Formato de inspeccion

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nfpa 72 Ingles
FIRE ALARM and Emergency communication system inspection and testing form
To be completed by the system inspector or tester at the time of the inspection or test.
It shall be permitted to modify this form as needed to provide a more complete and/or clear record.
Insert N/A in all unused lines.
Attach additional sheets, data, or calculations as necessary to provide a completerecord.

|Date of this inspection or test: |      |Time of inspection or test: |      |

1. Property Information

|Name of property: |      |
|Address: |     |
|Description of property: |      |
|Occupancy type: |      |
|Name of property representative: |     |
|Address: |      |
|Phone: |      |Fax: |      |E-mail: |      |
|Authority havingjurisdiction over this property: |      |
|Phone: |      |Fax: |      |E-mail: |      |

2. Installation, Service, and Testing contractor Information

|Service and/or testing organization for this equipment: |     |
|Address: |      |
|Phone: |      |Fax: |      |E-mail: |      |
|Service technician or tester: |     |
|Qualifications of technician or tester: |      |
|A contract for test and inspection in accordance with NFPA standards is in effect as of: |      |
|The contract expires:|      |Contract number: |      |Frequency of tests and inspections: |      |
|Monitoring organization for this equipment: |      |
|Address: |      ||Phone: |      |Fax: |      |E-mail: |      |
|Entity to which alarms are retransmitted: |      |Phone: |      |

3. Type of System or Service

| Fire alarm system (nonvoice)|
| Fire alarm with in-building fire emergency voice alarm communication system (EVACS) |
| Mass notification system (MNS) |
| Combination system, with the following components:...
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