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A Yes No
B Yes No
C Yes No
D Yes No N/A
E Yes No N/A
F Yes No N/A
G Yes No N/A
H Yes No N/A
I Yes No N/A
J Yes No N/A
MircomCompany
19-991812Identification Number of Primary or Supervising
Technician Conducting the Verification
RAMSEY ELECTRICCompany
Identification Number of TechnicianConducting the Verification
LULLABOO CHILDCARE
BRIAN D UHLE
KEVIN RIVERS
Printed Name of Primary or Supervising
Date: September 8, 2016
Job #:
A copy of this report will be given to the following, who is the owner or owner's representative
for this building: -
Address:
Site #:
This is to certify that the information contained in this Fire Alarm System Verification Report is correct and complete.
-
-
-The entire fire alarm system has been verified in accordance with CAN/ULC-S537-04, Verification of Fire
Alarm Systems.
The fire alarm system has deficiencies noted on the pages attached.
Technician Conducting the Verification
The fire alarm system is fully functional.
System provides single-stage operation
System provides two-stage operation
K
The fire alarm system documentation is on site and includes a description of the system.
This is a partial verification for partial occupancy.
This is a verification of a portion of an existing fire alarm system verified in accordance with Section 6,
system modifications
This is a partial verification for a fire alarm system that has been replaced in stages.
Signature of Primary or Supervising
No
The fire alarm system has notes & recommendations noted on the pages attached.
Yes
VERIFICATION REPORT
the VerificationPrinted Name of Technician Conducting
Technician Conducting the Verification
MIRCOM
1454 QUEENS ST W
BRAMPTON, ON
Building Name:
Model Number: FA-1000System Manufacturer:
KEVIN @ RAMSEY ELECTRIC
Signature of Technician Conductingthe Verification
Page 1
Notes:
Deficiencies:
Recommendations:
MONITORING COMPANY NOT ON SITE DURING VERIFICATION - SYSTEM NOT MONITORED AT THIS TIME
DOOR HOLD OPEN DEVICES NOT INSTALLED AT TIME OF VERIFICATION - RELAY OPERATION ONLY CONFIRMED
REMARKS
Page 2
DEVICE LEGEND
Device Description Manufacturer Model Number
M Manual Pull Station MIRCOM MS-401
GA General Alarm
RHT Heat Detector, Restorable
HT Heat Detector, Non-Restorable SYSTEM SENSOR 5603A
S Smoke Detector SYSTEM SENSOR C2W-BA
S Smoke Detector SYSTEM SENSOR 2151A
DS Duct Smoke Detector
RI Remote Indicator Unit
SP Speaker
V Visual Signal Device
SPV Speaker Strobe
H Horn
H/V Horn Strobe MIRCOM FHS-340R
B Bell
ET Emergency Telephone
EOL End-of-Line Resistor MIRCOM EL-300
FS Sprinkler Flow Switch
SS Sprinkler Supervisory Device
PS Sprinkler Low Pressure Device
MON Monitor Module
REL Relay Module MIRCOM RM-1008A
ISO Fault Isolation Module
FCM Control Module
RLY-B RELAY BASE SYSTEM SENSOR B116LPA
Page 3
FIRE ALARM SYSTEM DEVICE RECORD
BUILDING NAME: LULLABOO NURSERY AND CHILD CAREDATE: September 7, 2017
Loca
tion
of D
evic
e
Dev
ice
Type
Dev
ice
Add
ress
or
Circ
uit N
umbe
rCo
rrec
tly
Inst
alle
d
Ala
rm, S
uper
viso
ry o
r
Func
tion
Con
firm
ed
Ann
unci
atio
n Co
nfir
med
Supe
rvis
ion
& G
roun
d
Faul
t Det
ecti
on
Smok
e Se
nsit
ivit
y (%
)
Duc
t Sm
oke
Pres
sure
Diff
eren
tial
(Pas
cal)
Wat
er fl
ow D
elay
(sec
)
Mag
lock
Ope
rati
on
Notes
2ND FLOOR
2ND FL - CORRIDOR SOUTH STAIR EXIT M 1 a a a a2ND FL - CORRIDOR SOUTH S 1 a a a a 2.402ND FL - CORRIDOR CENTER S 1 a a a a 2.402ND FL - ELEVATOR LOBBY S 3 a a a a 2.40 RELAY BASE2ND FL - CORRIDOR NORTH S 1 a a a a 2.40
2ND FL - CORRIDOR NORTH STAIR EXIT M 1 a a a a2ND FL - CORRIDOR NORTH STAIR EXIT EOL 1 a a a a2ND FL - CLASSROOM S.W S 3 a a a a 2.40
2ND FL - CLASSROOM S.W + S.CNTR CLOSET S 3 a a a a 2.40
2ND FL - CLASSROOM W.CNTR S 3 a a a a 2.40
2ND FL - CLASSROOM N.W S 3 a a a a 2.40
2ND FL - CLASSROOM N.W CLOSET S 3 a a a a 2.40
2ND FL - CLASSROOM N.E S 3 a a a a 2.40
2ND FL - CLASSROOM N.E CLOSET S 3 a a a a 2.40
2ND FL - CLASSROOM N.E CLOSET EOL 3 a a a a2ND FL - CLASSROOM N.E CLOSET EOL 2 a a a a2ND FL - CLASSROOM S.E S 3 a a a a 2.40
2ND FL - CLASSROOM S.E CLOSET S 3 a a a a 2.40
2ND FL - UTILITY ROOM EAST S 7 a a a a2ND FL - UTILITY ROOM EAST EOL 7 a a a a2ND FL - UTILITY ROOM EWEST S 6 a a a a2ND FL - UTILITY ROOM WEST EOL 6 a a a a
ELEVATOR TOP OF SHAFT S 2 a a a a 2.40
TOP OF NORTH STAIR S 4 a a a a 2.40
TOP OF NORTH STAIR EOL 4 a a a aTOP OF SOUTH STAIR S 5 a a a a 2.40
TOP OF SOUTH STAIR EOL 5 a a a a
Device Record Page 4
FIRE ALARM SYSTEM DEVICE RECORD
BUILDING NAME: LULLABOO NURSERY AND CHILD CAREDATE: September 7, 2017
Loca
tion
of D
evic
e
Dev
ice
Type
Dev
ice
Add
ress
or
Circ
uit N
umbe
rCo
rrec
tly
Inst
alle
d
Ala
rm, S
uper
viso
ry o
r
Func
tion
Con
firm
ed
Ann
unci
atio
n Co
nfir
med
Supe
rvis
ion
& G
roun
d
Faul
t Det
ecti
on
Smok
e Se
nsit
ivit
y (%
)
Duc
t Sm
oke
Pres
sure
Diff
eren
tial
(Pas
cal)
Wat
er fl
ow D
elay
(sec
)
Mag
lock
Ope
rati
on
Notes
2ND FL - CORRIDOR SOUTH H/V SIG5 a a a2ND FL - CORRIDOR SOUTH EOL SIG5 a a a2ND FL - CORRIDOR NORTH H/V SIG6 a a a2ND FL - CORRIDOR NORTH EOL SIG6 a a a
1ST FLOOR
1ST FL - CORRIDOR SOUTH STAIR EXIT M 9 a a a a1ST FL - CORRIDOR SOUTH S 9 a a a a 2.40
1ST FL - CORRIDOR WEST AT OFFICES S 9 a a a a 2.40
1ST FL - ELEVATOR LOBBY S 13 a a a a 2.40 RELAY BASE
1ST FL - CORRIDOR NORTH S 9 a a a a 2.40
1ST FL - CORRIDOR NORTH STAIR EXIT M 9 a a a a1ST FL - CORRIDOR NORTH STAIR EXIT EOL 9 a a a a1ST FL - UTILITY ROOM AT STAFF WASHROOM S 15 a a a a 2.40
1ST FL - UTILITY ROOM AT STAFF WASHROOM EOL 15 a a a a1ST FL - UTILITY ROOM WEST S 16 a a a a 2.40
1ST FL - UTILITY ROOM WEST EOL 16 a a a a1ST FL - KITCHEN HT 12 a a a a1ST FL - KITCHEN EOL 12 a a a a1ST FL - CLASSROOM S.W S 13 a a a a 2.40
1ST FL - CLASSROOM N.W S 13 a a a a 2.40
1ST FL - CLASSROOM N.W SLEEPING AREA S 13 a a a a 2.40
1ST FL - CLASSROOM N.CNTR S 13 a a a a 2.40
Device Record Page 5
FIRE ALARM SYSTEM DEVICE RECORD
BUILDING NAME: LULLABOO NURSERY AND CHILD CAREDATE: September 7, 2017
Loca
tion
of D
evic
e
Dev
ice
Type
Dev
ice
Add
ress
or
Circ
uit N
umbe
rCo
rrec
tly
Inst
alle
d
Ala
rm, S
uper
viso
ry o
r
Func
tion
Con
firm
ed
Ann
unci
atio
n Co
nfir
med
Supe
rvis
ion
& G
roun
d
Faul
t Det
ecti
on
Smok
e Se
nsit
ivit
y (%
)
Duc
t Sm
oke
Pres
sure
Diff
eren
tial
(Pas
cal)
Wat
er fl
ow D
elay
(sec
)
Mag
lock
Ope
rati
on
Notes
1ST FL - CLASSROOM N.CNTR SLEEPING AREA S 13 a a a a 2.40
1ST FL - CLASSROOM E.CNTR S 13 a a a a 2.40
1ST FL - CLASSROOM E.CNTR + S.E CLOSET S 13 a a a a 2.40
1ST FL - CLASSROOM S.E S 13 a a a a 2.40
1ST FL - UTILITY ROOM EAST S 11 a a a a 2.40
1ST FL - UTILITY ROOM EAST EOL 11 a a a a
1ST FL - CORRIDOR SOUTH H/V SIG3 a a a1ST FL - CORRIDOR SOUTH EOL SIG3 a a a1ST FL - CORRIDOR NORTH H/V SIG4 a a a1ST FL - CORRIDOR NORTH EOL SIG4 a a a
BASEMENT
BSMNT - CORRIDOR SOUTH STAIR EXIT M 19 a a a aBSMNT - CORRIDOR SOUTH S 19 a a a a 2.40
BSMNT - ELEVATOR LOBBY S 19 a a a a 2.40 RELAY BASE
BSMNT - CORRIDOR NORTH S 19 a a a a 2.40
BSMNT - CORRIDOR NORTH STAIR EXIT M 19 a a a aBSMNT - CORRIDOR NORTH STAIR EXIT EOL 19 a a a aBSMNT - MAIIN ELECTRICAL ROOM S 18 a a a a 2.40
BSMNT - CLASSROOM S.W S 17 a a a a 2.40
BSMNT - CLASSROOM S.W CLOSET S 17 a a a a 2.40
BSMNT - STAFF KITCHEN S 17 a a a a 2.40
BSMNT - STAFF KITCHEN CLOSET S 17 a a a a 2.40
BSMNT - STAFF MEETING ROOM S 17 a a a a 2.40
BSMNT - STAFF MEETING ROOM CLOSET S 17 a a a a 2.40
Device Record Page 6
FIRE ALARM SYSTEM DEVICE RECORD
BUILDING NAME: LULLABOO NURSERY AND CHILD CAREDATE: September 7, 2017
Loca
tion
of D
evic
e
Dev
ice
Type
Dev
ice
Add
ress
or
Circ
uit N
umbe
rCo
rrec
tly
Inst
alle
d
Ala
rm, S
uper
viso
ry o
r
Func
tion
Con
firm
ed
Ann
unci
atio
n Co
nfir
med
Supe
rvis
ion
& G
roun
d
Faul
t Det
ecti
on
Smok
e Se
nsit
ivit
y (%
)
Duc
t Sm
oke
Pres
sure
Diff
eren
tial
(Pas
cal)
Wat
er fl
ow D
elay
(sec
)
Mag
lock
Ope
rati
on
Notes
BSMNT - SUMP PUMP ROOM S 17 a a a a 2.40
BSMNT - NORTH STAIR LOBBY S 17 a a a a 2.40
BSMNT - CLASSROOM N.E S 17 a a a a 2.40
BSMNT - CLOSET BENEATH SOUTH STAIR S 17 a a a a 2.40
BSMNT - CLASSROOM S.E S 17 a a a a 2.40
BSMNT - CLASSROOM S.E CLOSET S 17 a a a a 2.40
BSMNT - CLASSROOM S.E CLOSET EOL 17 a a a aBSMNT - ELEVATOR PIT S 21 a a a a 2.40
BSMNT - ELEVATOR MACHINE ROOM S 20 a a a a 2.40
BSMNT - ELEVATOR MACHINE ROOM EOL 21 a a a aBSMNT - ELEVATOR MACHINE ROOM EOL 20 a a a a
BSMNT - CORRIDOR SOUTH H/V SIG2 a a aBSMNT - CORRIDOR SOUTH EOL SIG2 a a aBSMNT - CORRIDOR CENTER H/V SIG1 a a aBSMNT - CORRIDOR NORTH STAIRWELL H/V SIG1 a a aBSMNT - CORRIDOR NORTH STAIRWELL EOL SIG1 a a a
Device Record Page 7
A Yes No N/A
B Yes No N/A
C Yes No N/A
D Yes No N/A
E Yes No N/A
F Yes No N/A
G Yes No N/A
H Yes No N/A
I Yes No N/A
J Yes No N/A
K Yes No N/A
L Yes No N/A
M Yes No N/A
N Yes No N/A
O Yes No N/A
P
Q Yes No N/A
R Yes No N/A
S Yes No N/A
T Yes No N/A
U Yes No N/A
V Yes No N/A
W Yes No N/A
X Yes No N/A
Y Yes No N/A
Z Yes No N/A
AA Yes No N/A
BB Yes No N/A
CC Yes No N/A
DD Yes No N/A
EE Yes No N/A
FF Yes No N/A
GG Yes No N/A
HH Yes No N/A
JJ Yes No N/A
Input circuit supervision fault causes a trouble indication.
Alarm signal silence automatic cut-out timer.
Common audible trouble signal operates.
Common visual trouble signal operates.
Audible and visual alert and alarm signals operate per design and specification.
II
N/A
Ancillary device by-pass results in trouble signal.
Trouble signal silence switch operates.
Alarm signal manual silence operates.
Ground fault tested on positive and negative initiates trouble signal.
Main power supply failure trouble signal operates.
Alarm signal, when silenced, automatically reinitiates upon subsequent alarm.
Alarm signal silence visual indication operates.
Automatic transfer from alert signal to alarm signal cancelled when system is acknowledged on a
two-stage system.
Visual indicator test (lamp test) operates.
Output circuit supervision fault causes a trouble indication.
Alarm signal silence inhibit function operates. 1 MINUTE
Manually transfers from alert signal to alarm signal operates (two-stage system)
Automatically transfers from alert signal to alarm signal operates (two-stage system)
CONTROL UNIT OR TRANSPONDER RECORD
NOT MONITOREDPhone #: N/A
Operation of the fire signal receiving centre disconnect results in a specific trouble indication at
the control unit or transponder and transmits a trouble signal to the remote fire signal receiving
centre.
Confirm that the alarm transmission to the remote fire signal receiving centre is
received.
Time:
Main power supply to emergency power supply transfer operates.
Fire alarm system reset operates.
Ancillary device control circuit is rated for the intended purpose
Confirm that the supervisory transmission to the remote fire signal receiving centre is
received.
Control unit or transponder bonded to ground
Input circuits programmed to operate output circuits (including ancillary devices)
operate as per design and specification.
Status change confirmation feature (smoke detectors only) verified.
Input circuit, alarm & supervisory operation (including visual indicator) operates.
Confirm that the trouble transmission to the remote fire signal receiving centre is
received.
If connected, record the name and telephone number of the fire signal receiving centre.Name:
Control Unit or Transponder Location:
Control Unit or Transponder Identification:
SOUTH MAIN ENTRANCE
MAIN FACP
Coded signal sequences are not interrupted by subsequent alarms.
Coded signal sequences operate not less than the required number of times and the
correct alarm signal operates thereafter.
Output circuit alarm indicators operates.
Power 'On' visual indicator operates.
Alarm signal operates.
Alert signal operates.
Nodes Page 8
A Yes No N/A
B Yes No N/A
C Yes No N/A
D Yes No N/A
E Yes No N/A
F Yes No N/A
G Yes No N/A
H Yes No N/A
I Yes No N/A
J Yes No N/A
K Yes No N/A
L Yes No N/A
M Yes No N/A
N Yes No N/A
O Yes No N/A
P Yes No N/A
A Yes No N/A
B Yes No N/A
C Yes No N/A
D Yes No N/A
E Yes No N/A
Rev: Ver:
G Yes No N/A
H Yes No N/A
I Yes No N/A
J Yes No N/A
K Yes No N/A
L Yes No N/A
M Yes No N/A
N Yes No N/A
O Yes No N/A
VOICE COMMUNICATION TEST
Common visual trouble signal operates.
Common audible trouble signal operates.
Trouble signal silence switch operates.
Output circuits for selective voice paging trouble operation, including visual indication, operates.
Correct designations for common control functions and indicators.
Record the date, revision and version of firmware and software
Microphone, including press to talk switch, operates.
Operation of voice paging does not interfere with initial inhibit time of alert signal or alarm signal.
Circuits for emergency telephones operate and two-way voice communication operates.
Plug-in components and modules securely in place.
ALL CALL voice paging, including visual indicator, operates.
Output circuits for selective voice paging, including visual indication, operates.
Power 'On' visual indicator operates.
1.0
ALL CALL voice paging operates on emergency power supply.
Upon failure of one amplifier, system automatically transfers to backup amplifier(s).
Circuits for emergency telephone call-in operation operates audible and visual indicators.
