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Monthly Fire Pump Testing Form

This document provides a monthly fire pump inspection checklist for a facility. It includes instructions to test the fire pump weekly and record results. The checklist contains 15 items to check, including date, tester initials, pump pressures and speeds, room temperature, and automatic start functions. Any pumps not left in automatic start mode after testing are considered impaired and must be reported. The checklist is to be used to record test results for 4 weekly runs. Settings for the jockey pump are also provided based on NFPA 20 guidance. Inspection and testing must be signed by technical personnel, an engineering supervisor, and a safety officer.

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Ferdinand M. Turbanos
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9K views1 page

Monthly Fire Pump Testing Form

This document provides a monthly fire pump inspection checklist for a facility. It includes instructions to test the fire pump weekly and record results. The checklist contains 15 items to check, including date, tester initials, pump pressures and speeds, room temperature, and automatic start functions. Any pumps not left in automatic start mode after testing are considered impaired and must be reported. The checklist is to be used to record test results for 4 weekly runs. Settings for the jockey pump are also provided based on NFPA 20 guidance. Inspection and testing must be signed by technical personnel, an engineering supervisor, and a safety officer.

Uploaded by

Ferdinand M. Turbanos
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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MONTHLY FIRE PUMP INSPECTION CHECKLIST

FIRE PUMP LOCATION ADVENTIST MEDICAL CENTER BACOLOD CV


STATION Ramos Ave., Taculing, Bacolod City

INSTRUCTIONS: All fire pumps should be run and tsted weekly. During pump operations,
record results for each weekly test in the appropriate column for all items. If
a need for repairr or adjustments is discovered during the weekly testing,
they should be made immediately, following the manufacturer's instruction.

IMPORTANT: Any pump that is not left in the automatic start mode at the end of tests is
considered impaired. Report this condition to management and begin

USE SPACES BELOW TO RECORD TEST RESULTS


ITEMS FOR TESTING 1st Run 2nd Run 3rd Run 4th Run
1. Date Fire Pump Tested dd/mm/yr
2. Tested by whom. ( Your initials) Initials
Length of
3. Motor running time ( 5 minutes weekly
Run in
minimum for electrical)
Minutes
4. Suction Pressure (PSI)
5. Discharge Pressure (PSI)
6. Revolution per Minute (RPM) at
7. Pump Room Temperature
8. Fire Pump Automatic Start Pressure
9. Jockey Pump Comes On at (PSI)
10. Jockey Pump Shuts Off at (PSI)
11. Are Stuffing Box Glands at Proper YES NO YES NO YES NO YES NO
Slow Drip
Tighness?
12. Start Pump Dropping Pressure on
Pressure Sensing Line (Open Pet Cock and
Flow Water). Did pump start automatically
on pressure drop?
13. Did you actually observe suction tank
overflow to determine if full?
14. Were running and Power Off Pump
Alarms tested satisfactory to central
monitoring station?
15. Was pump left un Fully Automatic
Starting Mode at end of testing and is
Green ON Light buring?
COMMENTS: Describe the nature of any problems encountered for "NO" answers above and what was done for
correction. Also state time and date repairs were completed and pump was returned to complete operating services:

The Jockey pump should be set to maintain pressure equal to the firepump rating plus static suction pressure plus 10
psi. The fire pump should be set to start 10 psi less than the jockey pump start prssure. Refer to NFPA 20 for guidance.

Inspectti on and Testing by: Complete Name Signature


Technical Personnel for PM/CM ____________________________ ____________________
Engineering Supervisor ____________________________ ____________________
Attested by Safety Officer/ Engineer ____________________________ ____________________

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