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Special Hazard Routine Maintenance Yearly
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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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Testing to be completed on this visit
Monthly
6 Monthly
Yearly
5 Yearly
Fire Alarm
Yes
No
N/A
Yes
No
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Row 0, Column 0
Yes
No
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Row 0, Column 1
Yes
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N/A
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Row 0, Column 2
Yes
No
N/A
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No
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Row 0, Column 3
Emergency Warning System
Yes
No
N/A
Yes
No
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Row 1, Column 0
Yes
No
N/A
Yes
No
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Row 1, Column 1
Yes
No
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Row 1, Column 2
Yes
No
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Yes
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Row 1, Column 3
Fire Extinguishers
Yes
No
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Yes
No
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Row 2, Column 0
Yes
No
N/A
Yes
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Row 2, Column 1
Yes
No
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Row 2, Column 2
Yes
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Yes
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Row 2, Column 3
Fire Sprinklers
Yes
No
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Yes
No
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Row 3, Column 0
Yes
No
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Yes
No
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Row 3, Column 1
Yes
No
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Row 3, Column 2
Yes
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Yes
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Row 3, Column 3
Hydrants
Yes
No
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Yes
No
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Row 4, Column 0
Yes
No
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Yes
No
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Row 4, Column 1
Yes
No
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Yes
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Row 4, Column 2
Yes
No
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Yes
No
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Row 4, Column 3
Pumps
Yes
No
N/A
Yes
No
N/A
Row 5, Column 0
Yes
No
N/A
Yes
No
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Row 5, Column 1
Yes
No
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Row 5, Column 2
Yes
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Row 5, Column 3
Fire Hose Reels
Yes
No
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Yes
No
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Row 6, Column 0
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No
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Yes
No
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Row 6, Column 1
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No
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Row 6, Column 2
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Row 6, Column 3
Gas System
Yes
No
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Yes
No
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Row 7, Column 0
Yes
No
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Yes
No
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Row 7, Column 1
Yes
No
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Yes
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Row 7, Column 2
Yes
No
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Yes
No
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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
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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
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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
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Row 3, Column 3
Monthly
Yes
No
N/A
Yes
No
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Row 4, Column 0
6 Monthly
Yes
No
N/A
Yes
No
N/A
Row 4, Column 1
Yearly
Yes
No
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Yes
No
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Row 4, Column 2
5 Yearly
Yes
No
N/A
Yes
No
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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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3.1 Monthly & 6 monthly Service
COMPLETE all monthly and six-monthly service activities, as listed in Tables 7.4.2 and 7.4.3.
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3.2 Electrical detection and control systems
Perform routine service in accordance with Section 6.
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3.3 Detection Devices - Mechanical
Record last pressure test or inspection date of gas storage containers. Report to owner if ten-yearly pressure test or inspection will be due in the next year. See Table 7.4.5
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3.4 Mechanical Actuator
CHECK operation and lubricate as necessary.
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3.4 Mechanical release system
CHECK operation and lubricate as necessary.
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3.5 Detection system - mechanical
CHECK operation and lubricate as necessary
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3.6 Detection device - mechanical
REPLACE any detection device or sensing element that will exceed its listed service life prior to the next scheduled routine service.
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3.7 Detection device location
CHECK that all mechanical and pneumatic detection devices are spaced and located in accordance with the approved design.
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3.8 Pyrotechnic Actuator
REPLACE any actuator that will exceed its listed service life prior to the next scheduled routine service.
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3.9 Nozzles
CLEAN nozzles that have been subjected to the deposit of contaminants.
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3.10 Dampers
CLEAN dampers that have been subjected to the deposit of contaminants.
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3.11 Unintentional discharge
CHECK for any condition that could cause inadvertent discharge of the extinguishing agent.
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3.12 Type of Hazard
VERIFY fuel class and type match baseline data.
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3.13 Enclosure Volume
VERIFY volumes (gross and net) match the baseline data.
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3.14 Design concentration or application density
VERIFY design concentration or application density matches baseline data.
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3.15 Dimensions of protected objects
VERIFY dimensions match the baseline data.
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3.16 Enclosure Integrity
NOTE: Where an integrity test cannot be conducted due to factors such as physical dimensional constraints, or large unclosable openings, confirm enclosure integrity conforms with the approved design by visual inspection.
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3.17 Pressure relief vent
TEST and record the pressure at which pressure-relief vent operates. Record valve in notes
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3.18 Adjacent areas
INSPECT all areas adjacent to the protected area to ensure that migration of extinguishing agent does not create a hazard to personnel.
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3.19 Ventilation Dampers
Test operation of automatically operated ventilation dampers.
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3.21 Post discharge ventilation
TEST the operation of the post-discharge ventilation system.
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3.22 Directional Valves
SIMULATE a system operation and confirm that directional valves operate in accordance with the approved design.
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3.23 Systems interface test
CONDUCT a functional system test with other interfaced fire systems (e.g. HVAC, EWS).
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Testing comments/Suggestions/Defects
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Testing comments/Suggestions/Defects Photos
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