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The 5 Year Fire Sprinkler Inspection form is an essential document for ensuring the safety and functionality of fire sprinkler systems in buildings. This form encompasses various aspects of inspection, testing, and maintenance, helping property owners and contractors stay compliant with safety regulations. It includes sections for property and contractor information, detailing the building name, address, and contact details. The form also requires specific data on riser information, such as main drain tests and pressure readings. Each inspection item is categorized as an inspection, test, or maintenance task, with clear pass, fail, or not applicable designations. Additionally, the form references specific codes and standards, ensuring that all inspections align with the National Fire Protection Association (NFPA) guidelines and California regulations. A thorough review of control valves, waterflow alarms, and other critical components is mandatory. The form concludes with a certification section, where the inspecting company confirms that all equipment has been inspected and is operable, except where noted. This systematic approach not only protects lives but also helps maintain the integrity of the fire protection system.

Form Sample

Wet Pipe
Fire Sprinkler System
California Code of Regulations - Title 19
Inspection, Testing, and Maintenance
5-Year
Report
1 of 3
Property Information Contractor or Licensed Owner Information
Building Name
Name
Address
Address City St. Zip
City
License #
Phone
Contact Person
SFM Job #
CSLB Misc.
Riser Information Main Drain Test (ANNUAL)
Riser
No.
Location
Riser
Diameter
Main Drain
Diameter
Initial Static
Pressure
Residual
Pressure
Final Static
Pressure
P, F, N/A
This building has more than 5 risers. See additional AES 2.9 form attached Number of AES 2.9 forms attached:
5-Year INSPECTION, TESTING AND MAINTENANCE
Includes ALL Quarterly and Annual Inspections, Tests, and Maintenance items
I = Inspection T = Test M = Maintenance
P = Pass F = Fail N/A = Not Applicable
Item Description
NFPA 25 CA
ed.
Reference
Date Comments Only P, F, N/A
1.1 I Control Valves – Identification Sign 13.3.1
1.2 I Control Valves – Inspection 13.3.2
1.3 I Waterflow Alarm Devices 5.2.5
1.4 I Supervisory Devices 5.2.5
1.5 I Gauges (Wet Pipe Systems) 5.2.4.1
1.6 I
Hydraulic Design Information Sign
(For hydraulically designed systems)
5.2.6
1.7 I
Enter Water Supply Pressure Below Riser Check
5.2.4.1 psi
1.8 I
Enter Water Supply Pr
essure Above Riser Check 5.2.4.1 psi
1.9 I
Pressure Readings Acceptable
5.2.4.1
1.10 I
General Information Sign
(not required for system prior to 2007 Edition NFPA 13)
5.2.8
1.11 I Heat Tape 5.2.7
1.12 I Spare Sprinklers 5.2.1.4
1.13 I Fire Department Connections 13.7
1.14 I Alarm Valves – Exterior Inspection 13.4.1
1.15 I Pressure Reducing Valves 13.5.1.1
1.16 I Backflow Preventers 13.6.1
Form AES 2.
2
Se
p
t. 3, 2013
Wet Pipe
Fire Sprinkler System
California Code of Regulations - Title 19
Inspection, Testing, and Maintenance
5 Year
Report
2 of 3
Property Information Contractor or Licensed Owner Information
Building Name Name
Address Job #
City
ANNUAL INSPECTION, TESTING, AND MAINTENANCE
Include ALL Quarterly Inspections (See AES 2.1)
I = Inspection T = Test M = Maintenance
P = Pass F = Fail N/A = Not Applicabl
e
Item Description
NFPA 25 CA ed.
Reference
Date Comments Only P,F,N/A
1.17 I Small Hose Connections - Hose Valve*
5.1.6, 13.5.2
13.5.5.1
1.18 I PRV – Fire Sprinkler Systems 13.5.1.1
1.19 I Buildings (Freeze Protection) 4.1.1.1 Owner’s Responsibilit
y
1.20 I Sprinklers 5.2.1
1.21
I Sprinklers - Accessible Concealed Space 5.2.1.1.6
1.22
I Pipe and Fittings 5.2.2
1.23
I Pipe and Fittings - Accessible Concealed Space 5.2.2.3
1.24 I Hangers 5.2.3
1.25 I Hangers - Accessible Concealed Space 5.2.3.3
1.26 I Seismic Braces 5.2.3
1.27 I Seismic Braces - Accessible Concealed Space 5.2.3.3
1.28 I Unsprinklered Areas CFC 901.4 Yes No
2.1 T
Field Service Test Required
Send Report to Fire Code Official
5.3.1
If REQUIRED, Enter 'F' until
results are returned from Lab
2.2 T
Recalled Sprinklers
If not present = Pass; If present = Fail
Title 19
904.1(c)
2.3 T
Water Flow Alarm Devices
90 secs max. Enter time
5.3.3
13.2.6
sec.
2.4 T
Main Drain Test
(Enter data on Page 1 of this form)
13.2.5
13.3.3.4
2.5 T Control Valve - Position 13.3.3.2
2.6 T Control Valve – Operation 13.3.3.1
2.7 T Supervisory Devices 13.3.3.5
2.8 T Backflow Preventer Assemblies 13.6.2
2.9 T
Small Hose Connections*
w/PRV Hose Valves – Partial Flow Test
13.5.2.3
13.5.3.3
2.10 T PRV – Fire Sprinkler Systems 13.5.1.3
2.11 T Pressure Gauges - Calibration 5.3.2
2.12 T
Small Hose Connections
*
13.5.6.2.2
* Small hose connections are hose valves and optional hose supplied by the fire sprinkler system. They do not include Class I, II, or III
standpipe systems.
Form AES 2.
2
Se
p
t. 3, 2013
Wet Pipe
Fire Sprinkler System
California Code of Regulations - Title 19
Inspection, Testing, and Maintenance
Property Information Contractor or Licensed Owner Information
Building Name Name
Address Job #
City
ANNUAL INSPECTION, TESTING, AND MAINTENANCE
include ALL Quarterly Inspections (See AES 2.1)
I = Inspection T = Test M = Maintenance P = Pass F = Fail N/A = Not Applicable
Item Description
NFPA 25 CA ed.
Reference
Date Comments Only P,F,N/A
3.1 M Check Valves - Internal inspection 13.4.2
3.2 M Control Valves 13.3.4
3.3 M FDC - Backflush
14.3.2.3
14.3.2.4
3.4 M
Internal Pipe Inspection - See Deficiencies and
Comments Section for Results.
14.2
Yes
No
3.5 M
Obstruction Inv
estigation Required. If "Yes", see
Deficiencies and Comments Section for Results
14.3
3.6 M System Returned to Service 4.5.3
Yes
No
D = Deficiency C = Comment (Indicate type )
Item Date Riser D C
Deficiencies and Comments
Indicate all equipment, devices and parts that were repaired or replaced
Check here if additional Deficiencies and Comments are listed on Form AES 9
See Correction Form AES 10 for corrected deficiencies.
Number attached:
Number attached:
I hereby certify that the fire protection equipment listed above has been fully inspected, tested, and maintained on this date by
the company indicated above, in accordance with CCR, Title 19, Sections 901 to 906 and that the equipment is fully operable
except as noted in the “Deficiencies and Comments” section of this form.
Print Name
Signature Date
Form AES 2.
2
Se
p
t. 3, 2013
5
Year
Report
3 of 3

Document Specifications

Fact Name Description
Governing Law The 5-Year Fire Sprinkler Inspection form is governed by the California Code of Regulations, Title 19, which outlines the necessary regulations for fire safety equipment inspections.
Inspection Frequency This form requires comprehensive inspections, tests, and maintenance every five years, which includes all quarterly and annual inspections as mandated by NFPA 25.
Documentation Requirements Contractors must provide detailed documentation on all inspections, including comments and results for each item inspected, ensuring transparency and compliance.
Additional Forms If a building has more than five risers, additional forms, specifically the AES 2.9 form, must be attached to the 5-Year Fire Sprinkler Inspection form to document those extra risers.

