Alliance Fire & Safety Pump Acceptance Test Data

500 Base Ave East

Venice, Fl. 34275
941-485-5402
941-483-3321 Fax
Customer Location: Division: Customer Number: Date:

City & State Work Order: Technician:

Shaft: Manufacturer: Serial No. Make & Model

PUMP □ Vertical □ Horizontal Approved □ Yes □ No
Rated GPM Rated Heat Ft. (PSI) Rated RPM Suction Water Tank Size Tank Height
Vertical Dist. Static Right Angle Manufacturer Serial No. Approved
IF VERTICAL Disch Gauge Gear Drive □ Yes □ No
TYPE To Water Pumping Model Or Type
Level
Manufacturer Approved □ Yes □ No Serial No. Model or Type Rated R.P.MRated H.P.

DRIVER □ Electric Motor Rated Volt Operating Volt Rated F.L. Amps AMPS At 150% Phase Cycles Service FAC

□ Diesel Engine □ Gas Engine □ Steam Turbine □ Press Governor Built In □ Independent □ Turbine Steam
Manufacturer Approved □ Yes □ No Start ______ PSI Stop _____ Jockey Pump

Serial No. Model or Type □ Manual □ Auto □ Manual □ Yes On ____

CONTROLLER
□ Pressure Drop □ Water Flow □ Auto □ No Off ____
Fuel Tank Level:
Speed RPM Discharge Suction Net Head Streams Gallons Per Percent Of Volts Amps Stream
Pressure Pressure PSI PSI Minute Rated Pump
PSI Capacity
No Size Pitot Press Steam Pump

CHURN 100% 150%

DISCHARGE

SUCTION

NET PRESSURE

RPM

VOLTS

AMPS

Emploee Signature:

Date:

Z:\3.SPE_SPRINKLERS\FORMS\FirePumps\Pump Report.xls
 Date: ________________ AHJ: ___________________

CUST: _______________ WO: ___________________

Alliance
Fire & Safety
Inspections, Repairs & Installations

Fire Pumps
Annual Performance Tests
Date: ________ Inspector: _______________________ System: _____________________________
Location: _______________________________________________________________________________

Y = Satisfactory N = Unsatisfactory (explain below)

Pump manufacturer and model: _________________________________________________________________________

Type: ■ Centrifugal ■ Turbine

Controller manufacturer and model: _____________________________________________________________________

Rated capacity: ____________ gpm (L/min)

Water supply source: ___________________________________________________________________________________

Rated pressure: ____________ psi (bar) Rated speed: ____________ rpm

Power: ■ Electric ■ Diesel ■ Steam

Automatic starts performed 6 times. Timer indicates total run time:

Automatic start functions properly.
Automatic stop functions properly.
Automatic start: ____________ psi (bar)
Automatic stop: ____________ psi (bar)
Manual starts performed 6 times.
Manual start functions properly.
Manual stop functions properly.
____________ min.
Timer reset and graph paper changed?
Test data and flow charts completed.
(Attach all water-flow charts, electrical
power charts, performance curves, etc.)
Fire pump electrical power readings
recorded at each flow condition?
Fire pump motor speed: ____________ rpm
Fire pump discharge flow:
____________ gpm (L/min)

Manual start: ____________ psi (bar) Jockey pump operational.

Manual stop: ____________ psi (bar) Jockey pump appears properly aligned.

Remote start functions properly. Jockey pump valves open.

Remote stop functions properly. Jockey pump “turn-on”:

____________ psi (bar)
Remote start: ____________ psi (bar)
Jockey pump “turn-off”:
Remote stop: ____________ psi (bar) ____________ psi (bar)

Notes

Continue on reverse if necessary.

500 Base Avenue, Venice, FL 34285 • 941.485.5402 • Fax 941.483.3321 • gmb@alliancefiresafety.com

Copyright © 2000 National Fire Protection Association
 Date: ________________ AHJ: ___________________

CUST: _______________ WO: ___________________

Alliance
Fire & Safety
Inspections, Repairs & Installations

Fire Pumps
Annual Inspection
Date: ________ Inspector: _______________________ System: _____________________________
Location: _______________________________________________________________________________

Y = Satisfactory N = Unsatisfactory (explain below) N/A = Not applicable

All Pumps—Hydraulic System

Suction pressure gauge: ____________ psi (bar).
Discharge pressure gauge: ____________ psi (bar).
Pump starting pressure from pressure switch in controller: ____________ psi (bar).
Pump run time from controller: ____________ minutes.
Suction line control valves are sealed open.
Discharge line control valves are sealed open.
Bypass line control valves are sealed open.
All control valves are accessible.
Suction reservoir is full.
Pump shaft seals dripping water (1 drop per second).
System is free of vibration or unusual noise when running.
Packing boxes, bearings, and pump casing are free of overheating.
Electric Fire Pumps Only
Isolating switch is monitoring abnormal power.
Normal-phase rotation pilot light is “on.”
Reverse-phase pilot light is “off.”
Oil level in vertical motor sight glass is in normal range.
Steam Fire Pumps Only
Steam pressure gauge reading normal: ____________ psi (bar).
Record time to reach running speed: ____________ min, ____________ sec.
Diesel Fire Pumps Only
Diesel tank is 2/3 full.
Batteries are fully charged.
Battery charger is operating properly.
Battery terminals are clean.
Battery state of charge is checked.
Battery pilot lights are “on.”
Battery-failure pilot lights are “off.”
Engine-running-time meter is recording pump operation properly.
Oil level in right-angle gear drive is normal.
Diesel engine oil level is full.
PAGE 1 of 2

500 Base Avenue, Venice, FL 34285 • 941.485.5402 • Fax 941.483.3321 • gmb@alliancefiresafety.com

Copyright © 2000 National Fire Protection Association
 Date: ________________ AHJ: ___________________

CUST: _______________ WO: ___________________

Alliance
Fire & Safety
Inspections, Repairs & Installations

Fire Pumps
Annual Inspection (cont.)
Diesel Fire Pumps Only
Diesel engine water level is full.
Water-jacket heater appears to be working properly.
Water-jacket piping is drip tight.
Diesel engine water hose is in good condition.
Coolant antifreeze protection is adequate.
Cooling line strainer is clean.
Solenoid valve is operating correctly.
Bearings and valves are lubricated.
All pumps—controls
Casing relief valve is free of damage.
Pressure-relief valve is free of damage.
All valves, fittings, and pipe are leak tight.
Condensate drain trap is clean.
Fire pump controller power is “on.”
Transfer-switch normal pilot light is “on.”
Jockey pump is operational.
Jockey pump controller power is “on.”
Jockey pump controller is set on “auto.”
Fire pump shaft coupling appears properly aligned.
Packing glands appear properly adjusted.
Test header control valve is closed.
Test header is in good condition.
Test header valves and caps are in good condition.
Test header valve handles are in good condition.
Test header valve swivel rotation is nonbinding.
Bypass control valves are open.
Control valves are sealed/not tampered.
Control valves are locked/tampered.
Control valves are properly tagged and identified.
Flow meter control valves are closed.
Relief valve and cone are operational.
Relief-valve pressure appears properly adjusted.

Notes

Continue on reverse if necessary. PAGE 2 of 2

500 Base Avenue, Venice, FL 34285 • 941.485.5402 • Fax 941.483.3321 • gmb@alliancefiresafety.com

Copyright © 2000 National Fire Protection Association
Date: ________________ AHJ: ___________________ CUST: _____________ WO: _________________