KLR Fire and Security — Restaurant Fire Suppression Systems Report

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

HOOD SUPPRESSION INSPECTION

Customer & Site Information

Customer / Company Name

Site / Job Address

City / State / ZIP

Inspection Date

Contact Person

Contact Phone

Contact Email

Technician Name

Time Arrived

:

Time Departed

:

Date of Service:

Time:

AM PM

Annual

Semi-Annual

Recharge

Installation

Renovation

Location of System Cylinders:

UL 300: Yes No

Manufacturer:

Model Number:

Wet

Dry Chemical

Cylinder Size (Master):

Cylinder Size (Slave):

Cylinder Size (Slave):

Fuse Links 360°F:

Fuse Links 450°F:

Fuse Links 500°F:

Other:

Fuel Shut-off:

Electric

Gas

Size:

Serial Number:

Last Hydro Test Date:

Last Recharge Date:

Cooking Appliance Locations: Left to Right

YNNA

YNNA

Comments / Discrepancies

On this date, this pre-engineered fire suppression system was inspected and operationally tested in accordance with the fire suppression system requirements of NFPA 17 or 17A, 96 and the manufacturer's manual with the results indicated above. The service technician certifies that the system was personally inspected and found conditions to be as indicated on this report.

Service Technician

License No.

Date

Time

AM PM

Customer's Authorized Agent (Signature)

Print Name

Date

Save to SharePoint

Choose the customer and year folder. The completed report will be saved as a PDF to INSPECTION REPORTS › Customer › Year.

Loading…

Loading your SharePoint sites…

Email Report to Customer

Sends from your Microsoft 365 account. The completed report is attached as an HTML file the customer can open or print.

Customer Email Address

CC (optional)

Message to Customer (optional)