消防自动喷淋灭火系统设备年检查表

丿区(Site): 检测设备代号(Equipment NO.)项次Item检杳内容(Ques tions)A有备用喷头及扳钳?(Sprinkler wrench with spare sprinklers?)B检杳时系统在正常防护状态(Sys tem in service on inspec tion)C喷头无泄漏、损坏或遭阻挡(Head appears free from leakage, damage or obstruetion)D湿式报警阀(Alarm check Valves:)D-1控制阀未受阻挡容易操作(con trol valves are accessible)D-2管路压力表况良好并显示正常(二次侧高于一次侧供水压力? (Gauges on wet-pipe system in good condition and showing normal system pressure?)D-3是否依照设计基准维持压力?(Maintaining downstream pressure per design criteria?D-4夕卜表无损伤? (Free from physical damage?)D-5全部阀的开关位置正确(All Valves in correct open or closed position)D-6延迟器和水管无滴漏?(No leakage from retarding chamber or drains?)D-7控制阀可开/监视开关可正常作动(control valve lock can open/temper switches appear operational)D-8湿式报警阀之水流指示器传讯正常(Wa ter flow swi tch operational)D-9水力警铃作动正常(Bell is opera ting normal)D-10湿式报警阀之全部标示牌与标签还帝(All signage/identification tags in place?)J 区域(Area):危害风险 (Hazardous Risk)异常状况改善措施 (Explain)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)□ (0) 口⑴ 口⑵□(N)主管( Dept.Manager) 工程师(system engineer)* 检测人员(Inspector Name): 前次检查日期: Dat e of Last Examination) 检测日期:※评估危害风险之判断基准如下:“ 0”->堪用、符合规定;“1”检测人员项次Item检杳内容(Ques tions)危害风险 (Hazardous Risk)异常状况改善措施 (Explain)E末端试水阀处于关闭状态(Wat er-flow test valve closed)□ (0) 口⑴ 口⑵□(N)F测试结果如先前的差不多?(Are results comparable to previou test?)s □(O) 口⑴ 口⑵□(N)G是否通过水流警报装置测试:(Water-flow alarm devices passec tests?)□ (0) 口⑴ 口⑵□(N)H将控制阀(OS&和齿轮作动之指示蝴蝶阀除外)开至感觉到紧迫,再 回转 1/4 Cont rol valves (excep t OS&Y and gear-opera ted indicating butterfly valves) opened until spring or torsi, is felt in the rod, then closed back one-quarter turn□ (0) 口⑴ 口⑵□(N)onI阀之监视开关显示有作动?(Valve supervisory switches indicate movement?□ (0) 口⑴ 口⑵□(N)J所有的控制阀皆可转动无碍且都转回正常位I? (All control valves operated through full range and returned to normal position?)□ (0) 口⑴ 口⑵□(N)K压力表作动正常(Gauges opera ting is normal)□ (0) 口⑴ 口⑵□(N)L水流警报装置反应灵敏(Wa ter flow alarm devices ac tiva ted)□ (0) 口⑴ 口⑵□(N)M供水系统过滤器及滤材是干净的(St rainers and fil ters cleanec)口(0) 口⑴ 口⑵□(N)N防护区外水力警铃有作动(Ex terior building Alarms opera te:)□ (0) 口⑴ 口⑵□(N)O防灾中心是否收到讯号(Did alarm supervisory company receive signal:)□ (0) 口⑴ 口⑵□(N)P-1警报面盘是否复归(Did alarm panel rese t:)□ (0) 口⑴ 口⑵□(N)P-2警报面盘无异常讯号(Alarm panel clear:)□ (0) 口⑴ 口⑵□(N)主管( Dept.Manager) 工程师(system engineer)* (Inspector Name): 前次检查日期: Dat e of Last Examination) 检测日期:※评估危害风险之判断基准如下:“ 0”->堪用、符合规定;“1”Q喷淋水泵结合器:Fire Depar tmen t Connec tionsQ-1软管快速接口无损坏且转动顺畅?(Couplings and swivels not damaged and rotate smoothly?Q-2栓塞、盖子、标示牌及垫片还在且无损坏?(Plugs or caps, Identification signs, gaskets in place a undamaged?)项次Item检杳内容(Ques tions)R挂钩/防震支撑牢固(Visual inspection: hanger/seismic bracing appear attache, and secure:)S管路外观无机械破坏痕迹、泄漏及腐蚀状况(Piping appears free from mechanical damage, appears free of leakage and corrosion)T管路位置正常且无外部负载(Piping appears properly aligned and free from external loads)U喷淋头使用不超过20年?若答案为 ''否〃则测试样品且之后每10 年做一次(Fas t Response sprinklers in service for less tha 20 years? If “no” test sample now and every 10 years.)V喷淋头使用不到50年?若答 ''否〃则在十年内是否做过喷头的测 试?若又答 ''否〃的话则测试喷头且之后每10年做一次测试(Standard sprinklers less than 50 years old? If“No'”as a sample been testedwit hin 10 years? If "No” test sample now and every 10 years?)□ (0) □(l) 口⑵□(N)nd □(O) □(l) 口⑵□(N)危害风险 (Hazardous Risk)异常状况改善措施(Explain)□ (0) □(l) 口⑵□(N)d□ (0) □(l) 口⑵□(N)□ (0) □(l) 口⑵□(N)□ (0) □(l) 口⑵□(N)an□ (0) □(l) 口⑵□(N)主管( Dept.Manager) 工程师(system engineer)* 检测人员(Inspector Name): 前次检查日期: Dat e of Last Examination) 检测日期:※评估危害风险之判断基准如下:“ 0”->堪用、符合规定;“1”W检杳完系统回复使用(Sys tems left in service)□ (0) 口⑴ 口⑵□(N)每五年检查一次过滤器、滤网、限流孔及主闸阀内部若非本年度检查请 勾不适用且下列检查不须执行)(Inspect int erior of st rainers, filters, restrieted orifices main check valve every 5th year)□ (0) 口⑴ 口⑵□(N)预定日期:1湿式报警阀及其相关过滤器、滤材与限流孔通过内部检查(Alarm valves and their associated strainers, filters and restrietion orifices passed internal inspection?□ (0) 口⑴ 口⑵□(N)2内部检查过之闸阀及所有零件操作正常、可自由作动且状况良好? (Check valves internally inspected and all parts properl move freely and are in good condition?□ (0) 口⑴ 口⑵□(N)y3压力表上次测试是否正常?Gauge maintenance : date last tested is in good condition□ (0) 口⑴ 口⑵□(N)4压力表是否经校验?Gauges checked against calibrated gauge or replaced?□ (0) 口⑴ 口⑵□(N)自动喷淋灭火系统主排水测试:Sprinkler system main drain test:末端试水测试Wat er-flow test所有讯号正常Signal to panelIs normal湿式报警阀编号Alarm check valve No.一次侧表压 (Sprinkler supply gauge)二次侧表压 (Sprinkler. system gauge)放水测试正常Drain test警铃作动Alarm actuated表压力Static Pressure警铃作动时间Alarm actuatedtime□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No主管( Dept.Manager) 工程师(system engineer)* (Inspector Name): 检测人员□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No□ Yes□ No□ Yes sec□ No□ Yes □No主管( Dept.Manager) 工程师(system engineer)* 检测人员(Inspector Name): 前次检查日期: Dat e of Last Examination) 检测日期:※评估危害风险之判断基准如下:“ 0”->堪用、符合规定;“1”。