Fire Pump Systems Form V-2
NFPA Checklists for Inspecting Detection and Suppression Systems 1 of 4
ACCEPTANCE TEST CHECKLIST
Date Documents Submitted:
Log No.:
File No.:
Plan Examiner:
Date of Approval:
Permit No.:
Property Information
Building Name:
Building Address:
Owners Name:
Owners Address:
Owners Phone: Fax: E-mail:
System Designer/Contractor
Company Name:
Company Address:
Contact Person (Designer):
Designer Qualifications:
Phone: Fax: E-mail:
General
Type of building:
New Existing Renovation
Pump make: Drive: Electric Diesel
Model No.: Pump rating: gpm @ psi
Rated speed: rpm
What is fire pump feeding?
Automatic sprinkler system Standpipe system
Fire hydrants Other:
Present at test:
Authorized representative Manufacturer
Pump
Engine (if diesel)
Controller
Transfer switch
Date the suction piping was flushed prior to hydrostatic test:
Flow rate: gpm
Pressure at which piping hydrostatic tested: psi
Fire Pump Systems Form V-2
NFPA Checklists for Inspecting Detection and Suppression Systems 2 of 4
Fire Pump Acceptance Test
I nstallation
Yes No Certificate for flushing and hydrostatic testing furnished
Yes No Centrifugal fire pump listed for fire protection service
Yes No Horizontal pump/driver on common base plate and connected by a listed flexible coupling
Yes No Guards provided for flexible couplings and flexible connecting shafts
Yes No Base plate securely attached to a solid reinforced concrete foundation
Yes No Indoor fire pump units separated from all other areas of the building by 2-hour fire-rated construction; 1-hour
fire-rated construction in buildings protected with an automatic sprinkler system
Yes No If fire pump unit is located outdoors or if fire pump installation is in a building other than that building being
protected by the fire pump, it is located at least 50 feet away from the protected building
Yes No A suitable means for maintaining 40 F provided; 70 F if driver is diesel engine. (Portable units, plug-in units,
and hardwired electric units without secured circuit breakers are not reliable)
Yes No Pump room/house provided with normal lighting and emergency lighting
Yes No Pump room/house adequately ventilated and floor is pitched toward drain
Yes No Suction piping is the proper size. (5 inch for 500 gpm) (6 inch for 750 gpm) (8 inch for 1000 or 1500 gpm) (10
inch for 2000 or 2500 gpm)
Yes No OS&Y valve provided in the suction piping (Butterfly valves not permitted in suction piping)
Yes No No backflow prevention or other devices are in the suction piping
Yes No No elbows perpendicular to impeller of horizontal pump are within 10 pipe diameters of the intake flange
Yes No Reducer at pump intake is eccentric and installed with flat side up
Yes No A bypass, at least the required size of the discharge pipe, is provided if the suction supply is of sufficient
pressure to be of material value without the pump
Yes No Listed indicating type valves are on each side of the check valve in the bypass and are normally open
Yes No A 3 inch compound gauge, having a rating of at least 100 psi and a range of at least twice the maximum
suction pressure, is provided on the suction piping
Yes No A 3 inch pressure gauge, with a rating of at least 200 psi and a range of at least twice the working pressure of
the pump, is provided near the discharge casting
Yes No A inch circulating relief valve (1 inch if pump is rated over 2500 gpm) is provided and piped to a drain. (Not
needed for engine driven pumps cooled by water from pump discharge)
Yes No A listed, float-operated, automatic, air release valve (no less than inch in size) is provided
Yes No Discharge piping is of the proper size. (5 inch for 500 gpm) (6 inch for 750 or 1000 gpm) (8 inch for 1250 or
1500 gpm) (10 inch for 2000 or 2500 gpm)
Yes No A listed indicating valve is installed on the fire protection system side of the pump
Yes No A check valve is provided between the discharge valve and the pump
Yes No The pump driver, regardless of diesel or electric, is listed for fire pump service
Yes No A properly sized relief valve has been provided if pump is diesel driven or if churn pressure can exceed rating of
system components. (5 inch for 500 gpm) (6 inch for 750 gpm) (8 inch for 1000 and 1500 gpm) (10 inch for
2000 gpm)
Yes No No valves are installed in the relief valve piping
Yes No For diesel engine drivers, there are two storage battery units provided and rack-supported above the floor,
secured against displacement, and located where they are readily accessible for servicing and not subject to
excessive temperature, vibration, mechanical injury, or flooding
Yes No For diesel engine driver, storage battery units are provided with battery chargers specifically listed for fire pump
service, arranged to automatically charge at the maximum rate whenever required by the state of charge of
the battery, and arranged to indicate loss of current
Fire Pump Systems Form V-2
NFPA Checklists for Inspecting Detection and Suppression Systems 3 of 4
Yes No For diesel engine driver cooled by a heat exchanger, the cooling water supply is from the discharge of the pump
and taken prior to the discharge check valve
Yes No The heat exchanger piping for a diesel engine driver is equipped with an indicating manual shutoff valve, an
approved flushing-type strainer, a pressure regulator, an automatic valve listed for fire protection service, and
a second indicating manual shutoff valve
Yes No Heat exchanger piping of a diesel engine driver is equipped with a pressure gauge installed in the cooling water
supply system on the engine side of the last manual valve
Yes No Heat exchanger piping of a diesel engine driver is provided with a bypass line
Yes No The outlet provided for the wastewater line from the heat exchanger has a discharge line not less than one size
larger than the inlet line, discharges into a visible open waste cone, and has no valves
Yes No Diesel fuel supply tank has a capacity of 1 gallon per engine horsepower plus 10%
Yes No Diesel fuel supply tank is located aboveground
Yes No Exposed fuel lines are provided with guard or protecting pipe
Yes No The test header or flowmeter is tapped between the discharge check valve and the discharge valve provided for
annual fire pump flow testing (If a flowmeter is used, verify that it is arranged so as to test both pump
performance and suction supply)
Yes No Proper number of listed 2 inch hose valves is provided on test header (2 for 500 gpm) (3 for 750 gpm) (4 for
1000 gpm) (6 for up to 2500 gpm)
Yes No Test header piping is of the proper size (4 inch for 500 gpm) (6 inch for 750 and 1000 gpm) (8 inch for up to
2500 gpm) (10 inch for 2500 gpm)
Yes No If test header piping is over 15 feet in length, the next larger piping size is used
Yes No A drain valve is located at a low point of the test header pipe between the normally closed test header valve and
the test header
Yes No If a flowmeter is provided, meter system piping is of the proper size. (5 inch for 500 and 750 gpm) (6 inch for
1000 and 1250 gpm) (8 inch for up to 2500 gpm)
Yes No If the meter system piping exceeds 100 feet equivalent of pipe, the next larger size pipe is used
Yes No Jockey pump is provided with sensing line totally independent from that of main pump sensing line
Yes No The sensing lines both tap the discharge pipes between the check valve and the discharge control valve of the
pumps they respectively serve
Yes No Both sensing lines are inch and brass, copper, or series 300 stainless steel piping, tube, and fittings
Yes No Two check valves are installed in each pressure sensing line at least 5 feet apart
Yes No No shut off valves in the sensing lines
For diesel driven pumps, verify that the following alarms are provided on the controller and operative:
Low oil pressure Battery failure/battery missing
High engine temperature Battery charger failure
Failure to start Low (less than
2
/3) fuel level
Shutdown on overspeed
For diesel driven pumps, verify that the following alarms are provided and transmit to a constantly attended location:
Pump running
Controller main switch in a position other than AUTOMATIC
Trouble on controller or engine
For electric driven pumps, verify that are the following alarms are operative:
Loss of power
Phase reversal
Pump running
Fire Pump Systems Form V-2
NFPA Checklists for Inspecting Detection and Suppression Systems 4 of 4
Other
Yes No Verify that the cut-in and cut-out of the jockey pump is properly set.
Yes No Verify that the cut-in of the main pump is properly set.
Yes No Verify that all valves are supervised open. (Test header and flowmeter valves should be supervised shut)
Yes No Verify that the pump performance met or exceeds the demands of the systems supplied by pump. (See results
below.)
Test Results
Test Discharge Pressure Intake pressure Net pressure Speed Nozzle Size and Pitot
Pressures
gpm
1
2
3
4
5
Inspector: Date:
Approval
Inspector: Date:
Approved Yes No
If no, reason(s):
Notes:
