Fire Pump Inspection Form
Complete Weekly
Inspector's Information
Test Performed By
*
First Name
Last Name
Test Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
Electric Fire Pump
Check & Record Details
*
Rows
YES
NO
N/A
Comments
Run fire pump for 10 minutes.
Record s pressure from the gauge in psi.
Check for unusual noise or vibration.
Check packing boxes, bearings, or pump casings for overheating.
Record pump starting pressure.
Record Pump House Temperature ( over 40)
Photo of the Fire Pump
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Photo of the Fire Pump Room
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Inspector's Signature
*
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