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KLR FIRE AND SECURITY
FIRE PROTECTION AND SECURITY COMPLIANCE PROFESSIONALS
12450 Eaton Commerce Pkwy, Suite #3 · Columbia Station, OH 44028 · (440) 748-0500 License Number: 53-47-1123
CLEAN AGENT SYSTEM INSPECTION
Customer & Site Information
:
:
System Information
Protected Area Information
Meets NFPA Requirements:
Device and Equipment Functions
Enclosure Integrity Test
Method:
Result:
YNNA
YNNA
System Pass
Overall System Pass:
Comments / Discrepancies
On this date, this clean agent fire suppression system was inspected and operationally tested as part of a semi-annual or annual service visit in accordance with the requirements of NFPA 2001 (Standard on Clean Agent Fire Extinguishing Systems) and the manufacturer's manual with the results indicated above. This report is not intended for use as an acceptance test record. The service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.
Disclaimer: This inspection report is provided for informational purposes only and reflects the condition of the clean agent fire suppression system on the date of inspection. No warranty, guarantee, or assurance of system performance, reliability, or compliance beyond that date is expressed or implied. The inspector/company accepts no liability for any loss, damage, injury, or regulatory action arising from the use of this report or from the failure, malfunction, or non-compliance of the clean agent fire suppression system, including but not limited to the agent cylinders, detection/actuation mechanisms, alarm tie-ins, discharge nozzles, and associated fire suppression components. Ongoing testing, servicing, inspection, and compliance with applicable fire safety codes (including NFPA 2001) remain the sole responsibility of the client.
Comments / Discrepancies