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Premises and facilities checks · PF-11

Sprinkler and Suppression Check Record

A free printable sprinkler inspection checklist — a reference block for your system's own figures, then dated checks, readings, defects and actions.

First page of the Sprinkler and Suppression Check Record — Keep a dated record of routine checks against the figures your own system's documentation specifies, with defects and actions on the same page.
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2 pages. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.

Print it and write on it

Fill it in type and save

The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.

What this sheet is for

Keep a dated record of routine checks against the figures your own system's documentation specifies, with defects and actions on the same page.

Who it is for

Facilities managers, building owners, caretakers and anyone responsible for a premises with a sprinkler or suppression system.

How to use it

  1. Fill in the reference block once, copied from your system's documentation.
  2. Record the reading as well as whether it passed.
  3. Log every defect and who it was reported to, even when it was fixed on the spot.
  4. Record isolations and impairments, and whether the insurer was told.
  5. File the sheets where the maintainer and the insurer can see them.

What is on the sheet

2 pages, in this order:

Page 1

Printed under the title: The routine checks on a sprinkler or suppression system, recorded against dates, with defects and what was done about them.

Your system's figures, not ours. No test intervals, pressures, flow figures or pass criteria are printed on this sheet. They are set by the system's designer, its manufacturer, your insurer and the law where the building is — and servicing usually has to be done by a competent person under a specific standard. Get the figures from your own system's documentation and write them in the reference block.

Write-on lines: Building · System type · Installer or maintainer · Contract ref

Reference — copied once from your system's documentation

Table, 5 rows: Item · Figure or setting from the documentation · Where it came from · Checked how often

Ruled lines: System notes, drawings held, and where the documentation lives

Page 2

Checks

Table, 18 rows: Date · Check carried out · Reading · Within the figure above · Defect found · Action and by whom · By

Write-on lines: Isolations during this period · Impairment notified to insurer · Next service due

Questions

How often should these checks be done?

The sheet prints no intervals. They come from the standard your system was designed and installed to, the manufacturer, your insurer and the law where the building is — and much of the work usually has to be done by a competent person under a specific standard. Get the figures from your own documentation and write them in the reference block.

Does this replace a service certificate?

No. It is a record of the routine checks you carry out between services. Keep it alongside the maintainer's certificates, not instead of them.

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