Nfpa 72, Fire Alarm System Record Of Completion Form Page 2

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Organization name/phone
Representative name/phone
Installer
Supplier
Service organization
Location of record (as-built) drawings:
Location of owners manuals:
Location of test reports:
A contract, dated
, for test and inspection in accordance with NFPA standard(s)
No(s).
, dated
, is in effect.
2. Record of System Installation
(Fill out after installation is complete and wiring checked for opens, shorts, ground faults, and improper
branching, but prior to conducting operational acceptance tests.)
This system has been installed in accordance with the NFPA standards as shown below, was inspected
by
on
, includes the devices shown below, and has been in service
since
.
NFPA 72, Chapters
1
2
3
4
5
6
7
( circle all that apply )
NFPA 70, National Electrical Code, Article 760
Manufacturer’s instructions
Other ( specify ):
Signed:
Date:
Organization:
3. Record of System Operation
All operational features and functions of this system were tested by
on
,
and found to be operating properly in accordance with the requirements of:
NFPA 72, Chapters
1
2
3
4
5
6
7
( circle all that apply )
NFPA 70, National Electrical Code, Article 760
Manufacturer’s instructions
Other ( specify ):
Signed:
Date:
Organization:
4. Alarm-Initiating Devices and Circuits
Quantity and class of initiating device circuits (
) Quantity:
Style:
Class:
see NFPA 72, Table 3-5
MANUAL
(a)
Manual stations
Noncoded, activating
Transmitters
Coded
(b)
Combination manual fire alarm and guard’s tour coded stations
AUTOMATIC
Coverage: Complete:
Partial:
(a)
Smoke detectors
Ion
Photo
(b)
Duct detectors
Ion
Photo
(c)
Heat detectors
FT
RR
FT/RR
RC
(NFPA Record of Completion 2 of 4)

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