Loading...
45 TRADERS WAY Building 30 FA T&ISYSTEM RECORD OF INSPECTION AND TESTING This form is to be completed by the system inspection and testing contractor at the time of a system test. It shall be permitted to modify this form as needed to provide a more complete and/or clear record. Insert N/A in all unused lines. Attach additional sheets, data, or calculations as necessary to provide a complete record. Copyright © 2012 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. (p. 1 of 4) Inspection/Test Start Date/Time: 4/26/22 Inspection/Test Completion Date/Time: 4/26/22 8am Supplemental Form(s) Attached: (yes/no) 1. PROPERTY INFORMATION Name of property: Traders Row Apartments Address: 45 Traders Way Building 30 Salem, MA 01970 Description of property: Residential Name of property representative: Dolben Address: 150 Presedential Way Suite 220 Woburn, MA 01801 Phone: 781-404-4200 Fax: 781-376-4252 E-mail: 2. TESTING AND MONITORING INFORMATION Testing organization: Priority Fire and Security Inc. Address: 60 Water Street Clinton, MA 01510 Phone: 508-481-8909 Fax: E-mail: sales@priorityfiresecurity.com Monitoring organization: Centra-Larm Monitoring Address: 994 Candia Rd. Manchester, NH 03109 Phone: 1-800-639-4068 Fax: E-mail: inputting@centragroup.net Account number: 695-8541 Phone line 1: Phone line 2: Means of transmission: Cellular Dialer Entity to which alarms are retransmitted: Salem Fire Department Phone: (978) 744-6990 3. DOCUMENTATION On-site location of the required record documents and site-specific software: At FACP 4. DESCRIPTION OF SYSTEM OR SERVICE 4.1 Control Unit Manufacturer: Silent Knight Model number: IFP-300 4.2 Software and Firmware Firmware revision number: 6.04.03 4.3 System Power 4.3.1 Primary (Main) Power Nominal voltage: 120V Amps: 5A Location: FACP Overcurrent protection type: Breakder Amps: 20A Disconnecting means location: Breaker Panel SYSTEM RECORD OF INSPECTION AND TESTING (continued) Copyright © 2012 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. (p. 2 of 4) 4. DESCRIPTION OF SYSTEM OR SERVICE (continued) 4.3.2 Secondary Power Type: Batteries Location: In FACP Battery type (if applicable): SLA Calculated capacity of batteries to drive the system: In standby mode (hours): 24 In alarm mode (minutes): 5 5. NOTIFICATIONS MADE PRIOR TO TESTING Monitoring organization Contact: Centra-Larm Monitoring Time: 8am Building management Contact: Stateside Time: 8am Building occupants Contact: N/A Time: Authority having jurisdiction Contact: Time: Other, if required Contact: Time: 6. TESTING RESULTS 6.1 Control Unit and Related Equipment Description Visual Inspection Functional Test Comments Control unit Lamps/LEDs/LCDs Fuses Trouble signals Disconnect switches Ground-fault monitoring Supervision Local annunciator Remote annunciators Remote power panels 6.2 Secondary Power Description Visual Inspection Functional Test Comments Battery condition Load voltage Discharge test Charger test Remote panel batteries SYSTEM RECORD OF INSPECTION AND TESTING (continued) Copyright © 2012 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. (p. 3 of 4) 6. TESTING RESULTS (continued) 6.3 Alarm and Supervisory Alarm Initiating Device Attach supplementary device test sheets for all initiating devices. 6.4 Notification Appliances Attach supplementary appliance test sheets for all notification appliances. 6.5 Interface Equipment Attach supplementary interface component test sheets for all interface components. Circuit Interface / Signaling Line Circuit Interface / Fire Alarm Control Interface 6.6 Supervising Station Monitoring Description Yes No Time Comments Alarm signal 8am Alarm restoration 11am Trouble signal 8am Trouble restoration 11am Supervisory signal 8am Supervisory restoration 11am 6.7 Public Emergency Alarm Reporting System Description Yes No Time Comments Alarm signal Alarm restoration Trouble signal Trouble restoration Supervisory signal Supervisory restoration SYSTEM RECORD OF INSPECTION AND TESTING (continued) Copyright © 2012 National Fire Protection Association. This form may be copied for individual use other than for resale. It may not be copied for commercial sale or distribution. (p. 4 of 4) 7. NOTIFICATIONS THAT TESTING IS COMPLETE Monitoring organization Contact: Centra-Larm Monitoring Time: 12pm Building management Contact: Stateside Time: 12pm Building occupants Contact: Time: Authority having jurisdiction Contact: Time: Other, if required Contact: Time: 8. SYSTEM RESTORED TO NORMAL OPERATION Date: 4/26/22 Time: 12:00pm 9. CERTIFICATION This system as specified herein has been inspected and tested according to NFPA 72, 2013 edition, Chapter 14. Signed: Printed name: Mike Davis Date: 4/26/22 Organization: Priority Fire and Security Title: Sales Engineer Phone: 508-481-8909 Qualifications (refer to 10.5.3): MA Electrical License 10. DEFECTS OR MALFUNCTIONS NOT CORRECTED AT CONCLUSION OF SYSTEM INSPECTION, TESTING, OR MAINTENANCE 10.1 Acceptance by Owner or Owner’s Representative: The undersigned accepted the test report for the system as specified herein: Signed: Printed name: Date: 4/26/22 Organization: Title: Phone: