S APPENDIX D (FIRE PUMP SYSTEM INSPECTION CHECK LIST) ‘To be completed by the Inspector at the time of Inspection ‘Attach additional sheets, data or calculation as necessary to provide a complete record FACTORY INFORMATION Factory Name: Big Boss Corporation itd. Address: 30 Sarabo, Kashimpur, Gazipur. Representative Name: Ma. Aminul Islam Designation: Asst, Manager-Fire Safety Phone: 01984616368 Fax: E-mail: firest.aip@aptechdesignsitd.com INSTALLATION, SERVICE AND TESTING CONTRACTOR INFORMATION Contractor Name: GURABA ENGINEERING LTD. Address: House# 489 & 491(4" Floor), Uttarayon, Road# 08, DOHS Mirpur, Dhaka-1216, Bangladesh. Phone: 01730375731, Email:mahabur.rahman@gurababd.com Inspector or Tester Name: _ Engr. Md. Mahabur Rahman Qualification of Inspector or Tester: Engineer Fire & Life Safety consultants (NFPA ‘Membership No-2815729, IEB No-24506. Phone: +8801730375731 Fax: E-mail: mahabur.rahman@gurababd.com ‘A Contraet for Inspection & testing in accordance with NFPA is in effect as of: NFPA70, 72 ‘The Contract Expires: i Frequency of Test: WITNESS BY Company Name: Big Boss Corporation Ltd. Address: 30 Sarabo, Kashimpur, Gazipur. Representative Name: Md, Mahbub Sarwar Designation: Asst. General Manager (Compliance) Phone: +88 01716316119 Fax: E-mail: aipcompliance@aptechdesignsitd.comMONTHLY FIRE PUMP INSPECTION, TESTING AND MAINTENACE (As per NFPA-25, Table-8.1.2) ' : Inspection, Testing & scope Acton Taken Electrical |_Maintonance: Month System Enercis isolating wich and orout | Vsualiapecton | ~/ 2 breaker Checking Case exteror Goan and dy Gatary | Tesing Zz rea) yes pec gravity or state of charge vavaiinspecion | Ye Batter state Diesel , Charger end charge rate (Batery checking yes ‘System | system) Emmize charge (ater eysan) | checting yes ean breston arene Earn | vauiinpactn | OS. ete Disclaimer: Thelstisnotall encompassing duetotheestensvelistofadopted codes. The Inspector shall documents all freand life safety violations and corrections when any are discovered during inspection. | |(WEEKLY FIRE PUMP INSPECTION, TESTING AND MAINTENACE (As per NFPA-25, Table-8.1.2) Diese! Engine System Inspection, Testing & Maintenance: Weekly ‘Scope ‘etion Taken Testing Tank level Visual Inspection yes Checking Tank float switch Visual Inspection YES Solenoid valve operation Visual Inspection Testing yee Water in system Checking Cleaning NES Flexible hoses and connectors Visual Inspection YEE oltre Meus pacton “ cresting We Lube oi heater checking yes Level (Cooling system) Visual Inspection Yes Creaking pdequte cool watertohest | Charing Yes ee nue Ee Condon of exe howe ane vee YES Jacket water heater Checking YES Leakage (Exhaust system) Visual inspection Yes chactng Drain condensate tap Checking Es Bectoyo toe @atmy oom) | crecg Yes General inspection Visual Inspection Yes Pump house, heating ventilating louvers Visual Inspection Checking es Disclaimer: The list is not all encompassing dueto the extensive list of adopted codes. The Inspector shall documents all fireand life safety violations and corrections when any are discovered during inspection. TechnicignsFire & Safety Factory Authorizer’s Signature ‘Asst, Manager ire & Safety ate (7)WEEKLY FIRE PUMP INSPECTION, TESTING AND MAINTENACE (As per NFPA-25, Table-8.1.2) Inspection, Testing & Maintenance: Weekly Scope ‘Action Taken Tank level Visual Inspection Checking YES Tank float switch Visual Inspection Testing yes Solenoid valve operation Visual Inspection Testing Yes Water in system Checking Gleaning Yes Flexible hoses and connectors Visual inspection nea ies ol vel Mica npecion checking Lute ether cneting mes Level (Cooling system) Visual Inspection Checking We Engine ‘Adequate cooling water to heat exchanger Checking Yes System Yes Jacket water heater Checking Yes Leakage (Exhaust system) Visual Inspection Yes Electroyte level Battery system | chosing brah conde rap cheching Yes cheating XE General inspection Visual inspection YES Pump house, heating ventilating louvers Visual Inspection Checking YEs Disclaimer: The list is not all encompassing due to the extensive list of adopted codes. The Inspector shall documents all fireand life safety violations and corrections when Inspector's Signature anyare discovered during inspection. Techpicign-Fire & Safety oie 9/8092 Factory Authorizer’s Signature Asst. Manager-F Date & SafetyWEEKLY FIRE PUMP INSPECTION, TESTING AND MAINTENACE (As per NFPA-25, Table-8.1.2) Inspection, Testing & Maintenance: Weokly ‘Scope ‘Aetion Taken Tank level Visual Inspection Checking Tank float switch Visual Inspection Testing Solenoid valve operation Visual Inspection Testing Water in system Checking Cleaning Flexible hoses and connectors Visual Inspection Oittevel Visual Inspection Checking Lube oll heater Checking Level (Cooling system) Visual Inspection Checking Di Engine ‘Adequate cooling water to heat exchanger Checking System Water pump(s) ‘Visual Inspection Condition of flexible hoses and Visual inspection Checking Jacket water heater Checking Leakage (Exhaust system) Visual Inspection Checking Drain condensate trap Checking Electrolyte level (Battery system) Checking General inspection Visual Inspection Pump house, heating ventilating Visual Inspection Checking, Disclaimer: The list is not all encompassing dueto the extensive list of adopted codes. The Inspector shall documents all fireand life safety violations and corrections when anyare discovered during inspection. Inspector's Signature TechnigjansFire & Safety ome. oor Factory Authorizer’s Signature ‘Asst. Manager-fire & Safety