NFPA 72 Fire Alarm Inspection Report — Fire Werks Portal

NFPA 72 Inspection Report

Fire Alarm System Inspection & Test Record · Per Chapter 14

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Fire Werks · LTD

8 May St · Colorado Springs, CO 80906

License #FA-XXXXX · NICET Certified

NFPA 72

Fire Alarm Inspection & Test Report

Per NFPA 72 Chapter 14 — ITM Requirements

Report No.:
Inspection Date:
Next Inspection Due:
Inspection Type:
1 · Facility Information
Facility / Installation Name
Building No. / Name
Contract / Work Order No.
Street Address
City
State
ZIP
2 · System Information
System Type
Panel Make
Panel Model
Panel Serial #
Software / Firmware Version
Annunciator Make
Annunciator Model
3 · Inspection Scope — Components Tested
Visual Inspection
Functional Test
Battery / Standby Power
Monitoring Transmission
Smoke Detectors
Heat Detectors
Manual Pull Stations
Horns / Strobes / NAC
Sprinkler Flow Switches
Tamper Switches
Duct Smoke Detectors
CO / CO₂ Detectors
4 · Device Count Summary
Total Devices in System
Devices Tested This Visit
Devices Passed
Devices Failed
5 · Device Test Log
Location / ZoneDevice TypeQtyQty TestedResultNotes / Deficiency
6 · Battery / Standby Power
Battery Make
Model
Amp-Hour Rating
Install / Replace Date
Battery Test Result
7 · Monitoring / Supervising Station
Monitoring Company
Phone
Account No.
8 · Deficiencies & Corrective Action
Deficiencies Found?
Overall System Result
9 · Technician & Inspector Information
Technician Name
NICET / Cert. No.
State License No.
Supervisor / AHJ Contact
10 · Additional Notes
11 · Signatures & Certification

Technician Signature

Printed Name
Date

I certify this inspection was performed per NFPA 72 requirements.

Owner / Facility Representative Signature

Printed Name
Title
Date
System Pass

Fire Werks LTD · 8 May St, Colorado Springs, CO 80906 · firewerks.biz

NFPA 72 — National Fire Alarm & Signaling Code · Chapter 14 ITM

Report No: ___________