Input circuit designations correctly identified in relation to connected field devices.
Output circuit designations correctly identified in relation to connected field devices.
Circuits for emergency telephone trouble operate and visual indication operates.
Emergency telephone verbal communication operates.
Emergency telephone 'operable' or 'in-use' tone at handset operates.
CONTROL UNIT OR TRANSPONDER INSPECTION
F8/1/2016
2.1.13
Date:
Plug-in cables securely in place.
Verify control units or transponders with stand alone capability serves the same area for both
input circuits and output circuits.Control units or transponders which operate with stand alone capability have signal silence, reset,
and trouble silence switches with visual indicators, degraded mode capability and stand alone
capability indicators.
Control unit or transponder visual indicators comply with the visual indicators colour code.
Control unit and transponder is clean and free of dust and dirt.
Control unit or transponder power disconnects in accordance with C22.1, Safety
Standard for Electrical Installations, Canadian Electrical Code, Part 1.
Main power supply feed wiring in accordance with manufacturer's specifications.
Fuses are in accordance with manufacturer's specification.
Termination points, from wiring to field devices, is secure.
Control unit or transponder lock is functional.
Nodes Page 9
A Yes No N/A
B Yes No N/A
C Yes No N/A
D Yes No N/A
- - -
Yes No N/A
Yes No N/A
Yes No N/A
Yes No N/A
A Yes No N/A
B Yes No N/A
C Yes No N/A
D Yes No N/A
E Yes No N/A
F Yes No N/A
Adequate to meet the requirements of the system.
ii) Maintain synchronization of control units or transponders for alert signals and alarm
signals
Fused in accordance with the manufacturer's marked rating of the system.
POWER SUPPLY INSPECTION
Conforms with the requirements of CAN/ULC-S524, Standard for the Installation of Fire
Alarms Systems; and C22.1 Safety Standard for Electrical Installations, Canadian
Electrical Code, Part I, Section 32.
Equipped with the identified disconnect means.
E
i) Operate the alarm signals in accordance with the system operating sequence;
Verify control units or transponders serve the same area for both input circuits and output circuits
iii) Operate local relays in control units or transponders connected to ancillary devices; as required
iv) Confirm the operation of acknowledge, signal silence, reset and trouble silence switches with
visual indicators, degraded mode capability and stand alone capability indicators, are functional
for each network segment.
Ancillary devices, which are powered from the control unit or transponder, are recorded
Verify control units or transponders with stand alone capability have signal silence, reset and
trouble silence switches with visual indicators, degraded mode capability and stand alone
capability indicators
Confirm that between any nodes a single open circuit fault, wire-to-wire short circuit fault, or
ground fault on the network results in a trouble signal at each node and continued alarm receipt
capability at each node under these conditions.
LARGE SCALE NETWORK SYSTEMS
Power for ancillary devices is taken from a source separate from the fire alarm system
control unit or transponder power supply.
To test stand alone capability, create a condition of data communication link failure, and confirm
each control unit or transponder is capable of receiving an alarm initiation and provides output
operation in the area as served by the control unit or transponder degraded mode.
To test degraded mode capability, create a condition of data communication link failure
in two separate locations creating two network segments, and confirm each segment of
the network have the following operation:
Nodes Page 10
A Yes No N/A
B Yes No N/A
C
D
E
F
G Yes No -
H Yes No N/A
I Yes No N/A
J Yes No N/A
K Yes No N/A
L Yes No N/A
M Yes No N/A
N
O Yes No N/A
Yes No -
Yes No -
Yes No -
Q
R
S Yes No N/A
T Yes No N/A
U Yes No N/A
See battery summary
EMERGENCY POWER SUPPLY TEST & INSPECTION
See battery summary
See battery summary
(i) Required supervisory load for 24 hours followed by the required full load operation;
or
Trouble condition at the emergency generator shall result in an audible common trouble signal
and a visual indication at the required annunciator.
Battery voltage not less than 85% of its rating after the tests.
See battery summary
See battery summary
P
Record calculated battery capacity
Record battery terminal voltage after completion of tests.
Generator provides power to the AC circuit serving the fire alarm system.
See battery summary
Terminals are cleaned and lubricated.
See battery summary
(iii) Silent accelerated test (batery capacity meter test)
Battery voltage with main power supply 'on'
Battery voltage and current with main power supply 'off' and fire alarm system in
supervisory condition.
Correct battery type as recommended by manufacturer
Type of battery test performed:
Specific gravity of electrolyte is within manufacturer's specifications.
Batteries show signs of physical damage.
Electrolyte leakage.
Terminals clamped tightly.
(ii) A silent test by using the load resistor method may be used for the full duration test;
or
Correct electrolyte level.
Correct battery rating as determined by battery calculations based on full system load.
Adequately ventilation.
Record manufacture's date code or in-service date
Disconnection causes trouble signal
Battery voltage and current with main power supply 'off' and fire alarm system in full
load alarm condition.
Charging current.
Nodes Page 11
A Yes No N/A
B Yes No N/A
C Yes No N/A
D Yes No N/A
E Yes No N/A
F Yes No N/A
Class BTSTTTT
LEGENDT = Trouble indication at the control unit or transponder.S = Trouble indication at the control unit or transponder and alarm receipt
capability during abnormal operation.
* = Same link.
Loss of Carrier T T
Wire-to-Wire Short Circuit Fault & Ground Fault*
S
T S*Open Circuit Fault and Ground Fault* S S*
DATA COMMUNICATION LINK TEST
S
Where fault isolation in data communication links is provided between control units or
transponders, the field wiring shorted between each pair of control units or transponders, the
turn, annunciation of the fault confirmed and operation outside the shorted section confirmed.
Where fault isolation modules are installed in data communication links serving field devices,
wiring shorted on the isolated side, annunciation of the fault confirmed, and then a device on the
source side operated, and activation confirmed at the control unit or transponder.
Each system abnormal condition specified in Table below was tested for each data communication
link at the
control unit or transponder.
Where a data communication link serves devices on more than one floor area, an imposed wire-to-
wire short circuit fault within each floor area results in the receipt of a trouble and alarm
condition from another floor area.
Each conductor in a data communication link, Class A (DCLA) tested for the capability of providing
an alarm signal on each side of a single open circuit fault condition.
Tests for alarm and trouble received under a single ground fault condition conducted on each
conductor of that data communication link independently.
SYSTEM STYLESYSTEM ABNORMAL CONDITION
Wire-to-Wire Short Circuit Fault T S
Single Open Circuit FaultSingle Ground Fault S
Class A Class RS
Nodes Page 12
Annunciator or remote trouble signal unit location:
Annunciator or remote trouble signal unit identification:
A Yes No N/A
B Yes No N/A
C Yes No N/A
D Yes No N/A
E Yes No N/A
F Yes No N/A
G Yes No N/A
H Yes No N/A
I Yes No N/A
J Yes No N/A
K Yes No N/A
L Yes No N/A
M Yes No N/A
N Yes No N/A
Annunciator or sequential display location:
Annunciator or sequential display identification:
A Yes No N/A
Yes No N/A
Yes No N/A
Yes No N/A
C Yes No N/A
D Yes No N/A
E Yes No N/A
F Yes No N/A
G Yes No N/A
H Yes No N/A
I Yes No N/A
J Yes No N/A
K Yes No N/A
B
ANNUNCIATOR & REMOTE TROUBLE SIGNAL UNIT TEST & INSPECTION
Displays are visible in installed location.
Operates on emergency power.
Ancillary functions visual indicators operate.
Power 'ON' indicator operates.
Manual activation of alarm signal and indication operates.
NORTH ENTRANCE
Visual indicator test (lamp test) operates.
Input wiring from control unit or transponder is supervised.
Individual alarm and supervisory zone indication operates.
Exception: Operation of each individual alarm and supervisory zone indication gives the identical
indication, or lights the identical indicators at the other annunciator(s) and sequential display(s).
Specify Method of confirmation: ONE ALARM PER ZONE
Multi-line sequential display operates as per 'ANNUNCIATORS or SEQUENTIAL
DISPLAYS', where utilized.
Alarm signal silence visual indicator operates.
ANNUNCIATORS OR SEQUENTIAL DISPLAYS
Switches for ancillary functions operate as per design and specification.
Visual indicators comply with Table 3 - visual indicators colour code
MAIN ANNUNCIATOR
Individual alarm, and supervisory input zones clearly indicated and separately
designated.
Individual alarm, and supervisory input zone designation labels are properly identified.
Common trouble signal operates.
NORTH ENTRANCE
Displays are visible in installed location.
Common trouble signal operates.
Visual indicator test (lamp test) operates.
Input wiring from control unit or transponder is supervised.
Alarm signal silence visual indicator operates.
Individual alarm and supervisory zone designation labels are properly identified.
Minimum of one alarm zone and one supervisory zoned tested per annunciator or sequential
display to confirm operation.
Power 'ON' indicator operates.
Switches for ancillary functions operate as per design and specification.
Ancillary function visual indicators operate.
Manual activation of alarm signal and indication operates.
General Page 13
Remote Trouble Signal Unit Location:
Remote Trouble Signal Unit Identification:
A Yes No N/A
B Yes No N/A
C Yes No N/A
D Yes No N/A
Printer Location:
Printer Identification:
A Yes No N/A
B Yes No N/A
C Yes No N/A
A Yes No N/A
B Yes No N/A
C Yes No N/A
D Yes No N/A
E Yes No N/A
F Yes No N/A
A
B
C
D
E Yes No N/A
F Yes No N/A
G Yes No N/A
H Yes No N/A
I Yes No N/A
J Yes No N/A
Replaceable over-current devices are of correct rating on circuits using fire alarm system power.
Wire type and gauge at all termination points is in accordance with equipment
manufacturer's installation wiring requirements.
An active field device or supporting device results in a trouble signal when the device is
removed from the circuit.Refer to Device Record pages
If using a field verifying device, upon completion of circuit testing, one field device (in each circuit
with contact devices) shall be tested for annunciation at the control unit.
Each Class A circuit, serving conventional field devices, have been tested for the capability of
providing an alarm signal on each side of an open circuit fault connection at an electrically
remote point in the circuit.
Correct field termination and wiring size
DOCUMENTATION
Each circuit has been tested at the electrically furthest field device for ground fault indication at
the control unit. This ground fault does not result in a normal to off-normal status change
indication on the circuit tested.
For circuits using fire alarm system power, tested the field device at the electrically furthest point
from the power source (in every circuit) receives rated operating power as per rated
characteristics in accordance with manufacturer's specification.
Correct circuit polarities Refer to Device Record pages
A conventional device tested and inspected for an open circuit fault results in a trouble signal Refer to Device Record pages
Refer to Device Record pages
FIELD DEVICE AND RELATED CIRCUITS - TEST AND INSPECTION
Description of the function of each operating control and indicator on the control unit
Instructions for silencing the trouble signal and action to be taken when the trouble
signals sound
Instruction for resetting the system and silencing alarm signals
Description of the area or fire zone protected by each detection circuit (ex: zone list or
plan drawing)
Description of alarm signal operation.
Description of ancillary equipment controlled by the fire alarm system
Rated voltage is present.
Operates as per design and specification.
Zone of each alarm initiating device is correctly printed.
Audible trouble signal operates.
Audible trouble signal silence operates.
Visual trouble signal operates.
Input wiring from control unit or transponder is supervised.
PRINTER TEST
REMOTE TROUBLE SIGNAL UNIT TEST AND INSPECTION
General Page 14
Yes No
Yes No
B Yes No N/A
C Yes No N/A
Yes No
Yes No
Yes No N/A
Yes No N/A
Yes No N/A
Yes No N/A
1 Yes No
2 Yes No
3 Yes No
4 Yes No
5 Yes No
DOOR HOLD OPEN DEVICES VIA RELAY IN PANEL - RELAY OPERATION ONLY -
-
-
-
F
Ancillary circuits operated within 10 seconds from the activation of an alarm contact
device.
Ancillary circuits operated within 30 seconds from a subsequent activation of an alarm
contact device.
ANCILLARY DEVICE CIRCUIT TEST
Record Specific Type of Ancillary Circuit Operation Confirmed
D
Required annunciation operated within 10 seconds from the activation of an alarm
contact device.-
Required annunciation operated within 10 seconds from a subsequent activation of an
alarm contact device.-
-
E
Required central alarm and control facility operated within 10 seconds from the
activation of an alarm contact device.
Required central alarm and control facility operated within 10 seconds from a
subsequent activation of an alarm contact device.
Audible signal devices and visual signal devices operate within 10 seconds from the
activation of an alarm contact device.-
Audible signal devices and visual signal devices operate within 10 seconds from a
subsequent activation of an alarm contact device.-
Releasing device start of sequence operate within 10 seconds from the activation of an
alarm contact device.
Remote connection (fire signal receiving centre) operate within 10 seconds from the
activation of an alarm contact device.
