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Special Hazard Routine Maintenance 6 Monthly
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Person completing the testing
First Name
Last Name
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Site
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Date
-
Date
Year
Month
Day
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4
Testing to be completed on this visit
Monthly
6 Monthly
Yearly
5 Yearly
Fire Alarm
Yes
No
N/A
Yes
No
N/A
Row 0, Column 0
Yes
No
N/A
Yes
No
N/A
Row 0, Column 1
Yes
No
N/A
Yes
No
N/A
Row 0, Column 2
Yes
No
N/A
Yes
No
N/A
Row 0, Column 3
Emergency Warning System
Yes
No
N/A
Yes
No
N/A
Row 1, Column 0
Yes
No
N/A
Yes
No
N/A
Row 1, Column 1
Yes
No
N/A
Yes
No
N/A
Row 1, Column 2
Yes
No
N/A
Yes
No
N/A
Row 1, Column 3
Fire Extinguishers
Yes
No
N/A
Yes
No
N/A
Row 2, Column 0
Yes
No
N/A
Yes
No
N/A
Row 2, Column 1
Yes
No
N/A
Yes
No
N/A
Row 2, Column 2
Yes
No
N/A
Yes
No
N/A
Row 2, Column 3
Fire Sprinklers
Yes
No
N/A
Yes
No
N/A
Row 3, Column 0
Yes
No
N/A
Yes
No
N/A
Row 3, Column 1
Yes
No
N/A
Yes
No
N/A
Row 3, Column 2
Yes
No
N/A
Yes
No
N/A
Row 3, Column 3
Hydrants
Yes
No
N/A
Yes
No
N/A
Row 4, Column 0
Yes
No
N/A
Yes
No
N/A
Row 4, Column 1
Yes
No
N/A
Yes
No
N/A
Row 4, Column 2
Yes
No
N/A
Yes
No
N/A
Row 4, Column 3
Pumps
Yes
No
N/A
Yes
No
N/A
Row 5, Column 0
Yes
No
N/A
Yes
No
N/A
Row 5, Column 1
Yes
No
N/A
Yes
No
N/A
Row 5, Column 2
Yes
No
N/A
Yes
No
N/A
Row 5, Column 3
Fire Hose Reels
Yes
No
N/A
Yes
No
N/A
Row 6, Column 0
Yes
No
N/A
Yes
No
N/A
Row 6, Column 1
Yes
No
N/A
Yes
No
N/A
Row 6, Column 2
Yes
No
N/A
Yes
No
N/A
Row 6, Column 3
Gas System
Yes
No
N/A
Yes
No
N/A
Row 7, Column 0
Yes
No
N/A
Yes
No
N/A
Row 7, Column 1
Yes
No
N/A
Yes
No
N/A
Row 7, Column 2
Yes
No
N/A
Yes
No
N/A
Row 7, Column 3
Fire Alarm
Emergency Warning System
Fire Extinguishers
Fire Sprinklers
Hydrants
Pumps
Fire Hose Reels
Gas System
Monthly
Yes
No
N/A
Yes
No
N/A
Row 0, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 0, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 0, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 0, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 1, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 1, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 1, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 1, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 2, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 2, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 2, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 2, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 3, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 3, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 3, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 3, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 4, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 4, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 4, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 4, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 5, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 5, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 5, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 5, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 6, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 6, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 6, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 6, Column 3
Monthly
Yes
No
N/A
Yes
No
N/A
Row 7, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 7, Column 1
Yearly
Yes
No
N/A
Yes
No
N/A
Row 7, Column 2
5 Yearly
Yes
No
N/A
Yes
No
N/A
Row 7, Column 3
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2.1 Monthly Service
COMPLETE all monthly service activities as listed in Table 7.4.2.
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2.2 Electrical detection and control systems
Perform routine service in accordance with Section 6.
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2.3 Detection Devices - Mechanical
CHECK all mechanical and pneumatic detection devices for any condition that is likely to adversely affect their function.
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2.4 Detection Systems - Mechanical eg fusible links
TEST operation of automatic mechanical detection systems and confirm the alarm activates the warning system and is capable of initiating suppression system discharge
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2.5 Pneumatic Controls
CHECK the integrity of all pneumatic piping and fittings.
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2.6 Lock off Valve
TEST to ensure correct operation of all pneumatic controls.
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2.7 Manual Release Systems
TEST operation of all manual release systems.
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2.8 Pipework
CHECK that all pipework, flexible connectors and manifolds are free from damage and adequately secured.
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2.9 Discharge Nozzles
CHECK that all discharge nozzles (including aerosol generators) are clear and unobstructed, correctly aimed and secured.
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2.10 Lock off valve
TEST operation of the system lock-off valve and confirm system inoperative visual warning device operates.
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2.11 Pressure relief devices and vent valve
CHECK that the discharge from all pressure-relief devices and vent valves does not create a hazard to personnel.
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2.12 Check Valves and directional valves
CHECK that all directional valves and check valves are correctly oriented.
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2.13 Storagre Container
CONFIRM by weighing, or using liquid level determination, that each storage container is correctly charged, that is, any mass loss is not greater than 5% of the nominal charge mass in the case of halocarbons, and not greater than 10% of the nominal charge mass in the case of carbon dioxide, water and nitrogen.
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Testing comments/Suggestions/Defects
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