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Fire Alarm Certificate of Completion

This document is a Certificate of Completion for Fire Alarm Systems and Fire Protection Monitoring Systems, which must be available for inspection during a final performance test. It includes sections for general information about the system, fire suppression systems, fire alarm control panel checks, detection and notification appliances, and documentation requirements. The installer certifies that the system has been installed and tested according to standards and specifications.

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yby.technology
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52 views2 pages

Fire Alarm Certificate of Completion

This document is a Certificate of Completion for Fire Alarm Systems and Fire Protection Monitoring Systems, which must be available for inspection during a final performance test. It includes sections for general information about the system, fire suppression systems, fire alarm control panel checks, detection and notification appliances, and documentation requirements. The installer certifies that the system has been installed and tested according to standards and specifications.

Uploaded by

yby.technology
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Certificate of Completion

Fire Alarm Systems and Fire Protection Monitoring Systems

This form must be completed and available to the inspector upon their arrival to conduct a final fire alarm
system or fire protection monitoring system performance test.

Location of System System Installer/Tester


Bus Name:___________________________________ Bus Name: __________________________________
Address: ____________________________________ Address: ____________________________________
City/State/Zip:_________________________________ City/State/Zip:_________________________________
Bus. Phone:__________________________________ Bus. Phone:__________________________________
Contact Person:_______________________________ Contact Person:_______________________________

E-Mail: ______________________________________ E-Mail:______________________________________

General Information
Alarm Panel Manufacturer: _______________________________________ Model:________________________
Alarm Panel Location:_________________________________________________________________________
Annunciator Panel Location(s):__________________________________________________________________
Primary Telephone #: __________________________ Secondary Telephone #: __________________________
Other Communication Method: __________________________________________________________________
Monitoring Company: ___________________________________________ Phone:________________________
Passcode: ___________________________________ UL Certificate #: _________________________________
Reset Procedure: ___________________________________________________________________________

Fire Suppression Systems


Wet or Time to Static Residual
Dry Inspectors Test Valve Location Alarm Test Date Pressure Pressure
Zone 1
Zone 2
Zone 3
Zone 4
Zone 5
Zone 6
Zone 7
Zone 8

Fire Alarm Control Panel (FACP)


Yes No N/A
Does panel indicate normal conditions
Are all indicating lamps in working order
Does the trouble light operate
Do audible panel alarms operate
Does the silence switch operate
Are batteries properly installed
Does panel have zone disable capabilities
Detection and Notification Appliances
Quantity
Devices Quantity Tested Cleaned OK Failed
Remote Annuciators
Zones
Manual Pull Stations
Detectors
Photoelectric
Ionization
Thermal
Flame
Rate of Rise
Fixed Temperature
Duct
Audible Alarm Devices
Bell
Horn
Horn & Strobe
Water Flow Switches
Paddle Type
Pressure Type
Tamper Switches
O.S. & Y. Valves
Butterfly Valves
Post Indicator Valve
Other
Comments: _________________________________________________________________________________
___________________________________________________________________________________________
Did the alarm monitoring company receive the signals? Yes ____ No ____
Documentation and labeling:
Installing contractor information provided on panel
Monitoring contractor information provided on panel
Account number provided on panel
Circuit breaker location and number provided on panel
Documentation cabinet provided (SYSTEM RECORD DOCUMENTS)
All required documents placed into cabinet
System reset information provided to fire department
One key of the fire alarm system provided to the fire Marshal.

Is the alarm system back in service? Yes ____ No ____


Alarm Installer Certification
I, ___________________________________ , representing the firm ___________________________________,
have installed/tested the fire alarm system/fire protection monitoring system at the location detailed on this
certificate in accordance with the approved plans and nationally recognized standards. I have tested the system
in accordance with the manufacturer’s specifications, current NFPA requirements and local ordinances.

Alarm Installer: _____________________________________________________ Date: _____________

Created: 8-01-2016

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