Hopewell Valley Bureau of Fire Safety

201 Washington Crossing Pennington Rd

Titusville, NJ 08560
609-730-8156 fax 609-730-1563

Water Mist Systems

Inspection, Testing, and Maintenance
of Water Mist Systems
Name of Property: Inspector:
Address: Contract No.:
Phone Number: Date:
This Report Covers: Monthly Quarterly Annual
Other

Inspections
Monthly
Yes No N/A Water storage tank—sight glass valves are open

Yes No N/A Water circulation tank—water level is full (unsupervised)

Compressed Gas Cylinders

Yes No N/A Cylinder pressure psi (bar) unsupervised

Yes No N/A Cylinder control valve is open

Yes No N/A Plant air, compressor, and receiver (supervised)

Air pressure psi (bar)

Standby Pump

Yes No N/A Compressed gas supply inlet air pressure psi (bar)

Outlet water pressure psi (bar)

Pneumatic Valves
Yes No N/A Cylinder valves in correct (open or closed) position

Yes No N/A Master release valves in correct (open or closed position)

System Control Valves

Yes No N/A In the correct (open or closed) position

Yes No N/A Sealed, locked, or supervised

Yes No N/A Accessible

Yes No N/A Free from damage or leaks

Yes No N/A Proper signage

Nozzles
Yes No N/A In place, pointed in the intended direction, and free from external loading and corrosion

Yes No N/A Blow-off cap (if required) in place and free to operate

Fire Pumps—Electrical Systems

Yes No N/A Exercise isolating switch

NFPA Water-Based Fire Protection Systems Forms 1 of 5

Hopewell Valley Bureau of Fire Safety
201 Washington Crossing Pennington Rd
Titusville, NJ 08560
609-730-8156 fax 609-730-1563
Yes No N/A Circuit breakers and circuit breaker fuses

Fire Pumps—Battery Systems

Yes No N/A Remote corrosion, case clean and dry

Yes No N/A Specific gravity/state or charge

Yes No N/A Charter/charge rate

Yes No N/A Equalize charge

Quarterly
Yes No N/A Water supply pressure psi
Yes No N/A Water storage tank—water level is full

Yes No N/A Water tank pressure psi

Yes No N/A Water storage cylinder (high pressure) water level is full (unsupervised)

Yes No N/A Additive storage cylinder general condition

Yes No N/A Water recirculation tank—water level is full (supervised)

Yes No N/A Compressed gas cylinder support frame and restraints

Yes No N/A Compressed gas cylinder pressure psi

Yes No N/A Moisture trap and oil injection in good condition

Yes No N/A Release valve tubing in good condition

Pipe and Fittings

Yes No N/A Free of mechanical damage

Yes No N/A Missing or damaged paint or coatings

Yes No N/A Free of corrosion or rust

Yes No N/A Misalignment or trapped sections

Yes No N/A Low point drains not damaged or corroded

Semi-annual
Yes No N/A Water supply source in good condition
Yes No N/A Water tank valves and appurtenances in good condition

Yes No N/A Water storage cylinder is full

Yes No N/A Additive agent level is full

Yes No N/A Air compressor/receiver capacity checked

Yes No N/A Enclosure integrity verified

Annual
Yes No N/A Water supply source in good condition
Yes No N/A Interior of water tank inspected

Yes No N/A Water quality checked

Yes No N/A Water temperature ºF ( ºC)

NFPA Water-Based Fire Protection Systems Forms 2 of 5

Hopewell Valley Bureau of Fire Safety
201 Washington Crossing Pennington Rd
Titusville, NJ 08560
609-730-8156 fax 609-730-1563
High-Pressure Water Storage Cylinder
Yes No N/A Support frame/restraints in good condition
Yes No N/A Vent plugs function during refiring

Yes No N/A Filters on refill connection in good condition

Yes No N/A Water recirculation tank supports and attachments in good condition

Compressed Gas Cylinders

Yes No N/A Inspect cylinder capacity and pressure rating

Yes No N/A Check cylinder compliance specification

Yes No N/A Compressed gas meets specifications

Yes No N/A Air supply moisture content acceptable

Test
Quarterly
Yes No N/A Test start/stop pressure settings for standby pump

psi start psi stop

Annual
Yes No N/A Water supply tested

psi gpm minute duration

Yes No N/A Additive agent quality tested

Yes No N/A Additive agent injection—full discharge test

Water Recirculation Tank

Yes No N/A Low water level alarm functions

Yes No N/A Float operated valve functions

Yes No N/A Pressure at outlet during discharge psi

Yes No N/A Backflow preventer functions

Yes No N/A Air supply capacity and duration tested

Pump Performance Test

Use Form 19, Fire Pumps Annual Performance Tests

Pneumatic Valves
Yes No N/A Solenoid release of master valve functions

Yes No N/A Manual release of master valve functions

Yes No N/A Slave valves operate correctly

Yes No N/A All pneumatic cylinder release valves reset

Yes No N/A On-off cycling of valves tested

Yes No N/A All control valves operated through full range of motion and returned to normal position

Yes No N/A Range of motion and returned to normal position

NFPA Water-Based Fire Protection Systems Forms 3 of 5

Hopewell Valley Bureau of Fire Safety
201 Washington Crossing Pennington Rd
Titusville, NJ 08560
609-730-8156 fax 609-730-1563
Yes No N/A Trip test of dry and preaction water mist system

Full Flow Trip Test

Yes No N/A Unobstructed discharge from all nozzles

Yes No N/A Pressure reading at control valve

Yes No N/A Detection system response time sec

Yes No N/A Detection system tested in accordance with NFPA 72

Yes No N/A Ventilation system interlocks tested

Yes No N/A Fuel/lubrication system interlocks tested

Yes No N/A Cylinders—hydrostatic test every 5-½ years

Maintenance
Semi-annual
Yes No N/A Air supply filters and moisture traps cleaned

Yes No N/A Water recirculation tank filters, strainers and cyclone separator cleaned

Check Change Clean Test

Pump System

Lubricate bearings

Check pump shaft end play

Pressure gauge/sensors (check accuracy)

Pump coupling alignment

Electrical System

Trip circuit breaker

Operate manual starting means

Operate emergency manual starting means

Tighten electrical connections (as necessary)

Lubricate mechanical moving parts (except starters and
relays)

Calibrate pressure

Switch settings

Lubricate motor bearings

NFPA Water-Based Fire Protection Systems Forms 4 of 5

Hopewell Valley Bureau of Fire Safety
201 Washington Crossing Pennington Rd
Titusville, NJ 08560
609-730-8156 fax 609-730-1563

Comments

Company ____________________________________________________ DFS-P# _________________

Technician Name ____________________________ Phone _______________ Fax ______________

Signature_________________________________________________ Date _____________________

Business Representative __________________________________ Phone_____________________

Signature ________________________________________________ Date ______________________

NFPA Water-Based Fire Protection Systems Forms 5 of 5