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