Nfpa Completion Record Template

Nfpa Completion Record Template

The Nfpa Completion Record form is a crucial document used to verify the installation and operational status of fire alarm systems. This form captures essential details about the protected property, the system's specifications, and the compliance with relevant standards. Properly completing this form ensures that all safety measures are documented and can be easily referenced in the future.

To ensure your fire alarm system is compliant, fill out the Nfpa Completion Record form by clicking the button below.

Table of Contents

The NFPA Completion Record form serves as a critical document in the installation and operation of fire alarm systems, ensuring compliance with established safety standards. This comprehensive form captures essential information about the protected property, including its name, address, and contact details for the representative and the authority having jurisdiction. It also outlines the specifics of the fire alarm system, detailing the types of systems installed, their operational features, and the relevant National Fire Protection Association (NFPA) standards adhered to during installation. Key sections of the form include records of system installation, operation, and the various signaling circuits and devices incorporated within the system. Additionally, it provides a framework for documenting the testing and inspection processes, ensuring that all components function correctly and meet regulatory requirements. The form also highlights the importance of maintaining accurate records of software revisions, alarm transmission methods, and any deviations from NFPA standards. By systematically organizing this information, the NFPA Completion Record form plays a vital role in enhancing fire safety and accountability within the realm of fire alarm systems.

Nfpa Completion Record Sample

FUNDAMENTALS OF FIRE ALARM SYSTEMS

72–31

FIRE ALARM SYSTEM

RECORD OF COMPLETION

Name of protected property:

Address:

Representative of protected property (name/phone):

Authority having jurisdiction:

Address/telephone number:

 

 

 

 

Organization name/phone

Representative name/phone

Installer

 

 

 

 

 

 

 

 

Supplier

 

 

 

 

 

 

 

 

Service organization

 

 

 

 

 

 

 

 

Location of record (as-built) drawings:

 

 

 

Location of operation and maintenance manuals:

 

 

Location of test reports:

 

 

 

 

 

 

 

A contract for test and inspection in accordance with NFPA standard(s)

 

 

Contract No(s):

 

 

 

Effective date:

 

Expiration date:

 

System Software

(a)Operating system (executive) software revision level(s):

(b)Site-specific software revision date:

(c)Revision completed by:

(name)

(firm)

1. Type(s) of System or Service

NFPA 72, Chapter 6 — Local

If alarm is transmitted to location(s) off premises, list where received:

NFPA 72, Chapter 8 — Remote Station

Telephone numbers of the organization receiving alarm:

Alarm:

Supervisory:

Trouble:

If alarms are retransmitted to public fire service communications centers or others, indicate location and telephone numbers of the organization receiving alarm:

Indicate how alarm is retransmitted:

NFPA 72, Chapter 8 — Proprietary

Telephone numbers of the organization receiving alarm:

Alarm:

Supervisory:

Trouble:

If alarms are retransmitted to public fire service communications centers or others, indicate location and telephone numbers of the organization receiving alarm:

Indicate how alarm is retransmitted:

NFPA 72, Chapter 8 — Central Station

Prime contractor:

Central station location:

(NFPA 72, 1 of 4)

FIGURE 4.5.2.1 Record of Completion.

2002 Edition

72–32

NATIONAL FIRE ALARM CODE

Means of transmission of signals from the protected premises to the central station:

McCulloh

 

Multiplex

 

One-way radio

Digital alarm communicator

 

Two-way radio

 

Others

Means of transmission of alarms to the public fire service communications center:

(a)

(b)

System location:

NFPA 72, Chapter 9 — Auxillary

Indicate type of connection:

 

Local energy

 

Shunt

 

Parallel telephone

Location of telephone number for receipt of signals:

2. Record of System Installation

(Fill out after installation is complete and wiring is checked for opens, shorts, ground faults, and improper branching, but prior to conducting operational acceptance tests.)

This system has been installed in accordance with the NFPA standards as shown below, was inspected by

 

 

 

 

 

 

on

 

 

 

 

, includes the devices shown

in 5 and 6, and has been in service since

 

 

.

 

 

 

 

NFPA 72, Chapters 1 2 3 4 5 6 7 8 9

10 11 (circle all that apply)

 

NFPA 70, National Electrical Code, Article 760

 

 

 

 

 

 

Manufacturer’s instructions

 

 

 

 

 

 

Other (specify):

 

 

 

 

 

 

Signed:

 

 

 

Date:

 

Organization:

 

 

 

 

 

 

3. Record of System Operation

Documentation in accordance with Inspection Testing Form, Figure 10.6.2.3, is attached

 

 

.

 

All operational features and functions of this system were tested by

 

 

 

 

date

 

 

and found to be operating properly in accordance with the requirements of:

 

 

 

 

 

NFPA 72, Chapters 1 2 3 4 5 6 7 8 9 10 11

(circle all that apply)

 

 

 

 

 

NFPA 70, National Electrical Code, Article 760

 

 

 

 

 

 

 

 

 

Manufacturer’s instructions

 

 

 

 

 

 

 

 

 

Other (specify):

 

 

 

 

 

 

 

 

 

Signed:

 

 

Date:

 

 

 

 

 

Organization:

 

 

 

 

 

 

 

 

 

4. Signaling Line Circuits

Quantity and class of signaling line circuits connected to system (see NFPA 72, Table 6.6.1):

Quantity:

 

Style:

 

Class:

(NFPA 72, 2 of 4)

FIGURE 4.5.2.1 Continued

2002 Edition

FUNDAMENTALS OF FIRE ALARM SYSTEMS

72–33

5. Alarm-Initiating Devices and Circuits

Quantity and class of initiating device circuits (see NFPA 72, Table 6.5):

 

 

 

 

 

 

 

Quantity:

 

 

Style:

 

 

 

 

 

 

 

 

 

Class:

 

 

 

 

 

 

 

 

MANUAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a) Manual stations

Noncoded

 

 

 

 

Transmitters

 

 

 

 

 

Coded

 

 

 

Addressable

(b) Combination manual fire alarm and guard’s tour coded stations

 

 

 

 

 

 

 

AUTOMATIC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Coverage: Complete

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partial

 

 

 

 

 

 

 

 

 

Selective

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nonrequired

 

 

 

 

 

 

 

 

(a) Smoke detectors

 

 

 

Ion

 

 

 

Photo

 

Addressable

 

 

 

 

 

 

 

 

(b) Duct detectors

 

 

 

Ion

 

 

 

Photo

 

Addressable

 

 

 

 

 

 

 

 

(c) Heat detectors

 

 

 

FT

 

 

 

RR

 

FT/RR

 

RC

 

 

Addressable

 

(d) Sprinkler waterflow indicators: Transmitters

 

 

Noncoded

 

 

Coded

 

 

Addressable

 

 

(e) The alarm verification feature is disabled

 

 

or enabled

 

, changed from

 

seconds to

 

seconds.

(f) Other (list):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Supervisory Signal-Initiating Devices and Circuits (use blanks to indicate quantity of devices)

GUARD’S TOUR

(a)Coded stations

(b)Noncoded stations

(c) Compulsory guard’s tour system comprised oftransmitter stations and intermediate stations

Note: Combination devices are recorded under 5(b), Manual, and 6(a), Guard’s Tour.

SPRINKLER SYSTEM

Check if provided

(a)Valve supervisory switches

(b)Building temperature points

(c)Site water temperature points

(d)Site water supply level points

Electric fire pump:

(e)Fire pump power

(f)Fire pump running

(g)Phase reversal

Engine-driven fire pump:

(h)Selector in auto position

(i)Engine or control panel trouble

(j)Fire pump running

ENGINE-DRIVEN GENERATOR:

(a)Selector in auto position

(b)Control panel trouble

(c)Transfer switches

(d)Engine running

Other supervisory function(s) (specify):

(NFPA 72, 3 of 4)

FIGURE 4.5.2.1 Continued

2002 Edition

72–34NATIONAL FIRE ALARM CODE

7. Annunciator(s)

Number:Type:Location:

8. Alarm Notification Appliances and Circuits

NFPA 72, Chapter 6 — Emergency Voice/Alarm Service

 

 

 

 

 

Quantity of voice/alarm channels:

 

Single:

 

 

Multiple:

 

Quantity of speakers installed:

 

Quantity of speaker zones:

 

 

 

Quantity of telephones or telephone jacks included in system:

Quantity and the class of notification appliance circuits connected to system (see NFPA 72, Table 6.7):

Quantity:

 

Style:

 

Class:

Types and quantities of notification appliances installed:

(a) Bells

 

With Visible

(b) Speakers

 

With Visible

(c) Horns

 

With Visible

(d) Chimes

 

With Visible

(e) Other:

 

With Visible

(f)Visible appliances without audible:

9.System Power Supplies

(a) Fire Alarm Control Panel:

Nominal voltage:

 

 

Current rating:

 

Overcurrent protection:

Type:

 

 

 

Current rating:

 

 

 

Location:

 

 

 

 

(b) Secondary (standby):

 

 

 

 

 

 

 

 

Storage battery:

 

Amp-hour rating:

 

 

 

 

Calculated capacity to drive system, in hours:

 

 

 

 

 

Engine-driven generator dedicated to fire alarm system:

Location of fuel storage:

(c)Emergency system used as backup to primary power supply: Emergency system described in NFPA 70, Article 700:

10. Comments

Frequency of routine tests and inspections, if other than in accordance with the referenced NFPA standard(s):

System deviations from the referenced NFPA standard(s) are:

(signed) for installation contractor/supplier

(title)

(date)

 

 

 

(signed) for alarm service company

(title)

(date)

 

 

 

(signed) for central station

(title)

(date)

Upon completion of the system(s) satisfactory test(s) witnessed (if required by the authority having jurisdiction):

(signed) representative of the authority having jurisdiction

(title)

(date)

(NFPA 72, 4 of 4)

FIGURE 4.5.2.1 Continued

2002 Edition

Document Attributes

Fact Name Description
Purpose The NFPA Completion Record form documents the installation and testing of fire alarm systems.
Protected Property It requires the name and address of the property being protected by the fire alarm system.
Authority Having Jurisdiction The form includes contact information for the authority responsible for fire safety oversight.
System Types Different types of fire alarm systems, such as local, remote station, and proprietary, are specified in the form.
Installation Record It must be filled out after installation, confirming compliance with NFPA standards.
Operational Testing Documentation of operational tests and results must be attached to the form.
Signaling Circuits The form requires details on the quantity and class of signaling line circuits connected to the system.
Alarm Devices It includes sections for documenting alarm-initiating devices and supervisory signal devices.
Power Supply Information about power supplies for the fire alarm system, including backup options, is required.
State-Specific Laws Local regulations may govern the use of the form; check state laws for compliance requirements.

Nfpa Completion Record: Usage Instruction

Completing the NFPA Completion Record form is a critical step in ensuring that fire alarm systems meet safety standards. This process requires careful attention to detail, as accurate information is essential for compliance and future reference. Follow these steps to fill out the form correctly.

  1. Property Information: Fill in the name and address of the protected property. Include the representative's name and phone number.
  2. Authority Information: Enter the name and address of the authority having jurisdiction, along with their telephone number.
  3. Organization Details: Provide the organization name, installer, supplier, and service organization. Include relevant contact information.
  4. Record Locations: Indicate where the as-built drawings, operation and maintenance manuals, and test reports are located.
  5. Contract Information: List the contract number(s), effective date, and expiration date for testing and inspection.
  6. System Software: Document the operating system software revision levels and site-specific software revision date, along with the name and firm of the person who completed the revision.
  7. System Type: Specify the type(s) of system or service and provide the necessary contact information for alarm transmission.
  8. System Installation Record: Confirm that the system was installed per NFPA standards, and fill in the inspection details, including the date and organization.
  9. System Operation Documentation: Attach any relevant documentation and confirm that all operational features were tested and functioned properly.
  10. Signaling Line Circuits: Indicate the quantity and class of signaling line circuits connected to the system.
  11. Alarm-Initiating Devices: Fill in the quantity and class of initiating device circuits, including manual and automatic devices.
  12. Supervisory Devices: Document the quantity of supervisory signal-initiating devices and any relevant details about the sprinkler system.
  13. Annunciators: Note the number, type, and location of any annunciators.
  14. Alarm Notification Appliances: Record the quantity and class of notification appliance circuits and types of notification appliances installed.
  15. System Power Supplies: Provide details about the fire alarm control panel, secondary power supply, and any emergency backup systems.
  16. Comments: Include any comments regarding routine tests, inspections, or deviations from NFPA standards. Ensure all necessary signatures are collected.

After completing the form, ensure that all sections are filled out accurately. Review the information for completeness and clarity. This form will serve as a vital record for compliance and future inspections. Make copies as necessary for your records and submit it to the appropriate authority.

Frequently Asked Questions

  1. What is the purpose of the NFPA Completion Record form?

    The NFPA Completion Record form is used to document the installation and operational testing of fire alarm systems. It ensures that the system meets the standards set by the National Fire Protection Association (NFPA). This record serves as proof that the fire alarm system has been installed correctly and has undergone necessary inspections and tests.

  2. Who is responsible for filling out the NFPA Completion Record form?

    The form should be completed by the installer or contractor responsible for the fire alarm system. This includes documenting the installation details, inspection results, and operational testing. Additionally, representatives from the property and the authority having jurisdiction may also need to sign the form to confirm that the system meets all applicable standards.

  3. What information is required on the NFPA Completion Record form?

    The form requires various details, including:

    • Name and address of the protected property
    • Contact information for the property representative
    • Details about the authority having jurisdiction
    • Information about the installation organization and service providers
    • Documentation of system installation, testing, and operational results
    • Details about alarm devices and circuits

    This comprehensive information ensures that all aspects of the fire alarm system are accounted for and compliant with NFPA standards.

  4. How does the NFPA Completion Record form relate to fire safety compliance?

    The completion record is a critical component of fire safety compliance. It verifies that the fire alarm system has been installed and tested according to NFPA standards. This documentation is often required by local authorities and insurance companies to ensure that the property meets safety regulations. Failure to complete and maintain this record may result in penalties or increased risk during emergencies.

  5. What happens if a fire alarm system does not meet the NFPA standards?

    If a fire alarm system does not meet NFPA standards, it may not be approved by the authority having jurisdiction. This could lead to the system being deemed non-compliant, which may result in fines, mandatory corrections, or even the inability to use the system until it meets the required standards. Regular inspections and proper documentation are essential to avoid such issues.

  6. Can the NFPA Completion Record form be modified?

    While the NFPA Completion Record form should generally follow the established format to ensure compliance, specific details can be adjusted to fit the unique aspects of a particular installation. However, any modifications should still adhere to NFPA guidelines and should not compromise the integrity of the documentation. It is advisable to consult with the authority having jurisdiction before making any changes.

Common mistakes

Filling out the NFPA Completion Record form is crucial for ensuring compliance with fire safety standards. However, many individuals make common mistakes that can lead to complications. One significant error is failing to provide complete contact information for the representative of the protected property. This includes not only the name but also the phone number. Incomplete information can delay communication in emergencies or inspections.

Another frequent mistake is neglecting to specify the authority having jurisdiction. This detail is vital as it identifies the regulatory body overseeing the fire alarm system. Without this information, the form may lack credibility and might not be accepted by the relevant authorities.

People often overlook the contract details for testing and inspection. Specifically, the effective and expiration dates are critical. Missing these dates can create confusion regarding the validity of the contract, potentially jeopardizing the system's compliance status.

Some individuals also forget to document the system installation details accurately. After installation, it is essential to check for any wiring issues and confirm that the system was installed according to NFPA standards. Failing to do so can lead to operational failures during emergencies.

Moreover, not attaching the required documentation for system operation is a common oversight. This includes the Inspection Testing Form, which verifies that all operational features were tested. Without this documentation, the system's operational integrity may be questioned.

Another mistake is inaccurate reporting of the quantity and class of signaling line circuits. This information is essential for understanding the system's capabilities. Errors in this section can lead to misinterpretation of the system's functionality and reliability.

Lastly, failing to sign and date the form is a critical error. The signatures validate the information provided and confirm that all parties involved agree with the details. Without signatures, the form may be considered incomplete and invalid.

Documents used along the form

The NFPA Completion Record form is a critical document in the fire alarm system installation and inspection process. Alongside this form, several other documents are commonly used to ensure compliance with safety standards and regulations. Below is a list of these documents, each accompanied by a brief description.

