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Sprinkler Drop Test Form |
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Manual: Life Safety and Interim Life Safety Management Manual (Ver 4) External Reference: (JCAHO EC.5.10, EC.5.40)
MCN’s customizable template, Sprinkler Drop Test Form, is taken from our Life Safety and Interim Life Safety Management Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals. MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch. Here is some sample content from Sprinkler Drop Test Form:
| | SPRINKLER DROP TEST
Date:
Quarter:
Tested By:
Zone
OSY Location
PM Visual Inspection Completed By
Locked Open
Tamper Switch
Fire Doors Closed
Pressure Open
Pressure During Test
Pressure After Test
Lapse Time To Activate Alarm
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
Yes ... |
| Second excerpt: |
| | ... No
Yes No
Yes No
Yes No
Yes No
Note: All tamper switches and waterflow devices are tested at least semiannually.
All No Answers must Be Addressed under Remarks.
Remarks:
Reference #1037 Life... |
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Back to Life Safety and Interim Life Safety Management Manual (Ver 4) |
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