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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
FIRE ALARM INSPECTION AND TEST REPORT
Customer & Site Information
Type of Test
Fire Alarm Control Unit
Power
Does the FACP operate on battery power only with AC power disconnected?
Does the FACP operate on AC power only with batteries disconnected?
If equipped with secondary battery power, does the trouble indicator function properly when AC power is disconnected?
Is the breaker for the AC power of the FACP locked?
Monitoring Information
Test Received at Central Station:
Auxiliary Power Supplies
Manufacturer
Model
System Location
Qty
Volts
Amp/Hr
Date (MM/YY)
Annunciators
Manufacturer
Model
System Location
Supervisory Station Monitoring
Type
Received
Time
Comments
Alarm Signal
Alarm Restoration
Trouble Signal
Trouble Restoration
Supervisory Signal
Supervisory Restoration
Result
Technicians
Technician Name
License No.
Initials
Deficiencies
Service Notes
Device Summary
Initiating Devices
Qty
Pull Stations
0
Smoke Detectors
0
Heat Detectors
0
Duct Detectors
0
Remote Test Stations
0
Sprinkler Tamper
0
Flow Switch
0
Beam Detectors
0
CO Detectors
0
Hood Monitors
0
Total Initiating Devices
0
Notification Devices
Qty
Horn/Strobe
Strobe Only
Speaker/Strobe
Bell
Total Notification Devices
0
Common Equipment
Qty
Control Panel
0
Power Supplies
0
Annunciators
0
Batteries
0
Auxiliary Devices
Qty
Relays
0
Door Holders
0
Fan Shutdown
0
Total Auxiliary Devices
0
Total Devices:0
Disclaimer: This inspection report is provided for informational purposes only and reflects the condition of the fire alarm 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 fire alarm system. Ongoing testing, servicing, and compliance with applicable fire safety laws and NFPA 72 remain the sole responsibility of the client.
Deficiencies