C2.1 Control Unit or Transponder Tests Control Unit/Transponder Field Location: Control Unit/Transponder Identification: Yes No N/A A Power ‘on’ visual indicator operates. B Common visual trouble signal operates. C Common audible trouble signal operates. D Trouble signal silence switch operates. E Main Power supply failure trouble signal operates. F Ground fault tested on positive and negative initiates trouble signal. G Alert signal operates. H Alarm signal operates. I Automatic transfer from alert signal to alarm signal operates. Time: J Manual transfer from alert signal to alarm signal. K Automatic transfer from to alarm signal cancel (acknowledge) operates on a two stage system. L signal silence inhibit function operates. M Alarm signal manual silence operates. N Alarm signal silence visual indication operates O Alarm signal and visible signal devices, when silenced, automatically reinitiate upon subsequent alarm. In same zone In other zone/circuit P Alarm signal silence automatic cut-out timer. Time: Q Audible and visual alert signals and alarm signals programmed and operate per design and specification, or documentation as detailed in Appendix E, Description of Fire Alarm System for Inspection and Test Procedures. R Input circuit alarm and supervisory operation, including audible and visual indication operates. S Input circuit supervision fault causes a trouble indication. T Output circuit alarm indicators operate. U Output circuit supervision fault causes a trouble indication. V Visual indicator test (lamp test) operates. W Coded signal sequences operate not less than the required number of times and the correct alarm signal operates thereafter. X Coded signal sequences are not interrupted by subsequent alarms. Y Ancillary device by-pass results in trouble signal. Z circuit to output circuit operation, including ancillary device circuits for correct program operation, as per design and specification, or documentation as detailed in Appendix E, Description of Fire Alarm System for Inspection and Test Procedures. AA Fire alarm reset function operates. BB Main power to emergency power supply transfer operates. CC Smoke detector alarm verification (status change confirmation) verified. [Refer to Subsection 6.7.4.3, Smoke Detector Alarm Verification (Status Change Confirmation)]. Recommended Additional Testing (not mandated by the Standard): Yes No N/A Alarm, trouble, & supervisory relays function correctly. Control panel bonded to ground. Is an AC disconnecting switch installed? YES NO (ULC CAN4-S524 restricts this, but some AHJs will accept it. A “YES” answer here must be in the “Remarks” section of this report.)
C2.13 DEFICIENCIES To be completed by the primary individual who conducted the test and inspection. To be completed by the Building / Representative Item # Device Type Device Location Deficiency CAN/ULC-S536-13 Clause Reference Date Corrected (MM/DD/YY) Work Order or Reference # Name of Service Provider Responsible for the Repair Building Owner’s / Representative’s Signature Item # Control Function or Feature Deficiency CAN/ULC-S536-13 Clause Reference Date Corrected (MM/DD/YY) Work Order or Reference # Name of Service Provider Responsible for The Repair Building / Representative’s Signature
Column Legend A B C Correctly installed Unit requires service, repair, missing, or cleaning Alarm operation confirmed D E F G Annunciator indication confirmed Circuit number or address detector sensitivity Output circuit operation confirmed “” Yes - Acceptable “X” No – Unacceptable (Explain NO answers in Remarks) “-” Not Applicable Location Device A B C D E F G Remarks Note: Confirmation of wiring supervision and a ground fault simulation is only required at the end-of-line device of a conventionally wired initiating or indicating circuit during the annual test (this includes the conventional portion of a addressable supporting field device).
Column Legend Mfg. Date Svc Date Date of Manufacture (year only) Last Major Service Date (year only) Major Service Performed R M H Recharge Internal Maintenance Hydrostatic Test “” = Yes - Acceptable “X” = No - Not Acceptable (Explain “NO” answers in comments). EXTINGUISHERS/HOSES LOCATION SIZE / TYPE SERIAL # Mfg. Date Svc Date R M H REMARKS/COMMENTS Comments/Notations: