The 5 Year Fire Sprinkler Inspection form is a crucial document that outlines the inspection, testing, and maintenance requirements for fire sprinkler systems. This form ensures that these systems are functioning properly and meet safety regulations, helping to protect lives and property. To ensure compliance and safety, make sure to fill out the form by clicking the button below.
The 5 Year Fire Sprinkler Inspection form is a critical tool for ensuring the safety and compliance of fire sprinkler systems in buildings. This comprehensive report captures essential property information, including the building name and address, as well as contractor details such as name, license number, and contact information. The form outlines a systematic approach to inspection, testing, and maintenance, covering both annual and quarterly checks. Each item is clearly categorized as an inspection, test, or maintenance task, with specific references to the National Fire Protection Association (NFPA) standards. Important components such as control valves, waterflow alarm devices, and backflow preventers are meticulously assessed, with space for recording pass or fail results. Additionally, the form includes sections for documenting deficiencies and comments, ensuring that any issues are noted and addressed promptly. By adhering to this form, property owners and contractors can maintain compliance with California regulations and enhance the overall safety of their fire protection systems.
Wet Pipe
California Code of Regulations - Title 19
5-Year
1 of 3
Fire Sprinkler System
Inspection, Testing, and Maintenance
Report
Property Information
Contractor or Licensed Owner Information
Building Name
Name
Address
City
St.
Zip
License #
Phone
SFM
Job #
Contact Person
CSLB
Misc.
Riser Information
Main Drain Test (ANNUAL)
Riser
Location
Main Drain
Initial Static
Residual
Final Static
P, F, N/A
No.
Diameter
Pressure
This building has more than 5 risers. See additional AES 2.9 form attached
Number of AES 2.9 forms attached:
5-Year INSPECTION, TESTING AND MAINTENANCE
Includes ALL Quarterly and Annual Inspections, Tests, and Maintenance items
I = Inspection T = Test
M = Maintenance
P = Pass
F = Fail
N/A = Not Applicable
Item
Description
NFPA 25 CA
Date
Comments Only
ed.
Reference
1.1
I
Control Valves – Identification Sign
13.3.1
1.2
Control Valves – Inspection
13.3.2
1.3
Waterflow Alarm Devices
5.2.5
1.4
Supervisory Devices
1.5
Gauges (Wet Pipe Systems)
5.2.4.1
1.6
Hydraulic Design Information Sign
5.2.6
(For hydraulically designed systems)
1.7
Enter Water Supply Pressure Below Riser Check
psi
1.8
Enter Water Supply Pressure Above Riser Check
1.9
Pressure Readings Acceptable
1.10
General Information Sign
5.2.8
(not required for system prior to 2007 Edition NFPA 13)
1.11
Heat Tape
5.2.7
1.12
Spare Sprinklers
5.2.1.4
1.13
Fire Department Connections
13.7
1.14
Alarm Valves – Exterior Inspection
13.4.1
1.15
Pressure Reducing Valves
13.5.1.1
1.16
Backflow Preventers
13.6.1
Form AES 2.2
Sept. 3, 2013
5 Year
2 of 3
ANNUAL INSPECTION, TESTING, AND MAINTENANCE
Include ALL Quarterly Inspections (See AES 2.1)
= Inspection
T = Test
P = Pass F = Fail N/A = Not Applicable
NFPA 25 CA ed.
P,F,N/A
1.17
Small Hose Connections - Hose Valve*
5.1.6, 13.5.2
13.5.5.1
1.18
PRV – Fire Sprinkler Systems
1.19
Buildings (Freeze Protection)
4.1.1.1
Owner’s Responsibility
1.20
Sprinklers
5.2.1
1.21
Sprinklers - Accessible Concealed Space
5.2.1.1.6
1.22
Pipe and Fittings
5.2.2
1.23
Pipe and Fittings - Accessible Concealed Space
5.2.2.3
1.24
Hangers
5.2.3
1.25
Hangers - Accessible Concealed Space
5.2.3.3
1.26
Seismic Braces
1.27
Seismic Braces - Accessible Concealed Space
1.28
Unsprinklered Areas
CFC 901.4
Yes
No
2.1
T
Field Service Test Required
5.3.1
If REQUIRED, Enter 'F' until
Send Report to Fire Code Official
results are returned from Lab
2.2
Recalled Sprinklers
Title 19
If not present = Pass;
If present = Fail
904.1(c)
2.3
Water Flow Alarm Devices
5.3.3
sec.
90 secs max. Enter time
13.2.6
2.4
Main Drain Test
13.2.5
(Enter data on Page 1 of this form)
13.3.3.4
2.5
Control Valve - Position
13.3.3.2
2.6
Control Valve – Operation
13.3.3.1
2.7
13.3.3.5
2.8
Backflow Preventer Assemblies
13.6.2
2.9
Small Hose Connections*
13.5.2.3
w/PRV Hose Valves – Partial Flow Test
13.5.3.3
2.10
13.5.1.3
2.11
Pressure Gauges - Calibration
5.3.2
2.12
13.5.6.2.2
* Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class I, II, or III standpipe systems.
3 of 3
include ALL Quarterly Inspections (See AES 2.1)
F = Fail N/A = Not Applicable
3.1
M
Check Valves - Internal inspection
13.4.2
3.2
Control Valves
13.3.4
3.3
FDC - Backflush
14.3.2.3
14.3.2.4
3.4
Internal Pipe Inspection - See Deficiencies and
14.2
Comments Section for Results.
3.5
Obstruction Investigation Required. If "Yes", see
14.3
Deficiencies and Comments Section for Results
3.6
System Returned to Service
4.5.3
D = Deficiency C = Comment (Indicate type )
D C
Deficiencies and Comments
Indicate all equipment, devices and parts that were repaired or replaced
Check here if additional Deficiencies and Comments are listed on Form AES 9
Number attached:
See Correction Form AES 10 for corrected deficiencies.
I hereby certify that the fire protection equipment listed above has been fully inspected, tested, and maintained on this date by the company indicated above, in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable except as noted in the “Deficiencies and Comments” section of this form.
Print Name
Signature
Completing the 5-Year Fire Sprinkler Inspection form is an essential task for ensuring your fire safety systems are up to code. This form collects important information about the condition and maintenance of your fire sprinkler system. Follow these steps to fill it out correctly.
What is the purpose of the 5 Year Fire Sprinkler Inspection form?
The 5 Year Fire Sprinkler Inspection form serves as a comprehensive report documenting the inspection, testing, and maintenance of fire sprinkler systems. It ensures that these systems are functioning correctly and meet safety regulations as outlined in California Code of Regulations - Title 19. By regularly completing this form, property owners and contractors can help ensure the safety of their buildings and comply with local fire safety laws.
Who is responsible for completing the 5 Year Fire Sprinkler Inspection form?
The responsibility for completing the form typically falls on a licensed contractor or the property owner. It is crucial that the individual filling out the form has the appropriate training and credentials to inspect fire sprinkler systems. This ensures that all necessary checks are performed accurately and that the form reflects the true condition of the system.
What kind of information is included in the inspection report?
The inspection report includes various categories of information, such as property details, contractor information, and specific inspection results. Each item on the form is categorized as an inspection, test, or maintenance task, with corresponding pass, fail, or not applicable designations. The report also provides space for comments, allowing inspectors to note any deficiencies or required repairs. This detailed documentation is essential for maintaining compliance and ensuring the system's reliability.
How often should the 5 Year Fire Sprinkler Inspection be conducted?
As the name suggests, the 5 Year Fire Sprinkler Inspection should be conducted every five years. However, it is important to note that this inspection encompasses all quarterly and annual inspections, tests, and maintenance activities that are required throughout the year. Regular checks help identify potential issues before they become serious problems, ensuring that the fire sprinkler system remains in good working order.