Steps to Filling Out 5 Year Fire Sprinkler Inspection

Filling out the 5 Year Fire Sprinkler Inspection form requires careful attention to detail. This form collects essential information about the inspection, testing, and maintenance of fire sprinkler systems. Accurate completion ensures compliance with safety regulations and helps maintain the integrity of the fire protection system.

  1. Property Information: Start by entering the building name, address, city, state, and zip code.
  2. Contractor or Licensed Owner Information: Fill in the name, address, city, license number, phone number, and contact person details.
  3. Riser Information: Indicate the riser location and provide details for the main drain test, including initial static pressure, residual pressure, and final static pressure.
  4. Inspection, Testing, and Maintenance: For each item listed, mark whether it passed (P), failed (F), or is not applicable (N/A). Include the date of inspection and any comments as needed.
  5. Annual Inspection: Complete the section on annual inspections, ensuring all quarterly inspections are included. Use the same marking system (P, F, N/A) and provide comments where necessary.
  6. Deficiencies and Comments: If there are any deficiencies or comments regarding the equipment, list them clearly. If additional space is needed, indicate that on Form AES 9.
  7. Certification: Finally, print the name of the inspector, sign, and date the form to certify that the inspection was completed in accordance with regulations.

More About 5 Year Fire Sprinkler Inspection

What is the purpose of the 5 Year Fire Sprinkler Inspection form?

The 5 Year Fire Sprinkler Inspection form serves as a comprehensive record of the inspection, testing, and maintenance of fire sprinkler systems. It ensures that these systems are functioning correctly and in compliance with California regulations. By documenting the condition and performance of various components, this form helps to identify any deficiencies that may compromise the safety of the building and its occupants. Regular inspections are crucial for maintaining the reliability of fire protection systems, and this form is a vital tool in that process.

Who is responsible for completing the 5 Year Fire Sprinkler Inspection form?

The responsibility for completing the 5 Year Fire Sprinkler Inspection form typically falls on a licensed contractor or a qualified individual who is knowledgeable about fire sprinkler systems. This person must have the appropriate credentials and experience to conduct the necessary inspections, tests, and maintenance. It is essential that the individual understands the specific requirements outlined in California Code of Regulations, Title 19, to ensure that all aspects of the fire sprinkler system are thoroughly evaluated and documented.

What types of inspections and tests are included in the 5 Year Fire Sprinkler Inspection?

The form encompasses a range of inspections, tests, and maintenance activities, including but not limited to the evaluation of control valves, waterflow alarm devices, pressure gauges, and backflow preventers. Each item is categorized as an inspection, test, or maintenance activity, with specific references to applicable standards. The thoroughness of this process ensures that all components of the fire sprinkler system are functioning properly, which is critical for effective fire protection. The form also allows for the documentation of any deficiencies and the steps taken to correct them.

How can deficiencies identified in the inspection be addressed?

If deficiencies are noted during the inspection, it is crucial to address them promptly. The form includes a section for detailing any repairs or replacements made to the fire protection equipment. Additionally, a correction form may be used to outline the specific actions taken to rectify the issues. It is important to ensure that the system is returned to service only after all deficiencies have been corrected. Keeping accurate records of these actions not only helps maintain compliance with regulations but also enhances the overall safety of the building.

Common mistakes

  1. Neglecting to Provide Accurate Property Information: Filling out the property details incorrectly can lead to confusion and delays. Ensure the building name, address, and other essential information are correct.

  2. Omitting Contractor or Licensed Owner Information: Failing to include the contractor's name and license number can result in the form being rejected. Always double-check this section.

