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Training Manual - Potter Electric Signal Company, LLC

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AUTOMATIC SPRINKLER SYSTEMS FORM 2-B<br />

Weekly Inspection<br />

This form covers a 6-month period.<br />

1. Date of inspection<br />

2. Inspector’s name, initials or badge number.<br />

3. If valves are sealed, note “yes” in this block. If any are not sealed,<br />

reseal and note “resealed” in this block.<br />

4. If all sprinklers are in good condition and storage is maintained at<br />

1 2 3 4 5<br />

DATE INSPECTOR<br />

VALVE SEALED SPRINKLERS OK COMMENTS<br />

DATE __________________________________________<br />

least 18 in. below the sprinklers, note “yes” in block. If not, see that<br />

corrections are made and briefly describe under “comments”.<br />

5. Record any notes about the system which the inspector believes to<br />

be significant.<br />

AUTOMATIC SPRINKLER SYSTEMS FORM 2-C<br />

Monthly Inspection<br />

YEAR _ _______________________________<br />

1. Date of inspection<br />

2. Inspector’s name, initials or badge number.<br />

3. If fire department connections are unobstructed and in good condition,<br />

note “OK” in block. If not, see that corrections are made and briefly<br />

describe under “notes”.<br />

4. If valves are locked note “yes” in this block. If any are not locked, relock<br />

and note “relocked” in this block.<br />

DATE INSPECTOR<br />

5. Waterflow alarms should be tested by opening the inspector’s test<br />

valve, allowing the water to flow.<br />

6. Record any notes about the system which the inspector believes<br />

to be significant. Place a number in this block and number the<br />

corresponding note at the end of the inspection form.<br />

1 2 3 4 5 6<br />

FIRE DEPARTMENT<br />

CONNECTIONS<br />

VALVES<br />

LOCKED<br />

WATERFLOW ALARMS<br />

TESTED<br />

NOTES<br />

NOTES _________________________________________________________________________________________________________________<br />

_ ________________________________________________________________________________________________________________________<br />

_ ________________________________________________________________________________________________________________________<br />

_ ________________________________________________________________________________________________________________________<br />

_ ________________________________________________________________________________________________________________________<br />

_ ________________________________________________________________________________________________________________________<br />

_ ________________________________________________________________________________________________________________________<br />

_ ________________________________________________________________________________________________________________________<br />

_ ________________________________________________________________________________________________________________________<br />

_ ________________________________________________________________________________________________________________________<br />

_ ________________________________________________________________________________________________________________________<br />

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