump capacity) |  |  |  |  |  |  |  | proper pressure
 | G.5.4  Fire pump suction supply provided required flow |  |  | x |  |  |  |  | G.6.12 Pressure control valve observed closing at |  | x
 | at 0 psi or higher gauge pressure at pump |  |  |  |  |  |  |  | proper pressure (suction or discharge)
 | suction flange (except installations where NFPA |  |  |  |  |  |  |  | G.6.13 Pressure relief valve closed by pilot adjustment |  | x
 | 20 permitted negative suction gauge pressures) |  |  |  |  |  |  |  | during flow conditions (as necessary to achieve
 | G.5.5  Electric fire pump driver did not overload beyond |  |  | x |  |  |  |  | minimum rated pump characteristics)
 | rating (including service factor allowance) while |  |  |  |  |  |  |  | G.6.14 Pressure relief valve reset to normal position |  | x
 | delivering necessary brake horsepower |  |  |  |  |  |  |  | SYSTEMS EQUIPPED WITH AUTOMATIC TRANSFER SWITCH:
 |  |  |  |  |  |  |  |  | G.7.0  Power failure condition simulated while pump |  | x
 |  |  |  |  |  |  |  |  | operating at peak load
 |  |  |  |  |  |  |  |  | G.7.1  Transfer switch transfer of power to alternate |  | x
 |  |  |  |  |  |  |  |  | power source verified
 | (FPSS / FPD)
 | INSPECTOR'S INITIAL ________                 OWNER/DESIGNATED REP. INITIAL ________            DATE ________                    Page 3 of 7