  3. Incorrectly Marking Inspection Results: Mislabeling inspection results as "Pass," "Fail," or "Not Applicable" can lead to serious compliance issues. Take care to mark these accurately based on the findings.

  4. Forgetting to Attach Additional Forms: If the building has more than five risers, additional forms are necessary. Forgetting to include these can lead to incomplete documentation.

  5. Failing to Record Pressure Readings: Not entering the water supply pressure readings can raise red flags. Ensure all pressure readings are accurately documented.

  6. Ignoring Comments Section: The comments section is crucial for noting any deficiencies or special observations. Skipping this can result in important information being overlooked.

  7. Not Certifying the Inspection: Forgetting to sign and date the form can invalidate the inspection. Always ensure that the certification is completed properly.

  8. Neglecting to Review NFPA References: Each item on the form references specific NFPA standards. Failing to review these can lead to non-compliance. Familiarity with these references is essential.

Documents used along the form

The 5 Year Fire Sprinkler Inspection form is an essential document for ensuring the safety and compliance of fire sprinkler systems. Along with this form, several other documents may be required to provide a comprehensive overview of the system's condition and maintenance history. Below is a list of commonly used forms and documents that complement the inspection report.

  • AES 2.1 Quarterly Inspection Form: This form details the findings from quarterly inspections of the fire sprinkler system, including tests and maintenance performed. It helps track ongoing compliance and system performance.
  • AES 2.9 Additional Riser Form: Used when a building has more than five risers, this form provides detailed information about each additional riser, ensuring that all components are adequately documented and inspected.
  • AES 9 Deficiencies and Comments Form: This document records any deficiencies identified during inspections. It allows for clear communication about issues that need addressing and tracks the status of repairs.
  • AES 10 Correction Form: After deficiencies have been noted, this form is used to document the corrective actions taken. It ensures that all repairs and adjustments are recorded and verified.
  • Annual Maintenance Report: This report summarizes the results of the annual inspection, testing, and maintenance activities. It provides a comprehensive view of the system's condition and compliance with regulations.
  • NFPA 25 Compliance Checklist: This checklist is used to ensure that all aspects of the fire sprinkler system comply with the National Fire Protection Association standards. It serves as a guide during inspections and maintenance.
  • Fire Department Connection (FDC) Inspection Form: This form specifically addresses the inspection of fire department connections. It ensures that these critical components are accessible and functioning properly for emergency response.

Each of these documents plays a vital role in maintaining the integrity and effectiveness of fire sprinkler systems. Together, they help ensure the safety of occupants and compliance with local and national regulations.

Similar forms

The Fire Alarm Inspection Report is similar to the 5 Year Fire Sprinkler Inspection form in that both documents serve to ensure compliance with safety regulations. Just like the sprinkler inspection form, the fire alarm report outlines specific tests and inspections that need to be conducted periodically. It includes information about the building, the contractor, and detailed sections for documenting findings. Both reports require a signature to certify that the inspections were performed according to relevant codes and standards, reinforcing accountability in maintaining fire safety systems.

The Annual Fire Safety Inspection Checklist shares similarities with the 5 Year Fire Sprinkler Inspection form as it also focuses on the assessment of fire safety systems. This checklist includes various components that need to be inspected annually, similar to how the sprinkler inspection form covers inspections every five years. Both documents detail the necessary steps to evaluate the functionality of fire protection systems, ensuring that they are in working order and meet local safety regulations. Each checklist item can be marked as pass, fail, or not applicable, providing a clear record of compliance.

The Emergency Lighting Inspection Report parallels the 5 Year Fire Sprinkler Inspection form by documenting the condition and functionality of emergency lighting systems. Just as the sprinkler form requires detailed inspections and tests, the emergency lighting report specifies the frequency and type of tests that must be conducted. Both documents aim to enhance safety by ensuring that critical systems are operational in case of an emergency. They also require signatures to validate the completion of inspections, underscoring the importance of accountability in safety measures.

