SPRINKLER SYSTEM TEST QCDD FORM

PIN No. Date

Location Application Number
Project Name
Owner

QCDD Approved Drawing Ref. No.

Test Status Passed

SYSTEM INFORMATION
Location of System Supplies buildings
Hydrostatic Test _____PSI(Bar) Duration: 2 Hrs

Sprinklers Throughout Coverage Partial Coverage None

Year of Temperature
Make Model Orifice Quantity
Manufacture Rating

ALARM VALVE OR FLOW INDICATOR

Maximum Time to Operate
Alarm Device
(trigger Fire Alarm)
Make Model Type Minutes Seconds

PRESSURE REDUCING VALVE

Pressure
Make & Residual Pressure Flow Rate
Location Setting Static Pressure (psi)
Model (flowing, psi) (gpm)
(ratio)

Sprinkler System installation and testing conforms with CDD approved plan and NFPA 13 YES NO
If NO, explain:
 Locked  Tamper proof switch
Valve Supervision
 Sealed and Tagged  Others

Pipe and Fittings ____________Type of Pipe ___________Type of Fittings

Control Valve
____________Type ___________Size __________Make/Model
Device

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 SPRINKLER SYSTEM TEST QCDD FORM

SPRINKLER SYSTEM CHECKLIST

YES N/A
Installation and testing conforms to approved plan and NFPA Standard.
Flushing done in accordance with NFPA 13.
All pipings and attached appurtenances hydrostatically tested at 200PSI or 50PSI above static
pressure in excess of 150 PSI for 2 hours.
Pneumatic test has been established at 40PSI(2.7 Bar) and air pressure drop not exceed 1 ½
PSI(0.1Bar) in 24 hours
Forward flow test of backflow preventer performed in accordance with NFPA 13 requirements.
Leakage test has been done
Flow Test has been done in accordance with NFPA 13 Requirement
Do you certify that additives and corrosive chemicals were not used for testing or stopping leaks
Do you certify that you have a control feature to ensure that all cut outs(discs) are retrieved
Hydraulic data name plate provided
Sprinkler caps and straps removed
Pressure-Regulating device setting in accordance with CDD approved plan and NFPA 13
requirement
All aboveground pipe, joints, fittings and appurtenances used/installed conforms with the
approved plan, NFPA Requirement and with CDD product approval.
Automatic air vent of riser shall be outside the building/roof deck

CERTIFICATION
The system as specified above has been installed and tested, in accordance with latest edition of NFPA, QCDD FSS and QCDD
approved drawings.

__________________________________ _______________________________________________
Contractor (QCDD Certificate No. / ID No. / Mobile No.)
(Signature over Printed Name with Company Stamp)

CERTIFICATION
The undersigned accepted the installation and testing of the system as specified above.

__________________________________ _______________________________________________
Consultant (UPDA No. / ID No. / Mobile No.)
(Signature over Printed Name with Company Stamp)
Note: All fields are mandatory

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