  • Inspection Report: This document details the findings of a thorough inspection of the fire alarm system. It includes notes on any deficiencies or areas requiring attention.
  • Test Report: This report outlines the results of various tests conducted on the fire alarm system. It confirms that the system operates as intended and meets all relevant standards.
  • Maintenance Log: This log records all maintenance activities performed on the fire alarm system. It helps track the system's upkeep and ensures that all maintenance tasks are completed on schedule.
  • Installation Checklist: This checklist serves as a guide during the installation process. It ensures that all necessary steps are followed and that the installation meets required codes.
  • Manufacturer's Instructions: These documents provide specific guidelines from the manufacturer regarding the installation, operation, and maintenance of the fire alarm system.
  • Service Agreement: This agreement outlines the terms of service between the property owner and the service provider. It includes details about inspections, maintenance, and emergency response.
  • Training Records: These records document any training provided to staff on the operation of the fire alarm system. They ensure that personnel are prepared to respond effectively in case of an emergency.
  • Compliance Certificate: This certificate verifies that the fire alarm system complies with all applicable local, state, and national codes. It may be required for insurance or regulatory purposes.

Utilizing these documents in conjunction with the NFPA Completion Record form is essential for maintaining safety standards in fire alarm systems. Each document plays a vital role in ensuring that the system is installed, tested, and maintained correctly.

Similar forms

The NFPA Completion Record form is an essential document in the realm of fire alarm systems, but it's not the only one out there. Here are four other documents that share similarities with it, each serving a crucial role in ensuring safety and compliance:

  • Inspection Report: Like the NFPA Completion Record, an Inspection Report details the findings from a thorough examination of a fire alarm system. It outlines any deficiencies or concerns, ensuring that the system meets safety standards before it goes live.
  • Test Report: This document records the results of operational tests conducted on the fire alarm system. Similar to the NFPA form, it verifies that all components function correctly, providing peace of mind that the system will perform as intended in an emergency.
  • Maintenance Log: A Maintenance Log tracks routine upkeep and repairs performed on the fire alarm system. Just as the NFPA Completion Record captures installation details, the Maintenance Log chronicles ongoing service, ensuring that the system remains in optimal working condition.
  • Installation Certificate: This certificate confirms that a fire alarm system has been installed according to applicable codes and standards. Much like the NFPA Completion Record, it serves as proof that the installation was completed properly and meets regulatory requirements.

Dos and Don'ts

When filling out the NFPA Completion Record form, it is essential to follow certain guidelines to ensure accuracy and compliance. Here are six important do's and don'ts:

  • Do: Provide complete and accurate information for all required fields, including property name and address.
  • Do: Ensure all signatures are obtained from the appropriate parties before submission.
  • Do: Double-check the dates for contract effectiveness and expiration to avoid any discrepancies.
  • Do: Clearly indicate the type of system installed and any relevant codes or standards that apply.
  • Don't: Leave any sections blank; incomplete forms may lead to delays or rejections.
  • Don't: Use abbreviations or shorthand that may confuse the reader; clarity is crucial.

Misconceptions

Here are seven common misconceptions about the NFPA Completion Record form:

  • Only professionals can fill it out. Many property owners can complete the form with guidance. It is designed to be user-friendly.
  • It’s only needed for new installations. This form is also essential for modifications or upgrades to existing fire alarm systems.
  • Filling it out is optional. In fact, completing this form is often a requirement to ensure compliance with safety regulations.
  • All sections must be filled out. While it is important to provide as much information as possible, some sections may not apply to every system.
  • It’s just a formality. The information collected is crucial for safety inspections and ensuring that the fire alarm system operates effectively.
  • Once submitted, it cannot be changed. Corrections can be made if necessary, especially if errors are discovered after submission.
  • It doesn’t need to be updated. The form should be reviewed and updated whenever there are changes to the system or its components.

Key takeaways

When filling out and using the NFPA Completion Record form, it is essential to adhere to specific guidelines to ensure accuracy and compliance. Here are key takeaways to consider:

  • Complete all required fields: Ensure that every section of the form is filled out completely, including the name of the protected property, contact information, and details about the installation.
  • Document system installation: Record the installation details only after confirming that wiring is checked for issues such as opens, shorts, and ground faults.
  • Signatures are crucial: Obtain signatures from relevant parties, including the installation contractor and the authority having jurisdiction, to validate the completion of the form.
  • Include operational testing results: Attach documentation that verifies all operational features and functions of the fire alarm system were tested and found to be working correctly.
  • Specify alarm transmission methods: Clearly indicate how alarms are transmitted from the protected premises to the central station and public fire service communications centers.
  • Utilize correct NFPA references: Reference the appropriate NFPA standards and chapters that apply to the system during the completion of the form.
  • Keep a copy for records: Retain a copy of the completed NFPA Completion Record form for future reference and compliance verification.