Inspection Checklist
This checklist is made available for informational purposes only in support of the
insurance relationship between FM Global and its clients. This information does
not change or supplement policy terms or conditions. The liability of FM Global
is limited to that contained in its insurance policies.
Fire Protection Inspection Checklist
Minimum Valve Supervision Intervals
Inspect Visually Try Physically Checklist
Outside Screw and Yoke and Carry the Fire Protection Inspection
once a week
Indicating Butterfly Valves Form (F264) (at right) and complete
Locked PIVs, Wall Post it while making an inspection, or use
once a week once a month
Indicators and Curb Boxes it as a guide to develop your own form.
Unlocked PIVs, Wall Post Submit the completed form to a
once a week supervisor who is responsible for
Indicators and Curb Boxes
reviewing conditions with the
Exceptions: valves that are more frequently than
mysteriously shut, damaged weekly; as often as needed
inspector. Correct any undesirable
or legitimately impaired to ensure protection conditions as soon as possible. Report
findings to the supervisor immediately,
even during the inspection.
The inspector: Prevention Data Sheet 2-81,
Fire Safety Inspections and Sprinkler
n Must be completely familiar with System Maintenance. Include: FM Global assistance
the facility and its hazards, layouts, n division valves that enable An FM Global engineer is available
operations and protection maintenance personnel to to answer any questions about the
n Should understand how the fire isolate parts of fire protection inspection. Contact your local
protection system works, where system piping without shutting FM Global office for assistance.
sprinkler control valves are down all protection
located, and what conditions n smaller valves on sprinkler
could make sprinklers inoperative piping that control separate Important FM Global resources
n Should eliminate potential systems, such as spray-booth n Controlling the Shut
ignition sources; check private sprinkler systems Valve Hazard (P7133)
water supplies, housekeeping n valves on pumps, tanks n Managing Fire Protection
and maintenance and reservoirs System Impairment (P9006).
n Managing Impairments
For additional copies of this publication or other P9116 Printed in USA (8/07)
FM Global resources, order online 24 hours a day, 2007 FM Global
seven days a week at www.fmglobalcatalog.com. All rights reserved.
www.fmglobal.com
Or, for personal assistance worldwide,
contact our U.S.-based customer services team: In the United Kingdom:
n Toll-free: (1)877 364 6726 (Canada and the United States) FM Insurance Company Limited
n Phone: +1 (1)401 477 7744 1 Windsor Dials, Windsor, Berkshire, SL4 1RS
n Fax: (1)401 477 7010 Regulated by the Financial Services Authority.
n E-mail: customerservices@fmglobal.com
Fire Protection Inspection Form
Account Number: Index Number:
No one form can be designed to fit all conditions. Use this sample as a basic guide in developing your own form. Items that
Sample do not apply can be omitted; other items can be expanded or added as desired. For assistance, consult the FM Global
Only engineer who visits your facility, and reference FM Global Data Sheet 2-81, Fire Protection System Inspection,
Testing and Maintenance and other Fire Loss Prevention Inspections.
Instructions Complete this form while inspecting fire protection. Send the completed form to your supervisor for necessary
to Inspector: action. The report should be held for review by the FM Global engineer who visits your facility.
Valve Inspections
Visually inspect all locked valves weekly and physically try them monthly as required.* Record both weekly and monthly
inspections.
*Physically try gate valves, including non-indicating and indicator-post-gate valves. FM Approved post-indicator-valve assemblies
(PIVAs), indicating-butterfly valves (IBVs) and standard outside-screw-and-yoke (OS&Y) valves do not have to be tried, but should be
checked visually at close range.
All inside and outside valves controlling sprinklers or fire protection water supplies are listed below. Check the condition of the valve.
Do not report a valve open unless you have personally inspected it.
Physically
Valve Location Area Controlled Open Shut Locked
Turned
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
The FM Global Red Tag Permit System is used to guard against delayed reopening of valves. The Red Tag Permit should be used every
time a sprinkler control valve is closed. When the valve is reopened, the 2-in. (51-mm) drain should be flowed wide-open to ensure there
is no obstruction in the piping. The valve then should be relocked.
Was the valve(s) reopened fully and a 2-in. (51-mm) drain test
Yes No
conducted before the valve(s) was relocked?
Comments:
Valve Room
No. 1 Min.: Measured: No. 2 Min.: Measured: No. 3 Min.: Measured: No. 4 Min.: Measured:
Properly
DRY-PIPE
VALVES
Pump room properly heated? Properly ventilated? Fire pump started on automatic?
( __ F/C min.) Temp. F/C Yes No Yes No
Full? Time to overflow tank: Heating system in use?
Tank Yes No
Yes No Mins.
or
Reservoir Temp. at cold water return (should be 42 F [6 C] min.): Circulation good?
Yes No
In good condition? Accessible?
Inside Hose
Yes No Yes No
Condition: Close properly? Obstructed? Blocked open?
Fire Doors
Yes No Yes No Yes No
Good? Combustible waste removed on schedule? How often?
Yes No Yes No
General Order
Neatness Presence of combustible dust, lint or oil deposits on ceilings, beams, machines? List areas needing attention, Including yard:
Yes No If yes, arrange for cleaning and investigate the source.
Safety cans used? Low-level vent fans on? Flammable liquid cabinets used? Grounding straps, self-closing faucets and
Flammable safety buns in use?
Liquid Yes No Yes No
Yes No Yes No
Locations where violations noted: Corrective action taken:
Smoking
Regulations
Permits issued for all hot work applications? Listed precautions taken?
Hot Work
Yes No Yes No
Well-arranged? Aisles clear? Clear of lamps, heaters (36 in. [91 cm] min.)?
Storage
Yes No Yes No Yes No
Other items:
Extinguishers
Yes No Yes No Yes No
Other items: