482 Stewart St Wayne Sprinkler NFPA-25 TestNFPA-25 Inspection, Testing and Maintenance of Dry-Pipe Fire Sprinkler Systems
Part I - Owner's Section
B. Testing
Information on this form covers the minimum requirements of NFPA 25-2002 for fire sprinkler systems connected to distribution systems without
supplemental tanks or fire pumps. Separate forms are available to inspect, test, and maintain fire pumps, water tanks and other fire protection systems.
More frequent inspection, testing and maintenance may be necessary depending on the conditions of the occupancy and the water supply.
Part II - Inspector's Section
A. Inspections
1. Daily and Weekly Items
A. Control valves supervised with seals in correct (open or closed)
position?Yes No N/A
B. Dry-Pipe valves: Enclosures around valves maintaining a
minimum of 40 F and gauges in good condition showing normal
air and water pressure?Yes No N/A
C. Back Flow Preventers
1. Valves in correct (open or closed) position?Yes No N/A
2. Sealed, locked or supervised & accessible?Yes No N/A
3. Relief port on RPZ device not discharging?Yes No N/A
D. For freezer systems, is the gauge near the compressor reading
the same as the gauge near the dry-pipe valve?Yes No N/A
2. Monthly Inspection Items (in addition to above items)
A. Control valves with locks or electrical supervision in correct
(open or closed) position?Yes No N/A
B. Dry-Pipe Valves:
Free from physical damage, trim valves in appropriate (open or
closed) position, and no leakage from intermediate chamber?Yes No N/A
C. Sprinkler wrench with spare sprinklers?Yes No N/A
3. Quartlery Inspection Items (in addition to above items)
A. Pressure Reducing Valve: In open position, not leaking,
maintaining downstream pressure per design criteria, and in
good condition with handwheels not broken?
B. Hydraulic nameplate (calculated systems) securely attached to
riser and legible?Yes No
C. Fire Department Connections:
Visible, accessible, couplings and swivels not damaged and
rotate smoothly, plugs or caps in place and undamaged,
gaskets in place and in good condition, identification sign(s)
in place, check valve is not leaking, clapper is in place and
operating properly and automatic drain valve in place and
operating properly?Yes No N/A
(If plugs or caps are not in place, inspect interior for obstructions.)
4. Annual Inspection Items (in addition to above items)
A. Proper number and type of spare sprinklers?
B. Visible spinklers:
Yes No N/A
1. Free of corrosion and physical damage?Yes No N/A
2. Free of obstructions to spray patterns?Yes No N/A
3. Free of foreign materials including paint?Yes No N/A
4. Liquid in all glass bulb sprinklers?Yes No N/A
C. Visible pipe:
1. In good condition/no external corrosion?Yes No N/A
2. No mechanical damage and no leaks?Yes No N/A
3. Properly aligned and no external loads?Yes No N/A
D. Visible pipe hangers and seismic braces not damaged or loose?Yes No N/A
E. Dry-pipe valves passed internal inspection?Yes No N/A
F. Must be done before cold weather
1. Adequate heat in areas with wet piping?Yes No N/A
2. Low temperature alarms functioning?Yes No N/A
3. Interior of pipe that passes through freezers free of ice
blockage?
G. Has an internal inspection of the pipe been performed by
removing the flushing connection and one sprinkler near the
end of a branch line within the last 5 years?
(if the answer was "No", conduct an internal inspection.)
5. Fifth Year Inspection Items (in addition to above items)
A. Check valves internally inspected and all parts operate properly,
move freely and are in good condition?NIC Yes No N/A
B. Strainers, filters, restricted orifices and diaphragm chambers on
dry-pipe valves passed internal inspection?NIC Yes No N/A
B. Testing
The following tests are to be performed at the noted intervals. Report any failures on
Part III of this form.
1. Quarterly Tests
A. Mechanical water flow alarm devices passed tests by opening
the inspector's test connection or bypass connection with alarms
actuating and flow observed?Yes No N/A
B. Post indicating valves opened until spring or torsion is felt in the
rod, then closed back one-quarter turn?Yes No N/A
C. Is the priming level correct?
D. Has low air signal passed its test?Yes No N/A
E. Quick opening devices passed test?
F. Main drain test for system downstream of backflow or pressure reducing valve:
1. Record Static Pressure psi and Residual Pressure psi.
2. Was flow observed?Yes No N/A
3. Are results comparable to previous test?Yes No N/A
613 N.W. MERCANTILE PLACE
PORT ST. LUCIE, FL 34986
772-878-3350 • FAX: 772-878-5967
3226 CHERRY PALM DRIVE
TAMPA, FL 336109
81 3-630-0303 • FAX: 81 3 -630-0312
11326 DISTRIBUTION AVENUE WEST
JACKSONVILLE, FLORIDA 32256-2745
904-268-3030 - FAX: 904-268-0724
4683 LAREDO AVENUE
FORT MYERS, FLORIDA 33905
239-433-3030 - FAX: 239-433-3263
4370 MOTORSPORT DRIVE
CONCORD, NORTH CAROLINA 28027
704-782-3032 - FAX: 704-795-6838
222 CAPITOL CT.
OCOEE, FL 34761-3033
407-656-3030 - 407-656-8026
3121 NW 16TH TERRACE
POMPANO BEACH, FLORIDA 33064
954-917-3030 - FAX: 954-917-9424
Design criteria is not available.
NoNICYes N/A
NoNICYes N/A
NoYes N/A
NoProvisions not provided.Yes N/A
Not installed.
NoYes
E. Was the system free of actuation of devices or alarms since the last
inspection?
C. Are all fire protection systems in service?
A. Is the building occupied?
B. Has the occupancy classification and hazard of contents remained the same
since the last inspection?
G. AlI deficiencies reported at last inspection corrected?
H. I know the location and understand the operation of all control valves.
D. Has the system remained in service without modification since the last inspection?
J. I would like to have a copy of NFPA#25 @ an extra charge of $50.00.
F. Weekly logs of inspections required by NFPA#25 on file?
K. Owner or rep. requests WAFS to release information from inspections to the underwriters of my insurance company.
Yes
NoYes
NoYes
NoYes
NoYes
No
NoYes
NoYes
NoYes
Yes No
NoYes
Owner or representative (print name)Signature Date
See comments - on page 2
Property Being Evaluated:
Monthly Quarterly Annual Third Year Fifth Year
All responses refer to the current work (inspection, testing and maintenance) performed on this date.
This work is (check one):
Owner:
Owner's Address:
Property Address:
Date of Work:
ISC#:Report#:
Owner's Phone Number:
Owner or Owner rep. not on site.
42 30
11/30/2022
DRESSER RAND
BBT INVESTORS LLC
2251 ST JOHNS BLUFF ROAD SOUTH JAX, FL. 32246
482 STEWART STREET ATLANTIC BEACH, FL. 32232
11/30/2022
653639
(904)645-0003
2. Semiannual Test (in addition to previous items)
A. Valve supervisory switches indicate movement?Yes No N/A
B. Electrical water flow alarm devices passed test by opening the
inspector's test connection or bypass connection with alarms
actuating and flow observed?Yes No N/A
3. Annual Test (in addition to previous items)
A, Main drain test:
1. Record Static Pressure psi and Residual Pressure psi.
2. Was flow observed?Yes No N/A
3. Are results comparable to previous test?Yes No N/A
B. Are all sprinklers dated 1920 or later?
C. Fast response sprinklers 20 or more years old replaced or
successfully sample tested within last 10 years?
D. Standard response sprinklers 50 or more years old replaced or
successfully sample tested within last 10 years?
E. Standard response sprinklers 75 or more years old replaced or
successfully sample tested within last 5 years?
F. Dry-type sprinklers replaced or successfully sample tested
within last 10 years?
