Loading...
HomeMy WebLinkAbout1119 18TH (2)Pre - Engineered Restaurant Fire Suppression Systems Report SERVICE COMPANY p n w03 -5b10 FAX b33 -3512 Name Address ' f city L \ State ZIP Telephone Store No. Owner or Manager COOKING APPLIANCE LOCATIONS: LEFT TO RIGHT 1. All appliances properly covered w /correct nozzles 2. Duct and plenum covered w /correct nozzles 3. Check positioning of all nozzles. 4. System installed in accordance w /MFG UL listing 5. Hood /duct penetrations sealed w /weld or UL device 6. Check if seals intact, evidence of tampering 7. If system has been discharged, report same 8. Pressure gauge in proper range (If gauged) 9. Check cartridge weight (If applicable) 10. Hydrostatic test date 11. 6 year maintenance date 12. Inspect cylinder and mount 13. Operate system from terminal link 14. Test for proper operation from remote 15. Check operation of micro switch 16. Check operation of gas valve 17. Clean nozzles 18. Proper nozzle covers in place 19. Check fuse links and clean COMMENTS: DATE OSERVICE TIME A.M I P.M. ANNUAL SEMI- ANNUAL I RECHARGE INSTALLATION RENOVATION LOCATION OF SYSTEM C LINDERSS S UL 300 YES NO MAN ACT ER 26. All filters in place MODEL NUMBER WET DRY CHEMICAL CYLINDER SIZE-MASTER CYLINDER SIZE SLAVE CYLINDER SIZE SLAVE FUSE LINKS 360° F. FUSE LINKS 450° F. FUSE LINKS 500' F. J OTHER FUEL SHUT -OFF ELECTRIC GAS SIZE SERIAL NUMBER LAST HYDRO TEST DATE LAST RECHARGE DATE MANUFACTURER'S MANUAL REFERENCE PAGE NUMBER: DRAWING NUMBER: DATE 20. Replaced fuse links 21. Check travel of cable nuts /S -hooks 22. Piping & conduit securely bracketed 23. Proper separation between fryers & flame 24. Proper clearance -flame to filters 25. Exhaust fan in operating order 26. All filters in place 27. Fuel shut -off in on position 28. Manual & remote set/seals in place 29. Replace systems covers 30. System operational & seals in place 31. Slave system operational 32. Clean cylinder & mount 33. Fan warning sign on hood 34. Personnel instructed in manual operation of system 35. Proper hand portable extinguishers i- 36. Portable extinguishers properly serviced 37. Service & Certification tag on system NOTE DISCREPANICES OR DEFICIENCIES BELOW On this date, this pre- engineered fire suppression system was inspected and operationally tested in accordance with the fire suppression system requirements of NFPA17 or 17A, 96 and the manufacturer's manual with the results indicated above. X ` r itx f s SERVICE TECHNICIAN PERMIT NO. DATE: TIME: AM PM CUSTOMER'S AUTHORIZED AGENT The above service technician certifies that the system was personally inspected and found conditions to be as indicated on this report. AUTHORITY HAVING JURISDICTION