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Information
Section
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(Pad of 25) The information recorded on this form is obtained
from the responsible representative of the property owner.
The information requested will alert the "inspector" to
potential conditions that may need to be addressed prior to
conducting the "inspection" such as, condition of
the system, last inspection, unsafe conditions, etc.
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Inspector's
Section
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(Pad of 25) This records the information about the "inspecting
firm or party." It provides a "check-off list" of
the forms that will be provided which outlines the services
to be provided.
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Weekly Report
(page 1 of 2)
$25.00
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(Pad of 25) (page 1 of 2) Records the Weekly inspection of
Wet Sprinkler and Standpipe Systems in a combined format, Dry
Pipe Sprinkler System, Preaction and Deluge Systems and Water
Storage Tanks.
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Weekly Report
(page 2 of 2)
$25.00
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(Pad of 25) (page 2 of 2) Records the Weekly inspection of
Fire Pumps, including items for the Weekly Churn Test. (Page
2 of 2 normally would not be required if the project being
inspected does not have such installations.)
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| No longer available in paper pad format. |
Wet Pipe
Fire Sprinkler Systems (page 1 of 4)
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Pad of 25) (page 1 of 4) Monthly Inspection tasks for Wet Pipe
Fire Sprinkler Systems (Note: This Monthly Inspection for Wet
Pipe Sprinkler System does NOT include the "Weekly" inspection
tasks that are covered on forms 105A-page 1 and 105A-page 2.
Therefore, the applicable weekly inspections covered on form
105A must be conducted as well.)
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Wet Pipe
Fire Sprinkler Systems (page 2 of 4)
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(Pad of 25) (page 2 of 4) The Quarterly Inspection tasks and
Quarterly Testing requirements for a Wet Pipe Fire Sprinkler
System, as well as Semi-Annual Testing requirements for Wet
Pipe Sprinkler Systems.
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Wet Pipe
Fire Sprinkler Systems (page 3 of 4)
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(Pad of 25) (page 3 of 4) TAnnual Inspection tasks and the
Annual Testing and Maintenance requirements for Wet Pipe Sprinkler
Systems.
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Wet Pipe
Fire Sprinkler Systems (page 4 of 4)
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(Pad of 25) (page 4 of 4) Inspection tasks for Wet Pipe Sprinkler
Systems that must be conducted at frequencies of 5 years, 10
years, 15 years and greater.
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Dry Pipe
Fire Sprinkler Systems (page 1 of 3)
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(Pad of 25) (page 1 of 3) Monthly Inspection tasks, as well
as Quarterly Inspection tasks and Quarterly Testing requirements
for Dry Pipe Fire Sprinkler Systems.
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Dry Pipe
Fire Sprinkler Systems (page 2 of 3)
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(Pad of 25) (page 2 of 3) Annual Inspection tasks and Annual
Maintenance requirements for Dry Pipe Sprinkler Systems, as
well as a Dry Pipe Valve Trip Test Table are included on this
form.
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Dry Pipe
Fire Sprinkler Systems (page 3 of 3)
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Pad of 25) (page 3 of 3) Annual Testing requirements for Dry
Pipe Sprinkler Systems, as well as Inspection, Testing and
Maintenance tasks for Dry Pipe Sprinkler Systems that must
be conducted at frequencies of 5 years, 10 years or greater.
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| No longer available in paper pad format. |
Standpipe
Systems (page 1 of 4)
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(Pad of 25) (page 1 of 4) Monthly Inspection tasks and Quarterly
Testing requirements for Wet and Dry Standpipe Systems. NFPA
14 does not set inspection, testing and maintenance requirements
except for initial acceptance testing immediately after installation.
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Standpipe
Systems (page 2 of 4)
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Pad of 25) (page 2 of 4) Quarterly Inspection tasks for Wet
and Dry Standpipe Systems
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Standpipe
Systems (page 3 of 4)
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(Member Price $10.00/Pad)
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(Pad of 25) (page 3 of 4) Annual Inspection and Testing requirements,
as well as Annual Maintenance requirements for Wet and Dry
Standpipe Systems.
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Standpipe
Systems (page 4 of 4)
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(Member Price $10.00/Pad)
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(Pad of 25) (page 4 of 4) Pad of 25) Five-year inspection & maintenance
tasks for Standpipe Systems.
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Foam Water
System (page 1 of 3)
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(Pad of 25) (page 1 of 3) Monthly and Quarterly Inspection
and Maintenance requirements for Foam Water Systems
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Foam Water
System (page 2 of 3)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 2 of 3) Annual Inspection and Maintenance
tasks, as well as Annual Testing requirements for Foam Water
Systems
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Foam Water
System (page 3 of 3)
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(Member Price $10.00/Pad)
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(Pad of 25) (page 3 of 3) Five and Ten-year Maintenance tasks
for Foam Water Systems.
