FUNDAMENTALS OF FIRE ALARM SYSTEMS
7233
FIRE ALARM SYSTEM RECORD OF COMPLETION
To be completed by the system installation contractor at the time of system acceptance and approval.
1. PROTECTED PROPERTY INFORMATION
Name of property: Address: Description of property: Occupancy type: Name of property representative: Address: Phone: Fax: E-mail:
Authority having jurisdiction over this property: Phone: Fax: E-mail:
2. FIRE ALARM SYSTEM INSTALLATION, SERVICE, AND TESTING INFORMATION
Installation contractor for this equipment: Address: Phone: Fax: E-mail:
Service organization for this equipment: Address: Phone: Location of as-built drawings: Location of system operation and maintenance manuals: A contract for test and inspection in accordance with NFPA standards is in effect as of Contracted testing company: Address: Phone: Contract expires: Fax: Contract number: E-mail: Frequency of routine inspections: Fax: E-mail: Location of historical test reports:
3. TYPE OF FIRE ALARM SYSTEM OR SERVICE
NFPA 72 Chapter Reference of System Type: Name of organization receiving alarm signals with phone numbers (if applicable): Alarm: Supervisory: Trouble: Entity to which alarms are retransmitted: Method of retransmission of alarms to that organization or location: Phone: Phone: Phone: Phone:
2007 National Fire Protection Association
NFPA 72 (p. 1 of 5)
FIGURE 4.5.2.1 Record of Completion.
2007 Edition
7234
NATIONAL FIRE ALARM CODE
3. TYPE OF FIRE ALARM SYSTEM OR SERVICE (continued)
If Chapter 8, note the means of transmission from the protected premises to the central station: Digital alarm communicator McCulloh Multiplex 2-way radio N/A 1-way radio N/A Local energy Shunt
If Chapter 9, note the type of connection:
3.1 System Software
Operating system (executive) software revision level: Site-specific software revision date: Revision completed by:
4. SIGNALING LINE CIRCUITS
Characteristics of signaling line circuits connected to this system (see NFPA 72, Table 6.6.1): Quantity: Style: Class:
5. ALARM-INITIATING DEVICES AND CIRCUITS
Characteristics of initiating device circuits connected to this system (see NFPA 72, Table 6.5): Quantity: Style: Class:
5.1 Manual Initiating Devices
5.1.1 Manual Pull Stations
Number of manual pull stations: Conventional Coded Transmitter N/A
Type of devices:
Addressable
5.2 Automatic Initiating Devices
5.2.1 Area Smoke Detectors
Number of smoke detectors: Partial area Ionization Nonrequired partial area Coded Transmitter Photoelectric Number of duct smoke detectors: N/A N/A
Type of coverage: Type of devices:
Complete area Addressable
Conventional
Type of smoke detector sensing technology:
5.2.2 Duct Smoke Detectors
Type of coverage: Type of devices: Addressable Conventional Coded Transmitter N/A
Type of smoke detector sensing technology:
5.2.3 Heat Detectors
Ionization
Photoelectric Number of heat detectors:
Type of coverage: Type of devices:
Complete area Addressable
Partial area
Nonrequired partial area Coded Transmitter
N/A N/A
Conventional
5.2.4 Sprinkler Waterflow Detectors
Number of waterflow detectors: Coded Transmitter N/A
Type of devices
Addressable
Conventional
5.2.5 Alarm Verification
Number of devices subject to alarm verification: Enabled Disabled Set for seconds
Alarm verification on this system is:
2007 National Fire Protection Association
NFPA 72 (p. 2 of 5)
FIGURE 4.5.2.1 Continued
2007 Edition
FUNDAMENTALS OF FIRE ALARM SYSTEMS
7235
6. SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUITS 6.1 Sprinkler System
Type of devices: Addressable Conventional Number of valve supervisory switches: Coded Transmitter N/A
6.2 Fire Pump
Type of fire pump: Electric Diesel Addressable Conventional Coded Transmitter N/A
Type of fire pump supervisory devices:
Fire Pump Functions Supervised
Fire pump power
Fire pump running Low fuel
Fire pump phase reversal
Selector switch not in auto
Engine or control panel trouble Other:
6.3 Engine-Driven Generator
Type of generator supervisory devices: Engine or control panel trouble Other:
