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Fire Hydrant Inspection Test Checklist

This document is a fire hydrant inspection test checklist for a construction project to build a postgraduate building. It lists the items to be inspected on each floor of the building, including piping, valves, hydrants, and sprinkler systems. The checklist includes columns to note the status, comments, and signatures of the contractor, supervisor, and client representative. It will be used to inspect and sign off on the fire safety equipment once installation is complete on all levels of the new building.

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Zaky Fachrur Rozi
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3K views4 pages

Fire Hydrant Inspection Test Checklist

This document is a fire hydrant inspection test checklist for a construction project to build a postgraduate building. It lists the items to be inspected on each floor of the building, including piping, valves, hydrants, and sprinkler systems. The checklist includes columns to note the status, comments, and signatures of the contractor, supervisor, and client representative. It will be used to inspect and sign off on the fire safety equipment once installation is complete on all levels of the new building.

Uploaded by

Zaky Fachrur Rozi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Fire Hydrant Inspection Test Checklist

Nama proyek
(Lanjutan)

: Pengadaan Konstruksi Pembangunan Gedung Pasca Sarjana

Lokasi

: Jl.Rawamangun Muka, Jakarta Timur

NO
1

ITEM
Pipa riser
Fungsi PRV
Alarm gong dan
kelengkapan
Fire Hydrant
Flushing pipa
Fungsi Gate Valve dan
kelengkapan
Sprinkler
Flushing pipa
Fungsi Flow switch
Fungsi Branch valve
Fungsi Gate Valve dan
kelengkapan

Hydrant Site
Hydrant box, hose +
nozzle
Fungsi Hydrant pilar
Fungsi Seamese
connection

Indoor Hydrant
System
Lantai 1
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 2
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 3
Flushing pipa

STATUS
YE
NO N/A
S

COMMENT

Gate Valve dan


kelengkapan
Hydrant box, hose +
nozzle

Lantai 4
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 5
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 6

Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 7
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai 8
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Lantai Atap
Flushing pipa
Gate Valve dan
kelengkapan
Hydrant box, hose +
nozzle

Sprinkler System
Lantai 1
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 2

Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 3
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 4
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 5
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 6
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 7
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Lantai 8
Flushing pipa
Gate Valve dan
kelengkapan
Flow switch
Branch valve

Kontraktor Pelaksana:
Nama:

Ttd:

Konsultan Pengawas:
Nama:

Ttd:

Pemberi Tugas:
Nama:

Tanggal pelaksanaan:

Ttd:

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