The Fire Extinguisher Inspection Report is another document that resembles the 5 Year Fire Sprinkler Inspection form. Both reports detail the inspection process for essential fire safety equipment. The extinguisher report includes information about the location, condition, and maintenance of fire extinguishers, similar to how the sprinkler form tracks the status of fire sprinkler systems. Each report serves to confirm that necessary inspections are performed regularly, ensuring that all fire safety equipment is ready for use when needed.

Lastly, the Building Fire Safety Compliance Report is akin to the 5 Year Fire Sprinkler Inspection form in that it assesses the overall fire safety measures in a building. This report covers various aspects of fire safety, including fire alarms, sprinklers, and other systems, much like the sprinkler inspection form focuses specifically on fire sprinkler systems. Both documents help ensure that a building meets safety regulations and can be used to identify any deficiencies that need addressing. They serve as essential tools for maintaining a safe environment in commercial and residential properties.

Dos and Don'ts

When filling out the 5 Year Fire Sprinkler Inspection form, attention to detail is crucial. The following list outlines essential dos and don'ts to ensure compliance and accuracy.

  • Do verify all property and contractor information is correct before submission.
  • Do ensure that all inspections, tests, and maintenance items are completed and documented.
  • Do use clear and concise comments to describe any deficiencies or observations.
  • Do double-check pressure readings and ensure they are accurately recorded.
  • Don't leave any sections blank; if an item is not applicable, mark it as N/A.
  • Don't forget to include any additional forms, such as the AES 2.9, if required.
  • Don't sign the form without confirming that all information is complete and accurate.

Misconceptions

  • Misconception 1: The 5 Year Fire Sprinkler Inspection form is only for new installations.
  • This form applies to all fire sprinkler systems, regardless of when they were installed. It ensures that both new and existing systems are compliant with safety regulations.

  • Misconception 2: Only the contractor needs to fill out the form.
  • The property owner must also be involved. Both parties share responsibility for ensuring the inspection is completed and documented correctly.

  • Misconception 3: The inspection can be done at any time within the five-year period.
  • Inspections must occur at specified intervals, including quarterly and annual checks, to maintain compliance and ensure safety.

  • Misconception 4: A failed inspection means the system is completely non-functional.
  • A failed inspection indicates specific deficiencies that need to be addressed. The system may still operate but requires repairs to meet safety standards.

  • Misconception 5: The form is optional and not legally required.
  • Completion of the form is mandated by California regulations. It is essential for compliance with fire safety laws.

  • Misconception 6: Only one inspection is needed every five years.
  • Multiple inspections, including quarterly and annual evaluations, are necessary to ensure ongoing compliance and system functionality.

  • Misconception 7: The form does not require detailed comments or notes.
  • Detailed comments are crucial for documenting any issues found during the inspection. This information helps in future evaluations and repairs.

  • Misconception 8: The inspection form is the same for all types of fire sprinkler systems.
  • Different systems may have unique requirements. The form must reflect the specific type of system being inspected to ensure all necessary checks are performed.

Key takeaways

Understanding the 5-Year Fire Sprinkler Inspection Form is essential for ensuring the safety and compliance of your property. Here are some key takeaways to consider:

  • Accurate Information is Crucial: Ensure that all property and contractor details are filled out completely. This includes the building name, address, and contact information. Missing or incorrect information can lead to delays or complications during inspections.
  • Regular Inspections are Mandatory: The form encompasses both annual and quarterly inspections. It is vital to document all inspections, tests, and maintenance activities to maintain compliance with safety regulations.
  • Clear Documentation of Findings: Each inspection item must be marked as Pass, Fail, or Not Applicable. Comments should be provided where necessary to clarify any issues or actions taken. This documentation is crucial for accountability and future reference.
  • Deficiencies Must be Addressed: If any deficiencies are noted during inspections, they should be documented in the comments section. Promptly addressing these issues is essential to ensure the system remains operational and compliant with safety standards.