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Inspection Form - Fire Pump

This document is a preventive maintenance inspection report for the fire pump system at an unnamed site. It lists the key components checked for the electrical, diesel, and jockey pumps. These include general conditions, pressure levels, electrical panels, gauges and switches. Notes sections are included under each item checked to provide any relevant findings or status updates. The two-page report is signed off by representatives of the inspection company, MSSCO, and the client to confirm work completion.

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Tilal
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752 views2 pages

Inspection Form - Fire Pump

This document is a preventive maintenance inspection report for the fire pump system at an unnamed site. It lists the key components checked for the electrical, diesel, and jockey pumps. These include general conditions, pressure levels, electrical panels, gauges and switches. Notes sections are included under each item checked to provide any relevant findings or status updates. The two-page report is signed off by representatives of the inspection company, MSSCO, and the client to confirm work completion.

Uploaded by

Tilal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Modern Systems For Safety & Security CO.

Riyadh - Saudi Arabia


P.O. Box No. 40246, Riyadh 35815
Tel: No. +966 11 4000079
info@mssco.sa

PREVENTIVE MAINTENANCE INSPECTION REPORT


(Fire Pump)

Site Name: Region/ City: Date:

ITEM CHECK POINTS NOTES

Fire Pump General: …………………………………………………………....


- Vibration Or Sound of Pump …………………………………………………………....
Model : ……………………………… …………………………………………………………....
- Fire Tank Water Level (Full / Empty ) …………………………………………………………....
Flow Rate: …………………. GPM - Leakage …………………………………………………………....
…………………………………………………………....
- Cleanliness of Pump Room …………………………………………………………....
Pressure:………………………BAR
- Sequence Work Of the Pumps …………………………………………………………....
Input Voltage: …………………. V …………………………………………………………....
- Pump set Test Line …………………………………………………………....
…………………………………………………………....
Cut in Cut off Electrical Pump ( E ) …………………………………………………………....
(BAR/PSI) (BAR/PSI)
- Control Panel / indicator Bulbs
…………………………………………………………....
Electrical
- Pressure Gauge …………………………………………………………....
Diesel …………………………………………………………....
- Pressure Switch
…………………………………………………………....
Jockey …………………………………………………………....
- (Auto/Manual) Testing
…………………………………………………………....
- Valves
…………………………………………………………....
Use the following
Diesel Pump ( D ) …………………………………………………………....
N/A Not Applicable
- Control Panel / indicator Bulbs …………………………………………………………....
× Not Working …………………………………………………………....
Checked / Working - Pressure Gauge …………………………………………………………....
- Pressure Switch …………………………………………………………....
…………………………………………………………....
- (Auto/Manual) Testing …………………………………………………………....
- Valves …………………………………………………………....
…………………………………………………………....
- Battery …………………………………………………………....
- Charger …………………………………………………………....
…………………………………………………………....
- Engine Oil …………………………………………………………....
- Filter …………………………………………………………....
…………………………………………………………....
- Diesel Tank (Full / Empty ) …………………………………………………………....
- Belts …………………………………………………………....
…………………………………………………………....
- Cooling Water Level …………………………………………………………....
- Cooling Loop ( Clean Y Strainer ) …………………………………………………………....
…………………………………………………………....
…………………………………………………………....
…………………………………………………………....
…………………………………………………………....

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Modern Systems For Safety & Security CO.
Riyadh - Saudi Arabia
P.O. Box No. 40246, Riyadh 35815
Tel: No. +966 11 4000079
info@mssco.sa

ITEM CHECK POINTS NOTES

Jockey Pump ( J ) …………………………………………………………....


- Control Panel / indicator Bulbs …………………………………………………………....
…………………………………………………………....
- Pressure Gauges …………………………………………………………....
- Pressure Switches …………………………………………………………....
…………………………………………………………....
- (Auto/Manual) Testing …………………………………………………………....
- Valves …………………………………………………………....
…………………………………………………………....

MSSCO CLIENT SUPERVISOR


NAME NAME
DATE DATE
SIGNATURE SIGNATURE

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