Certificate Of Inspection - Smoke Control/smoke Management System - Ocean City Fire Marshal
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1TOWN OF OCEAN CITY - OFFICE OF THE FIRE MARSHAL
P.O. Box 158 Ocean City, MD 21843
Phone # 410-289-8780 Fax # 410-289-8767
CERTIFICATE OF INSPECTION
Smoke Control / Smoke Management System
Annual Certificate of Inspection in Accordance with NFPA 92A
Annual Certificate of Inspection in Accordance with NFPA 92B
Non-Annual Certificate of Inspection in Accordance with NFPA 92A
Non-Annual Certificate of Inspection in Accordance with NFPA 92B
Deficiencies:
YES
NO
Protected Property:
Building Name:________________________________
Exact Physical Address:__________________________________________
Contact Person:________________________________
Bill To:_______________________________________________________
Contact Phone #:_______________________________
Billing Address:________________________________________________
Smoke Control Testing Company:
Inspector/Technician:___________________________
Company:_______________________________________________
Phone Number:________________________________
Address:_________________________________________________
Date System Tested:____________________________
_________________________________________________
Smoke Control System Owner’s Notification:
The owner and/or the owner’s representative of the system was notified on
of all deficiencies.
PRIOR TO TESTING, OCEAN CITY COMMUNICATIONS SHALL BE NOTIFIED!
PHONE # 410-723-6620
(Failure to do so will result in the full provisions of the Town of Ocean City Fire Prevention and Protection Code to be invoked.)
Dispatcher Name/Number:_____________________________
Time:__________________
Smoke Control System Information:
System Type:
Dedicated
Non-Dedicated
Zoned Smoke Control
Smoke Exhaust
Stair Pressurization
Deficiencies Identified During Inspection:
System out of Service
Stairway Fans Failed to Activate
System Failed to Activate Automatically
Verification of System Components Failed
System Fans Failed to Operate Within 60 Seconds
After Testing System Failed to Return to Normal
System Dampers Failed to Complete Travel within 75 Seconds
Across Door Pressures too High / Low (Circle One)
System Failed to Operate When Transferred to Stand-by Power
System Failed to Manual, Activate, or Shut Down
Smoke Detector in the Supply Failed to Shut Fan Off
Other: List Below
Comments / Deficiency Description: (Attach an “Additional Information Form” if more room is needed.)
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
FOR INTERNAL USE ONLY:
Data Entry Date:__________
FM Assigned:__________
Date FM Assigned:__________
Date Inspected/Contacted:__________
No Deficiencies Found
Deficiencies Verified
QV #:__________
Date of Violation:__________
Date of Compliance:__________
**THIS FORM MUST BE SUBMITTED WITHIN 30 DAYS FROM THE DATE OF INSPECTION TO THE OCEAN CITY FIRE
MARSHALS OFFICE **
Rev. 10/7/2008
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