Fire pump inspection report checklist

Template Information

Form for inspection, testing and maintenance of fire pumps

Category: all-industries

Template Questions

  • Information on this form covers the minimum requirements of NFPA 25 for centrifugal fire pumps. Separ
  • Owner:
  • Owner's phone number:
  • Owner's Address:
  • Property Being Inspected:
  • Property address
  • Date of Inspection: Date
  • This Inspection is:
  • All responses refer to the current inspection performed on this date.
  • Notes: 1) All questions are to be answered Yes, No, or Not Applicable. All NO answers are to be expla
  • Part I - Owner's Section
  • Note to owner: Periodic tests of transfer switches and emergency generators are to be performed by a
  • Owner of Representative (print name):
  • Signature and Date:
  • A. Inspections
  • 7. Electric Motor Driven Pumps
  • 8. Diesel Engine Driven Pumps
  • f. Record engine running time meter reading.
  • A. Electric Motor Driven Pumps
  • 1. Weekly Test Items
  • Record starting pressure. (PSI)
  • Record suction & discharge pressure while running. (PSI)
  • 6. Record time for motor to accelerate to full speed.
  • 7. For reduced voltage or reduced current staring record time controller is on first step.
  • 8. For automatic stop controllers, record time pump runs after starting.
  • B. Diesel Engine-Driven Fire Pumps
  • Record suction & discharge pressure while running.
  • 6. Record time for engine to crank.
  • 7. Record time for engine to reach running speed.
  • C. Steam Turbine-Driven Pumps
  • 1. Record pump starting pressure, suction and discharge pressures while running,
  • 5. Record steam pressure gauge reading.
  • 6. Record time for turbine to reach running speed.
  • Annual pump test was run using the following method.
  • 2. Annual Tests
  • NOTE: At least once every three years method A or B must be used.
  • Suction Pressure:
  • No Flow
  • Rated Flow
  • Peak Flow
  • Discharge Pressure:
  • Flow Pressure:
  • Electric Voltage and Current:
  • Pump Speed:
  • PUMP TEST RESULTS
  • F. Low Suction Throttling Devise Test
  • G. Automatic Transfer Switch Test
  • H. Alarm Condition Test
  • A maintenance schedule must be established in accordance with the manufacturer instructions. In the a
  • 1. Weekly Maintenace Items for Diesel Engine Systems:
  • C. Maintenance
  • 2. Monthly Maintenace Items:
  • 3. Quarterly Maintenace Items:
  • 4. Semiannual Maintenace Items:
  • 5. Annual Maintenance Items
  • Notes:
  • Inspector Name:
  • Company:
  • Address:
  • I state that the information on this form is correct at the time and place of inspection, and that al
  • Inspector:
  • Select date Date
  • License or Certification Number (if applicable):
  • Tested for NFPA 25 Requirements ONLY. Certification DOSE NOT fall within the scope of this inspection
  • Inspection & Certification is to be performed by an Alarm Contractor.
  • Inspection & Certification is to be performed by Others.
  • The property owner or occupant shall not make changes in the occupancey, the use or the material used
  • Where changes in the occupancy, hazard, water supply, storage commodity, storage arrangement, buildin