F version 1 – July 2014 orm 72—fire hydrant and sprinkler system periodic testing and maintenance




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F
Version 1 – July 2014
orm 72—fire hydrant and sprinkler system periodic testing and maintenance

This form is to be used for the purposes of maintenance to water based fire safety installations, as required by the Queensland Development Code – Mandatory Part (MP) 6.1, which is a building assessment provision under the Building Act 1975, section 30. This form is also to be used in accordance with the ‘Fire hydrant and sprinkler system commissioning and periodic maintenance procedure’, defined in MP 6.1 as the ‘Relevant procedure’. Please note that this form does not comprise all maintenance requirements—this form is only for collecting results for maintenance for some sections of the Australian Standards referred to and in each case, further testing is required.


Part A—Test details

Site name

     

Site address

     

Contractor

     

Test

details

Test date:      

Maintenance test: Annual 5 year

fire hydrant  

fire sprinkler  

combined  



Time:      

Part B—Hydrant hydrostatic test

PASS 

FAIL 

Refer to the required pressure specification for periodic testing (as applicable) as per AS2419.1 or AS1851.

Boost pressure

      kPa

Test pressure

      kPa

Duration of test

      mins

End of test pressure

      kPa

Loss (if any):

      L/min

Comments:      

Part C—Hydrant test equipment/pressure gauges

If using more devices, provide details in the Notes section below or complete another form. The correction factor must be kPa or a percentage.

Flow measuring device

Orifice 

Mechanical 

Electro magnetic 

Part C not required for orifice testing

Calibrated:     /     /     

Calibrated:     /     /     




Device/gauge 1

Device/gauge 2

Device/gauge 3

Device/gauge 4

Serial number

     

     

     

     

Date calibrated

     

     

     

     

Correction certificate

     

     

     

     

65/100/150 mm face

     

     

     

     

Digital reader

     

     

     

     

Increments (kPa)

     

     

     

     

Part D—Hydrant system flow test

PASS 

FAIL 

This part relates to tests under Section 4 of AS1851. If pressure/flow rates do not meet the fire system design criteria and there are no on-site problems, contact the relevant water service provider to ascertain if there are any problems with the water system network. In the table below, please record the pressure readings obtained during the hydrant system flow test.

Hydrant 1 location

     

Hydrant 3 location

     

Hydrant 2 location

     

Hydrant 4 location

     

System requirements

      L/s at

      kPa

Static pressure

      kPa

On-site pump set installed

Yes 

No 

Pressure zone number:

Size/flow rate

Device/gauge no. (Part C)

Hydrant 1 only

Hydrants 1 and 2

Hydrants 1, 2 and 3

Hydrants 1, 2, 3 and 4

Nozzles

19 mm

     

      kPa

      kPa

      kPa

      kPa

22 mm

     

      kPa

      kPa

      kPa

      kPa

25 mm

     

      kPa

      kPa

      kPa

      kPa

Other portable testing devices

5 L/s

     

      kPa

      kPa

      kPa

      kPa

10 L/s

     

      kPa

      kPa

      kPa

      kPa

15 L/s

     

      kPa

      kPa

      kPa

      kPa

20 L/s

     

      kPa

      kPa

      kPa

      kPa

30 L/s

     

      kPa

      kPa

      kPa

      kPa




System achieved:       L/s at       kPa




Part E—Pump appliance booster test

PASS 

FAIL 

This part relates to sections 10.4 and 10.5 of AS2419.1 and for tests under Section 4 of AS1851. If pressure/flow rates do not meet the fire system design criteria and there are no on-site problems, contact the relevant water service provider to ascertain if there are any problems with the water system network. In the table below, please record the pressure readings obtained during the pump appliance booster test.

Hydrant locations

     

Height of highest hydrant above booster

      m

System requirements

      L/s at       kPa

Static pressure

      kPa

Pump inlet pressure

      kPa

Pump discharge pressure

      kPa

Boost pressure

      kPa

Calculated frictional loss

      kPa

Comments:      

Part F—Sprinkler hydrostatic test

PASS 

FAIL 

Relevant required pressure specification in AS2118.1, AS2118.4 and AS2118.6.

Pressure

      kPa

Time held

      mins

Comments:      

Part G—Sprinkler system flow test

This section is to be used for sections 4.14 of AS2118.1-1999, 4 of AS2118.6-2012 and 6.2 of AS2118.4-2012 and section 2 of AS1851. Notes: (1) For AS2118.1 and AS2118.6 systems, multiple testing points may be required. (2) For AS2118.4, a simulated running test may be required for systems without a flow measuring device, in which the test involves opening a valve to discharge a volume of water that is accepted as being in excess of the design flow. System test points shall be noted for each different system and its location and descriptor.




System specifications (block plan):      

Test results:      

Test point 1

Location

     

Required flow rate

      L/min

Pass  Fail 

      L/min

Required pressure

      kPa

Pass  Fail 

      kPa

Test point 2

Location

     

Required flow rate

      L/min

Pass  Fail 

      L/min

Required pressure

      kPa

Pass  Fail 

      kPa

Running test

Installation gauge pressure:       kPa

Comments:      

Part H—Compliance

Critical defects identified

Yes 

Give owner/occupier a critical defect notice

No 

No action required in relation to critical defects at this time

Repairs/corrective actions taken

Yes 

Attach details (including action and date taken) as part of Licensee’s report

No 

No action required in relation to repairs/corrective actions at this time

System

Pass 




Fail 




Part I—Signature

By signing this Form 72, I confirm that the information contained herein is correct to the best of my knowledge given the information available and that this Form 72 has been completed in accordance with the relevant standards, codes and regulations.

Licensee name

     

Licensee signature

     

Licence no. (QBCC/PIC)

     

Licensee report no.

     


Note: Building owners/occupiers are responsible for ensuring their buildings continuously meet fire safety standards. Where a building owner/occupier becomes aware that their building does not meet the minimum requirements for water pressure required by any standard applicable under the Queensland Development Code Mandatory Part 6.1 (Maintenance of fire safety installations) the building owner/occupier should contact the Queensland Fire and Emergency Service.

Definitions “Maintenance test” means a test that is required under a maintenance standard such as AS1851. “Running test” means a two inch waste test installed at the sprinkler control valve on older systems.

Privacy: The information on this form is collected for purposes related to monitoring compliance under the Plumbing and Drainage Act 2002, the Building Act 1975 and the Building Fire Safety Regulation 2008 (“legislation”). This information may be stored in the department’s database and may be used for statistical research, information provision and evaluation of Plumbing Industry Council and state government services. Your personal information may be disclosed to other government agencies, local government authorities and third parties for purposes related to this application. Except for these circumstances, personal information will only be disclosed to third parties with your consent or in accordance with the Information Privacy Act 2009.

RTI: The information collected on this form will be retained as required by the Public Records Act 2002 and other relevant Acts and regulations, and is subject to the Right to Information regime established by the Right to Information Act 2009. If you have any further questions regarding your privacy, please email Building Codes Queensland on buildingcodes@qld.gov.au. © The State of Queensland (Department of Housing and Public Works) 2014. Published by the Queensland Government July 2014, 41 George Street, Brisbane QLD 4000.

Building Codes Queensland

Department of Housing and Public Works





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