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Fire Pump
Assemblies (page 1 of 6)
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(Pad of 25) (page 1 of 6) Monthly Inspection, Testing and Maintenance
requirements for Fire Pump Assemblies
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Fire Pump
Assemblies (page 2 of 6)
$25.00
(Member Price $10.00/Pad)
Members
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(Pad of 25) (page 2 of 6) Semi-annual Inspection, Testing and
Maintenance for Fire Pump Assemblies. Also, Annual Inspection
and Annual Maintenance requirements for Fire Pump Assemblies.
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Fire Pump
Assemblies (page 3 of 6)
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(Member Price $10.00/Pad)
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(Pad of 25) (page 4 of 6) Annual Testing requirements for Fire
Pump Assemblies, continued. Also Five-Year Inspection, Testing
and Maintenance requirements for Fire Pump Assemblies.
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Fire Pump
Assemblies (page 4 of 6)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 4 of 6) Annual Testing requirements for Fire
Pump Assemblies, continued. Also Five-Year Inspection, Testing
and Maintenance requirements for Fire Pump Assemblies.
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Fire Pump
Assemblies (page 5 of 6)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 5 of 6) Record of Annual Test Data and Pump
Performance Curve for Fire Pump Assemblies
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Fire Pump
Assemblies (page 6 of 6)
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(Member Price $10.00/Pad)
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(Pad of 25) (page 6 of 6) Form to Plot and Record Fire Pump
Performance Test Curves.
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Private Fire
Service Mains (page 1 of 3)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 1 of 3) Monthly and Quarterly Inspection
tasks, as well as Semi-Annual Inspection and Testing requirements
for Private Fire Service Mains.
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Private Fire
Service Mains (page 2 of 3)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 2 of 3) Annual Inspection, Testing and Maintenance
requirements for Private Fire Service Mains.
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Private Fire
Service Mains (page 3 of 3)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 3 of 3) Five-year Inspection and Testing
requirements for Private Fire Service Mains.
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Water Storage
Tanks (page 1 of 3)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 1 of 3) Monthly Inspection and Testing tasks,
as well as Quarterly Inspection Tasks for Water Storage Tanks.
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Water Storage
Tanks (page 2 of 3)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 2 of 3) Semi-Annual Testing tasks for Water
Storage Tanks, as well as Annual Inspection, Testing and Maintenance
tasks for Water Storage Tanks.
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Water Storage
Tanks (page 3 of 3)
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(Member Price $10.00/Pad)
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(Pad of 25) (page 3 of 3) Two-year Maintenance requirements
for Water Storage Tanks, as well as Three-Year or Five Year
Inspection and Testing tasks for Water Storage Thanks and Five-Year
Testing requirements for Water Storage Tanks.
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Preaction & Deluge
Fire Sprinkler Systems (page 1 of 4)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 1 of 4) Monthly Inspection tasks for Preaction & Deluge
Systems, and Quarterly Inspection and Testing tasks for Preaction & Deluge
Systems.
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Preaction & Deluge
Fire Sprinkler Systems (page 2 of 4)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 2 of 4) Annual Inspection and Annual Maintenance
tasks for Preaction & Deluge Systems.
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Preaction & Deluge
Fire Sprinkler Systems (page 3 of 4)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 3 of 4) Annual Testing requirements for Preaction & Deluge
Systems.
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Preaction & Deluge
Fire Sprinkler Systems (page 4of 4)
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(Member Price $10.00/Pad)
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(Pad of 25) (page 4 of 4) Three-Year Testing requirements for
Preaction & Deluge Systems that are NOT full flow trip
tested annually due to the necessity of shutting down protected
equipment. Also Inspection, Testing and Maintenance items to
be conducted at Five-Year, Ten-Year or greater frequency.
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| No longer available in paper pad format. |
Report of
Obstruction Investigation and Internal Condition of Prot.
Pipe(1 of 2)
$25.00
(Member Price $10.00/Pad)
Members
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(Pad of 25) (page 1 of 2) Annual ice obstruction inspection
tasks (applicable only to dry pipe or preaction system piping
protecting or passing through freezers or cold storage rooms)
and Five-year Investigation and Prevention tasks. (Note: This
is a new form that should be completed for obstruction investigation
in any system where evidence of obstructive or foreign material
has been identified, in accordance with Chapter 13 of NFPA
25, 2002 Edition.)
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Report of
Obstruction Investigation and Internal Condition of Prot.
Pipe(2 of 2)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 2 of 2) Other conditions Providing Cause
for Investigation and Internal Obstruction Investigation. (Note:
This is a new form that should be completed for obstruction
investigation in any system where evidence of obstructive or
foreign material has been identified, in accordance with Chapter
13 of NFPA 25, 2002 Edition.)
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Report of
Testing of Pressure Regulating Valves (page 1 of 1)
$25.00
(Member Price $10.00/Pad)
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(Pad of 25) (page 1 of 1) Performance and recording of test
results for various types of Pressure Regulating Valves. |
