FIRE PUMP FIELD ACCEPTANCE TEST QCDD FORM

Pin No. Date

Location Application Number
Project Name
Owner

QCDD Approved Drawing Ref. No.

Test Status Passed

PRESSURE SETTING CUT- IN CUT-OUT

Jockey Pump
Duty Pump
Standby Pump

JOCKEY PUMP
Manufacturer HP
Type or Model Ampere
Serial Number Volt
Controller Manufacturer Controller Model
or Type

FIRE PUMP SET DATA

DUTY FIRE PUMP

ELECTRIC MOTOR DRIVEN

Manufacturer Type
Model or Type Serial Number
Rated Flow Rated Pressure
Rated HP No Flow Pressure
Rated Voltage Overload Pressure
Phase Cycles Suction Pressure
Rated Speed Rated Amperes
Imp. Diameter Service Factor
CONTROLLER
Manufacturer Line Volt
Type or Model Control Volt
Serial Number HP capacity
NEMA Type Max. Pressure

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 FIRE PUMP FIELD ACCEPTANCE TEST QCDD FORM
DIESEL ENGINE DRIVEN
Manufacturer Type
Model or Type Serial Number
Rated Flow Rated Pressure
Rated BHP No Flow Pressure
Rated Speed Overload Pressure
Imp. Diameter Suction Pressure
Fuel Tank Size
CONTROLLER
Manufacturer Line Volt
Type or Model Control Volt
Serial Number HP capacity
NEMA Type Max. Pressure

STANDBY FIRE PUMP

ELECTRIC MOTOR DRIVEN

Manufacturer Type
Model or Type Serial Number
Rated Flow Rated Pressure
Rated HP No Flow Pressure
Rated Voltage Overload Pressure
Phase Cycles Suction Pressure
Rated Speed Rated Amperes
Imp. Diameter Service Factor
CONTROLLER
Manufacturer Line Volt
Type or Model Control Volt
Serial Number HP capacity
NEMA Type Max. Pressure

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 FIRE PUMP FIELD ACCEPTANCE TEST QCDD FORM

DIESEL ENGINE DRIVEN

Manufacturer Type
Model or Type Serial Number
Rated Flow Rated Pressure
Rated BHP No Flow Pressure
Rated Speed Overload Pressure
Imp. Diameter Suction Pressure
Fuel Tank Size
CONTROLLER
Manufacturer Line Volt
Type or Model Control Volt
Serial Number HP capacity
NEMA Type Max. Pressure

CHECK LIST

Activity Yes N/A

Flushing test conducted per NFPA 20 requirements
Hydrostatic test conducted per NFPA 20 requirements
Were concerned people present during pre-acceptance test per NFPA 20
Fire pump systems are installed as per approved plans and NFPA 20 requirements
All test equipment shall be calibrated
Sequence of operation simulated and accepted as per approved setting
Controllers simulation test were conducted per NFPA 20 requirements
All test procedures and requirements simulated and conducted as per NFPA 20 requirements
Was the governor set to properly regulate the engine speed at rated pump speed.
All required interfacing to fire alarm system was performed and accepted per NFPA 20.
Did the fire pumps (duty & standby) performance meet the Manufacturer’s Certified Pump Test
Characteristic Curve?
Are fire pumps Manufacturer’s Certified Pump Test Characteristic Curve available on-site

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 FIRE PUMP FIELD ACCEPTANCE TEST QCDD FORM

FIRE PUMP PERFORMANCE.

DUTY FIRE PUMP

ELECTRIC FIRE PUMP

Pump Serial Design Actual
Model Number Pressure Pressure
PSI (m) (PSI (m)
Rated Capacity Speed Capacity Volts Amps Suction Discharge Suction Discharge
(RPM) (GPM)
Shut off 0%
Rated 100%

150 % of rated 150%

flow

DIESEL FIRE PUMP

Pump Serial Design Actual
Model Number Pressure Pressure
PSI (m) (PSI (m)
Rated Capacity Speed Capacity - - Suction Discharge Suction Discharge
(RPM) (GPM)
Shut off 0%
Rated 100%

150 % of 150%
rated flow

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 FIRE PUMP FIELD ACCEPTANCE TEST QCDD FORM
STANDBY FIRE PUMP

ELECTRIC FIRE PUMP

Pump Serial Design Actual
Model Number Pressure Pressure
PSI (m) (PSI (m)
Rated Capacity Speed Capacity Volts Amps Suction Discharge Suction Discharge
(RPM) (GPM)
Shut off 0%
Rated 100%

150 % of rated 150%

flow

Pump Serial Design Pressure PSI Actual

Model Number (m) Pressure
(PSI (m)
Rated Capacity Speed Capacity (GPM) Suction Discharge Suction Discharge
(RPM)
Shut 0%
off
Rated 100%

150 % 150%
of rated
flow

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 FIRE PUMP FIELD ACCEPTANCE TEST QCDD FORM

FIRE PUMP ALIGNEMNT REPORT.

Electrical Fire Pump

Reference Tolerance Pump Side Driver Side Figure/ Illustration
Vertical Parallel –Fig -
1
Vertical Parallel –Fig -
2
Horizontal Parallel –
Fig -1
Horizontal Parallel –
Fig -2

Diesel Fire Pump

Horizontal Parallel Pump Side Driver Side Figure/ Illustration
offset
Vertical Parallel offset
Vertical Parallel –Fig -
1
Vertical Parallel –Fig -
2
Horizontal Parallel –
Fig -1
Horizontal Parallel –
Fig -2

CERTIFICATION
The system as specified above has been installed and tested, in accordance with latest edition of NFPA, QCDD FSS and QCDD
approved drawings

________________________________ _______________________________________________
Contractor (QCDD Certificate No. / ID No. / Mobile No.)
(Signature over Printed Name with Stamp)

CERTIFICATION
The undersigned accepted the testing report for the system as specified herein.

________________________________ _______________________________________________
Consultant (UPDA No. / ID No. / Mobile No.)
(Signature over Printed Name with Stamp)

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