G. All control valves operated through full range and returned to
normal position?Yes No N/A
H. Low temperature alarms passed test?Yes No N/A
I. Dry-pipe valve partial flow trip test:1. Record initial air pressure psi and water pressure psi.
2. Record tripping air pressure psi and tripping time (sec.).
3. Above results comparable to previous tests?
J. Automatic air maintenance devices passed test?Yes No N/A
K. Backflow devices passed backflow test?Yes No N/A
L. Backflow devices passed full flow test?M. Pressure reducing valves passed
4. Test to be done every third year:
Dry-pipe full flow trip test:1. Record initial air pressure psi and water pressure psi.
2. Record tripping air pressure psi and tripping time (sec.).
3. Record water delivery time (min.).(sec.).
Water delivery time not required to be 60 sec. per NFPA 25
4. Above results comparable to previous tests?Yes No N/A
5. Test to be done every fifth year:
A. Sprinklers rated above High temperature tested?
B. Gauges checked by calibrated gauge or replaced?
C. Pressure reducing valves passed full flow test?
C. Maintenance
1. Regular Maintenance Items
A. If sprinklers have been replaced, were they proper
replacements?
B. Air leaks in dry-pipe system resulting in air pressure
loss more than 10 psi/week repaired?Yes No N/A
C. Dry-pipe systems maintained in dry condition?
D. Have low point drains been emptied?Yes No N/A
E. If any of the following were discovered, was an
obstruction investigation conducted?
Explain reason(s) and obstruction investigation findings in Part III.
1. Defective intake screen on pump with suction from open sources.
2. Obstructive material discharged during water flow tests.
3. Foreign materials found in dry-pipe valves, check vavles or pumps.
4. Foreign material in water during drain test or plugging of inspector's test connection.
5. Plugging of pipe or sprinklers found during activation or alteration.
6. Failure to flush yard piping or surrounding public mains following new installation/repairs.
7. Record of broken mains in the vacinity.
8. Abnormally frequent false-tripping of dry-pipe valves.
9. System is returned to service after an extended period out of service(more than one year).
10. There is reason to believe the system contains sodium silicate or its derivatives or highly
corrosive fluxes in copper pipe systems.
J. If conditions were found that required flushing, was flushing
of system conducted?
Part V - Inspector's Information
Date:
Print Name:
License or Certification Number (if applicable):
I state that the information on this form is correct at the time and
place of my inspection and that all equipment tested at this time
was left in operational condition upon completion of my inspection
except as noted in Part III above.
2. Annual Maintenance Items (in addition to previous items)
A. Operating stem of all OS&Y valves lubricated, completely closed,
and reopened?Yes No N/A
B. Interior of dry-pipe valves cleaned?Yes No N/A
C. Low points drained prior to the onset of freezing weather?Yes No N/A
D. Sprinklers and spray nozzles protecting commercial cooking
equipment and ventilating systems replaced except for bulb-type
which show no signs of grease buildup?Yes No N/A
F. Alarm panel clear?
G. System left in service?
Yes No N/A
Yes No N/A
Part III - Comment (any "No" answers, test failures or other problems found
with the sprinkler system must be explained here. Also, note here any
products noticed on the system that have been the subject of a recall or a
replacement program.) All items that need repaired or replaced are the
owners responsibility and are not included in the price of inspection.
Part IV - Observations: Not a part of the NFPA#25 inspection, the
following items may need to be reviewed by a fire protection engineer.
NoYes N/A
NoUnable to determine.Yes
Yes NoNIC
Yes NoNIC
Yes NoNIC
NoUnable to determine.Yes N/A
Provisions are not provided.NoYes N/A
partial flow test? Provisions are not provided.NoYes N/A
NoNICYes N/A
NoNICYes N/A
Cannot be determined.
NoYes
NoNICYes N/A
NoNICYes N/A
Yes No
NoYes
Signature of Inspector:
See comments
Color of tag placed on system:
Red
Green
Report#:
11/30/2022
T AILSTOCK
FPI-17000027
RED FROM ANNUAL
MAIN CTRL VALVE TAMPER SEAL #'s 77168 & 77169