Addressable
Conventional
Coded
Transmitter Low fuel
N/A
Generator running
Selector switch not in auto
7. ANNUNCIATORS 7.1 Annunciator 1
Type: Local Remote Graphic N/A Location:
Addressable
Directory
7.2 Annunciator 2
Type:
Local
Remote Graphic N/A Location:
Addressable
Directory
7.3 Annunciator 3
Type:
Local
Remote Graphic N/A Location:
Addressable
Directory
8. ALARM NOTIFICATION DEVICES AND CIRCUITS 8.1 Emergency Voice Alarm Service
Number of single voice alarm channels: Number of speakers: Number of multiple voice alarm channels: Number of speaker zones:
8.2 Telephone Jacks
Number of telephone jacks installed: Type of telephone system installed: Number of telephone handsets stored on site: Electrically powered Sound powered N/A
8.3 Nonvoice Audible System
Characteristics of notification device circuits connected to this system (see NFPA 72, Table 6.5): Quantity: Style: Class:
2007 National Fire Protection Association
NFPA 72 (p. 3 of 5)
FIGURE 4.5.2.1 Continued
2007 Edition
7236
NATIONAL FIRE ALARM CODE
8. ALARM NOTIFICATION DEVICES AND CIRCUITS (continued) 8.4 Types and Quantities of Nonvoice Notification Appliances Installed
Bells: Chimes: With visual device: With visual device: Horns: Bells: Other (describe): With visual device: With visual device:
Visual devices without audible devices:
9. EMERGENCY CONTROL FUNCTIONS ACTIVATED
Hold-open door releasing devices Door unlocking Smoke management or smoke control Elevator recall Other
10. SYSTEM POWER SUPPLY 10.1 Primary Power
Nominal voltage Overcurrent protection: Type Location (of primary supply panelboard): Disconnecting means location: Amps Amps
10.2 Secondary Power
Location: Number of standby batteries: Location of emergency generator: Location of fuel storage: Calculated capacity of secondary power to drive the system In standby mode: In alarm mode: Type: Nominal voltage: Amp hour rating: Current rating:
11. RECORD OF SYSTEM INSTALLATION
Fill out after all installation is complete and wiring has been checked for opens, shorts, ground faults, and improper branching, but before conducting operational acceptance tests.
The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) NFPA 72 Manufacturers published instructions NFPA 70, National Electrical Code, Article 760 Other (please specify):
System deviations from referenced NFPA standards: Signed: Organization: Printed name: Title: Date: Phone:
12. RECORD OF SYSTEM OPERATION
All operational features and functions of this system were tested by or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements of: NFPA 72 Manufacturers published instructions NFPA 70, National Electrical Code, Article 760 Other (please specify):
Documentation in accordance with Inspection and Testing Form (Figure 10.6.2.3) is attached Signed: Organization: Printed name: Title: Date: Phone:
2007 National Fire Protection Association
NFPA 72 (p. 4 of 5)
FIGURE 4.5.2.1 Continued
2007 Edition
FUNDAMENTALS OF FIRE ALARM SYSTEMS
7237
13. CERTIFICATIONS AND APPROVALS 13.1 System Installation Contractor
This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed: Organization: Printed name: Title: Date: Phone:
13.2 System Service Contractor
This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed: Organization: Printed name: Title: Date: Phone:
13.3 Central Station
This system as specified herein will be monitored according to all NFPA standards cited herein. Signed: Organization: Printed name: Title: Date: Phone:
13.4 Property Representative
I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: Organization: Printed name: Title: Date: Phone:
13.5 Authority Having Jurisdiction
I have witnessed a satisfactory acceptance test of this system and find it to be installed and operating properly in accordance with its approved plans and specifications, its approved sequence of operations, and with all NFPA standards cited herein. Signed: Organization: Printed name: Title: Date: Phone:
2007 National Fire Protection Association
NFPA 72 (p. 5 of 5)
FIGURE 4.5.2.1 Continued
2007 Edition
