Appendix B Forms for Inspection, Testing, and Maintenance
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1 Appendix B Forms for Inspection, Testing, and Maintenance This appendix is not a part of the requirements of this NFPA document but is included for informational purposes only. Forms need to be complete with respect to the requirements of NFPA 25 for the system being inspected, tested, or maintained, or any combination thereof. Since water-based fire protection systems are comprised of many components, it might be necessary to complete more than one form for each system. Authorities having jurisdiction are legitimately concerned that the forms used are comprehensive. Therefore, they might develop their own forms or utilize those already developed and reviewed by their jurisdiction. At least four formats can be used and are described as follows: (a) All requirements for NFPA 25 are specified in one form having large sections of information that do not apply to most systems. (b) Individual forms provide requirements corresponding to each chapter of NFPA 25. These forms address the following: 1. Sprinkler systems 2. Standpipe systems 3. Private fire service mains 4. Fire pumps 5. Storage tanks 6. Water spray systems 7. Foam-water sprinkler systemsthese forms include information from the specific system chapter: Chapter 1, Chapter 9, and Chapter 10. (c) A series of forms similar to option (b) but with a more detailed breakdown of system types. For example, fire sprinkler systems are divided into five separate forms. 1. Wet pipe fire sprinkler systems 2. Dry pipe fire sprinkler systems 3. Preaction fire sprinkler systems 4. Deluge fire sprinkler systems 5. Foam-water sprinkler systems (d) Separate forms for each individual component of each fire protection system. Figures B-1 through B-15 are examples of forms that have been developed. Figure B-1 AFSA Report of Inspection (Information Section) Form. Copyright NFPA
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3 Figure B-2 AFSA Report of Inspection (Inspector s Information Section) Form. Copyright NFPA
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5 Figure B-3 AFSA Weekly Report of Inspection of Water Based Fire Protection Systems. Copyright NFPA
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9 Figure B-4 AFSA Report of Inspection and Testing of Water Based Fire Protection Systems. Copyright NFPA
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15 Figure B-5 AFSA Report of Inspection and Testing of Dry Pipe Fire Protection Systems. Copyright NFPA
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23 Figure B-6 AFSA Report of Inspection and Testing of Wet Standpipe Systems. Copyright NFPA
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27 Figure B-7 AFSA Report of Inspection, Testing, and Maintenance of Fire Pumps. Copyright NFPA
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37 Figure B-8 NFSA Form for Inspection, Testing, and Maintenance of Fire Sprinkler Systems. Copyright NFPA
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41 Figure B-9 NFSA Form for Inspection, Testing, and Maintenance of Standpipe and Hose Systems. Copyright NFPA
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45 Figure B-10 NFSA Form for Inspection, Testing, and Maintenance of Private Fire Service Mains. Copyright NFPA
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47 Figure B-11 NFSA Form for Inspection, Testing, and Maintenance of Fire Pumps. Copyright NFPA
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51 Figure B-12 NFSA Form for Inspection, Testing, and Maintenance of Water Storage Tanks. Copyright NFPA
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53 Figure B-13 NFSA Form for Inspection, Testing, and Maintenance of Water Spray Fixed Systems. Copyright NFPA
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55 Figure B-14 NFSA Form for Inspection, Testing, and Maintenance of Foam-Water Sprinkler Systems. Copyright NFPA
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59 Figure B-15 Backflow Prevention Assembly Test and Maintenance Record. Copyright NFPA
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UNIVERSITY OF TOLEDO SUBJECT: INTERIM LIFE SAFETY MEASURES AND INFECTION Procedure No: LS-08-008 CONTROL PROCEDURE STATEMENT Interim life safety and infection control measures will be implemented to protect