REQUIRED SYSTEM RESPONSE TIMES
A
General Page 15
BATTERY SUMMARY
BUILDING NAME:DATE:
DGP/Transponder Location/No: Date / Date Code:
AC Breaker Location/No: Size:
0.40 AMPS 1.23 AMPS
Lead Acid
Gel Cell
Nickel Cad
DGP/Transponder Location/No: Date / Date Code:
AC Breaker Location/No: Size:
AMPS AMPS
Lead AcidGel Cell
Nickel Cad
DGP/Transponder Location/No: Date / Date Code:
AC Breaker Location/No: Size:
AMPS AMPS
Lead AcidGel Cell
Nickel Cad
DGP/Transponder Location/No: Date / Date Code:
AC Breaker Location/No: Size:
AMPS AMPS
Lead AcidGel Cell
Nickel Cad
DGP/Transponder Location/No: Date / Date Code:
AC Breaker Location/No: Size:
AMPS AMPS
Lead Acid
Gel Cell
Nickel Cad
Amp Hour
0.00 AH
AMPS
CHARGING CURRENT BATTERY TYPE
MIN. REQUIRED SIZEVDC
AC POWER OFF FULL LOAD TEST
LEFT
BATTERY
AC POWER ON
VDC
VDC
VDC
VDC
RIGHT
BATTERYVDC
BATTERY TYPE
RIGHT
BATTERYVDC
VDC
Amp Hour
BATTERY TYPE
Amp Hour
AC POWER ON AC POWER OFF FULL LOAD TEST
VDC VDCRIGHT
BATTERY
VDCLEFT
BATTERYVDC
MIN. REQUIRED SIZE
CHARGING CURRENT
AH
AC POWER OFF FULL LOAD TEST CHARGING CURRENT
VDC 0.00
VDCVDCMIN. REQUIRED SIZE
AMPS
12.98 12.45VDC
LEFT
BATTERY13.45 VDC
LEFT
BATTERYVDC
RIGHT
BATTERY13.45 VDC
AC POWER OFF FULL LOAD TEST
AC POWER ON
12.98 VDC 12.45 VDC
VDC
AMPS
September 8, 2016
12.06 AH
AMPS
12V18A
9/8/2016
MIN. REQUIRED SIZE
SOUTH MAIN ENTRANCE
OFFICE CLOSET BRKR#26
CHARGING CURRENT BATTERY TYPE
18.00
AC POWER ON
Amp Hour1.67
AHVDC VDC
AC POWER ON AC POWER OFF FULL LOAD TEST
LEFT
BATTERYVDC
LULLABOO CHILDCARE
MIN. REQUIRED SIZEVDC VDC
0.00
CHARGING CURRENT BATTERY TYPE
AH
AMPS Amp Hour
VDC 0.00RIGHT
BATTERYVDC VDC
Battery Summary Page 16
SIGNALLIING SOUND LEVEL MEASUREMENT
BUILDING NAME: LULLABOO CHILDCAREDATE: September 8, 2016
Location
Ambient
(dBA)
Alarm Signal
(dBA) Remarks
2ND FLOOR
2ND FL - CLASSROOM W.CNTR 43.5 72.6
2ND FL - CLASSROOM N.W 42.3 73.6
2ND FL - CLASSROOM S.W 42.3 74.7
2ND FL - CLASSROOM N.E 44.5 73.6
2ND FL - CLASSROOM S.E 43.5 72.6
2ND FL - CORRIDOR SOUTH 45.8 74.3
2ND FL - CORRIDOR CENTER 46.7 73.6
2ND FL - ELEVATOR LOBBY 45.8 74.7
2ND FL - CORRIDOR NORTH 46.7 74.3
1ST FLOOR
1ST FL - CORRIDOR SOUTH 45.8 74.7
1ST FL - CORRIDOR CENTER 46.7 74.7
1ST FL - ELEVATOR LOBBY 45.8 73.6
1ST FL - CORRIDOR NORTH 45.8 74.3
1ST FL - CLASSROOM S.W 43.5 72.6
1ST FL - CLASSROOM N.W 43.5 74.7
1ST FL - CLASSROOM N.W SLEEP AREA 44.5 73.6
1ST FL - CLASSROOM N.CNTR 42.3 74.3
1ST FL - CLASSROOM N.CNTR SLEEP AREA 43.5 72.6
1ST FL - CLASSROOM E.CNTR 42.3 74.7
1ST FL - CLASSROOM S.E 43.5 72.6
BASEMENT
BSMNT - CORRIDOR SOUTH 46.7 74.7
BSMNT - ELEVATOR LOBBY 45.8 73.6
BSMNT - CORRIDOR NORTH 46.7 74.7
BSMNT - MAIIN ELECTRICAL ROOM 44.5 74.3
BSMNT - CLASSROOM S.W 43.5 74.3
BSMNT - STAFF KITCHEN 42.3 73.6
BSMNT - STAFF MEETING ROOM 42.3 72.6
BSMNT - CLASSROOM N.E 43.5 72.6
BSMNT - CLASSROOM S.E 43.5 72.6
Sound Level Page 17