What should I do if deficiencies are found during the inspection?
If deficiencies are identified during the inspection, it is critical to address them promptly. The form allows inspectors to document these issues, and it may include recommendations for repairs or replacements. Property owners should work with licensed contractors to rectify any problems as soon as possible. Ensuring that all deficiencies are resolved not only helps maintain safety but also ensures compliance with fire safety regulations.
Filling out the 5 Year Fire Sprinkler Inspection form can be a straightforward process, but mistakes can lead to significant issues. One common error is failing to provide complete property information. The form requires detailed information such as the building name, address, and job number. Incomplete or inaccurate entries can delay processing and may even result in the need for a re-inspection.
Another frequent mistake involves the misinterpretation of inspection items. Each item on the form has specific requirements that must be met. For instance, individuals might confuse the “P” (Pass) and “F” (Fail) designations. This confusion can lead to incorrect reporting of the system's condition, potentially putting safety at risk. It's essential to read the instructions carefully and understand what each designation signifies.
Additionally, people often overlook the importance of documenting comments. The comments section is crucial for noting any deficiencies or unusual findings during the inspection. Skipping this part can result in a lack of critical information that may be needed for future inspections or repairs. Providing thorough comments helps ensure that all parties are aware of the system's status and any necessary follow-up actions.
Lastly, individuals may forget to sign and date the form. This step is vital, as it certifies that the inspection has been completed in accordance with the regulations. A missing signature can render the form invalid, leading to complications with compliance and potential fines. Always double-check that all required fields are filled out, including the certification at the end of the form.
The 5 Year Fire Sprinkler Inspection form is an essential document for ensuring that fire sprinkler systems are functioning correctly and in compliance with safety regulations. Along with this form, several other documents are commonly utilized to support the inspection process and maintain accurate records. Below is a list of these important forms and documents.
Each of these documents plays a significant role in maintaining the safety and compliance of fire sprinkler systems. By ensuring that all forms are completed accurately and kept up to date, property owners can protect their buildings and occupants from fire hazards.
When it comes to fire safety and compliance, the 5 Year Fire Sprinkler Inspection form plays a crucial role. However, several other documents share similarities with it in terms of purpose and content. Here are four such documents:
Understanding these documents can help you appreciate the broader scope of fire safety compliance. Each one plays a vital role in protecting lives and property, highlighting the importance of regular inspections and maintenance.
When filling out the 5 Year Fire Sprinkler Inspection form, attention to detail is crucial. Here are five essential do's and don'ts to consider:
Understanding the 5 Year Fire Sprinkler Inspection form is crucial for property owners and managers. However, several misconceptions can cloud the importance and functionality of this document. Below are ten common misunderstandings, each clarified to promote better awareness.
This is false. All buildings, regardless of age, must undergo regular inspections to ensure safety and compliance with fire codes.
While the form helps identify issues, it does not guarantee functionality. Ongoing maintenance is essential to ensure systems remain effective.
While licensed contractors typically perform inspections, property owners can assist in gathering information, but a licensed professional must complete the inspection.
In fact, it covers various components of fire protection, including alarms and backflow preventers, making it comprehensive in scope.
Regular inspections are vital, even when no issues arise, to ensure compliance and readiness in case of an emergency.
Inspection results must be submitted to fire code officials, ensuring compliance with local regulations and enhancing community safety.
Each state may have different regulations and requirements. It’s important to refer to local codes to ensure compliance.
Follow-up actions may be necessary if deficiencies are noted. Addressing these promptly is critical for safety.
Different systems may require different inspection protocols. Understanding specific needs is essential for effective maintenance.
The inspection must be conducted every five years, along with annual checks, to maintain safety standards and compliance.
By dispelling these misconceptions, property owners can better understand the significance of the 5 Year Fire Sprinkler Inspection form and its role in safeguarding lives and property.
When filling out and using the 5 Year Fire Sprinkler Inspection form, consider the following key takeaways: