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Cursory Review of New Alarm, Extinguisher and Sprinkler, Tags and Labels
February 2006
SERVICEINITIAL
INSTALLATION
FORMAL(overall)
INSPECTIONand
TEST
SYSTEMNOT
ACCORDINGTO CODE
SYSTEMIMPAIRED
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) • www.tdi.state.tx.us e-mail [email protected]
FIRE SYSTEM LABELS/TAGSApril 2006 – Mark Redlitz. P.E.
FIVE BASIC TYPES OF TAGS/LABELSFOR EXTINGUISHER, ALARM AND SPRINKLER SYSTEMS
FIRE ALARM LABELS
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) System INOPERABLE IMPAIRED or FAULT
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions/Area_____________________________
REPORT INOPERABLE TO OWNER & AHJ (Orally immediately & in writing within next business day) REPORT ALL OTHER TO OWNER & AHJ
(In writing within three business days)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) SYSTEM DOES NOT COMPLY WITH
APPLICABLE CODES & STANDARDS (at the time the system was installed)
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions:_________________________________
REPORT STATUS TO OWNER & AHJ
(in writing within 5 business days)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least five years) INSPECTION/TEST RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
Type of Inspection/Test Performed - NFPA 72 New Installation Quarterly Semi Annual Annual Last Date of Sensitivity Test, if known _______________ Status After Inspection/Test Acceptable Yellow Label Red Label (attached) (attached)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least two years) SERVICE RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Services: __________________________________
Performed General service listed above
Corrected RED label dated ______
Corrected YELLOW label dated ______
Revised - RED FOR SYSTEMIMPAIRED or INOPERABLE
Revised - YELLOW FOR SYSTEMNOT ACCORDING TO CODEAT TIME IT WAS INSTALLED
New - BLUE FOR SYSTEMSCHEDULED (ANNUAL) INSPECTION
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) • www.tdi.state.tx.us e-mail [email protected]
FIRE ALARM LABELSApril 2006 – Mark Redlitz. P.E.
Revised - WHITE FOR INITIAL SYSTEMINSTALLATION RECORD OF FIRM
New – WHITE FOR SYSTEMSERVICE (Previously Green)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for life of system) COMMERCIAL or non-1-or-2 family residence fire
detection and fire alarm devices or system INSTALLATION RECORD
(Post inside panel)
Registered Firm’s Name Street Address City, State, Zip
Phone Number ACR- (number) Installation Date - Licensee Signature - License #
Alarm Planning Superintendent (printed name)- License # or Professional Engineer’s name and License Number copied from record drawings used to install the system.
WHITE - INSTALLATION LABEL - COMMERCIAL
Revised Installation Label
Minor changes.
1) Indicates where to attach the label.
2) Indicates how long it should remain attached.
3) Specifies it should be used only for commercial property and non 1-2 family residences.
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) System INOPERABLE IMPAIRED or FAULT
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions/Area_____________________________
REPORT INOPERABLE TO OWNER & AHJ (Orally immediately & in writing within next business day) REPORT ALL OTHER TO OWNER & AHJ
(In writing within three business days)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) SYSTEM DOES NOT COMPLY WITH
APPLICABLE CODES & STANDARDS (at the time the system was installed)
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions:_________________________________
REPORT STATUS TO OWNER & AHJ
(in writing within 5 business days)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least five years) INSPECTION/TEST RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
Type of Inspection/Test Performed - NFPA 72 New Installation Quarterly Semi Annual Annual Last Date of Sensitivity Test, if known _______________ Status After Inspection/Test Acceptable Yellow Label Red Label (attached) (attached)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least two years) SERVICE RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Services: __________________________________
Performed General service listed above
Corrected RED label dated ______
Corrected YELLOW label dated ______
Revised - RED FOR SYSTEMIMPAIRED or INOPERABLE
Revised - YELLOW FOR SYSTEMNOT ACCORDING TO CODEAT TIME IT WAS INSTALLED
New - BLUE FOR SYSTEMSCHEDULED (ANNUAL) INSPECTION
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) • www.tdi.state.tx.us e-mail [email protected]
FIRE ALARM LABELSApril 2006 – Mark Redlitz. P.E.
Revised - WHITE FOR INITIAL SYSTEMINSTALLATION RECORD OF FIRM
New – WHITE FOR SYSTEMSERVICE (Previously Green)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least two years) SERVICE RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Services: __________________________________
Performed General service listed above
Corrected RED label dated ______
Corrected YELLOW label dated ______
WHITE - SERVICE LABEL
Revised SERVICE Label
CHANGED FROM GREEN TO WHITE. NO MORE GREEN LABELS
1) Indicates how long it should remain on panel.
2) Check boxes indicating service performed.
3) Peel off top ¼” and put on top of each other like post it notes.
(No more Green Labels)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) System INOPERABLE IMPAIRED or FAULT
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions/Area_____________________________
REPORT INOPERABLE TO OWNER & AHJ (Orally immediately & in writing within next business day) REPORT ALL OTHER TO OWNER & AHJ
(In writing within three business days)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) SYSTEM DOES NOT COMPLY WITH
APPLICABLE CODES & STANDARDS (at the time the system was installed)
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions:_________________________________
REPORT STATUS TO OWNER & AHJ
(in writing within 5 business days)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least five years) INSPECTION/TEST RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
Type of Inspection/Test Performed - NFPA 72 New Installation Quarterly Semi Annual Annual Last Date of Sensitivity Test, if known _______________ Status After Inspection/Test Acceptable Yellow Label Red Label (attached) (attached)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least two years) SERVICE RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Services: __________________________________
Performed General service listed above
Corrected RED label dated ______
Corrected YELLOW label dated ______
Revised - RED FOR SYSTEMIMPAIRED or INOPERABLE
Revised - YELLOW FOR SYSTEMNOT ACCORDING TO CODEAT TIME IT WAS INSTALLED
New - BLUE FOR SYSTEMSCHEDULED (ANNUAL) INSPECTION
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) • www.tdi.state.tx.us e-mail [email protected]
FIRE ALARM LABELSApril 2006 – Mark Redlitz. P.E.
Revised - WHITE FOR INITIAL SYSTEMINSTALLATION RECORD OF FIRM
New – WHITE FOR SYSTEMSERVICE (Previously Green)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least five years) INSPECTION/TEST RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
Type of Inspection/Test Performed - NFPA 72 New Installation Quarterly Semi Annual Annual Last Date of Sensitivity Test, if known _______________ Status After Inspection/Test Acceptable Yellow Label Red Label (attached) (attached)
BLUE - INSPECTION LABEL
NEW Inspection/Test Label
1) Indicates how long it should remain on panel.
2) Mark type of inspection/test performed.
3) Mark system status after inspection/test is performed.
4) Peel off top ¼” and put on top of each other like post it notes.
(No more Green Labels)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) System INOPERABLE IMPAIRED or FAULT
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions/Area_____________________________
REPORT INOPERABLE TO OWNER & AHJ (Orally immediately & in writing within next business day) REPORT ALL OTHER TO OWNER & AHJ
(In writing within three business days)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) SYSTEM DOES NOT COMPLY WITH
APPLICABLE CODES & STANDARDS (at the time the system was installed)
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions:_________________________________
REPORT STATUS TO OWNER & AHJ
(in writing within 5 business days)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least five years) INSPECTION/TEST RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
Type of Inspection/Test Performed - NFPA 72 New Installation Quarterly Semi Annual Annual Last Date of Sensitivity Test, if known _______________ Status After Inspection/Test Acceptable Yellow Label Red Label (attached) (attached)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least two years) SERVICE RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Services: __________________________________
Performed General service listed above
Corrected RED label dated ______
Corrected YELLOW label dated ______
Revised - RED FOR SYSTEMIMPAIRED or INOPERABLE
Revised - YELLOW FOR SYSTEMNOT ACCORDING TO CODEAT TIME IT WAS INSTALLED
New - BLUE FOR SYSTEMSCHEDULED (ANNUAL) INSPECTION
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) • www.tdi.state.tx.us e-mail [email protected]
FIRE ALARM LABELSApril 2006 – Mark Redlitz. P.E.
Revised - WHITE FOR INITIAL SYSTEMINSTALLATION RECORD OF FIRM
New – WHITE FOR SYSTEMSERVICE (Previously Green)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) SYSTEM DOES NOT COMPLY WITH
APPLICABLE CODES & STANDARDS (at the time the system was installed)
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions:_________________________________
REPORT STATUS TO OWNER & AHJ
(in writing within 5 business days)
YELLOW - NON-COMPLIANCE WITH STANDARDS LABEL
Revised YELLOW Label
Minor changes.
1) Indicates how long it should remain on panel.
2) Reminds licensee to contact owner and AHJ within the specified timeframe.
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) System INOPERABLE IMPAIRED or FAULT
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions/Area_____________________________
REPORT INOPERABLE TO OWNER & AHJ (Orally immediately & in writing within next business day) REPORT ALL OTHER TO OWNER & AHJ
(In writing within three business days)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) SYSTEM DOES NOT COMPLY WITH
APPLICABLE CODES & STANDARDS (at the time the system was installed)
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions:_________________________________
REPORT STATUS TO OWNER & AHJ
(in writing within 5 business days)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least five years) INSPECTION/TEST RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
Type of Inspection/Test Performed - NFPA 72 New Installation Quarterly Semi Annual Annual Last Date of Sensitivity Test, if known _______________ Status After Inspection/Test Acceptable Yellow Label Red Label (attached) (attached)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for at least two years) SERVICE RECORD
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Services: __________________________________
Performed General service listed above
Corrected RED label dated ______
Corrected YELLOW label dated ______
Revised - RED FOR SYSTEMIMPAIRED or INOPERABLE
Revised - YELLOW FOR SYSTEMNOT ACCORDING TO CODEAT TIME IT WAS INSTALLED
New - BLUE FOR SYSTEMSCHEDULED (ANNUAL) INSPECTION
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) • www.tdi.state.tx.us e-mail [email protected]
FIRE ALARM LABELSApril 2006 – Mark Redlitz. P.E.
Revised - WHITE FOR INITIAL SYSTEMINSTALLATION RECORD OF FIRM
New – WHITE FOR SYSTEMSERVICE (Previously Green)
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(until all conditions are corrected) System INOPERABLE IMPAIRED or FAULT
Registered Firm’s Name Street Address City, State, Zip Phone Number ACR- (number)
Date - Licensee Signature - License #
List Conditions/Area_____________________________
REPORT INOPERABLE TO OWNER & AHJ (Orally immediately & in writing within next business day) REPORT ALL OTHER TO OWNER & AHJ
(In writing within three business days)
RED - INOPERABLE or IMPAIRED LABEL
Revised RED Label
Minor changes.
1) Indicates how long it should remain on panel.
2) Reminds licensee to contact owner and AHJ within the specified timeframe.
3) Check boxes whether the system is impaired or inoperable.
SPRINKLER TAGS
NEW - BLUE FOR ANNUALINSPECTION, TEST & MAINTENANCE (ITM)
REVISED - YELLOW FOR SYSTEMDOES NOT MEET APPLICABLE CODE
REVISED - RED FOR SYSTEM IMPAIRED(INOPERABLE) ACCORDING TO NFPA 25
FRONT BACKFRONT BACKNEW - WHITE FOR INITIAL INSTALLATIONTO RECORD FIRM AND WATER SUPPLY
REVISED - WHITE FOR SYSTEMSERVICE (PREVIOUSLY GREEN)
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) www.tdi.state.tx.us e-mail [email protected]
SPRINKLER TAGSApril 2006 – Mark Redlitz. P.E.
FRONT BACK FRONT BACK FRONT BACK
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
After an installation, conduct a MAIN DRAIN TEST at the system lead-in or riser and record the information on this tag and the
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ORIGINAL INSTALLATION
TAG
Name & Address of Sprinkler Firm Phone Number SCR-Number
THIS TAG CONTAINS
IMPORTANT INFORMATION ABOUT THIS SPRINKLER
SYSTEM AND SHALL REMAIN ATTACHED TO THE SYSTEM FOR THE LIFE
OF THE SYSTEM.
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Contractor’s Material and Test Certificate. Also copy the original flow test results, used to design the system, as noted on the plans. Then attach this tag to the lead-in or riser. Name of Owner or Occupant Address Building No. or Location or System No.
MAIN DRAIN TEST at lead-in or riser
Static: _______ psi
Flowing: _______ psi
WATER SUPPLY FLOW TEST used to hydraulically design the system (i.e. at street) Static: _______ psi
Residual: psi
with: _______ GPM Flowing
________________________________ Signature of Service Person
NEW(white)
INSTALLATIONTAG
Used to record the water supply
information when the system was first installed to compare with subsequent
inspection, testing and maintenance.
WHITE - INSTALLATION TAG
NEW - BLUE FOR ANNUALINSPECTION, TEST & MAINTENANCE (ITM)
REVISED - YELLOW FOR SYSTEMDOES NOT MEET APPLICABLE CODE
REVISED - RED FOR SYSTEM IMPAIRED(INOPERABLE) ACCORDING TO NFPA 25
FRONT BACKFRONT BACKNEW - WHITE FOR INITIAL INSTALLATIONTO RECORD FIRM AND WATER SUPPLY
REVISED - WHITE FOR SYSTEMSERVICE (PREVIOUSLY GREEN)
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) www.tdi.state.tx.us e-mail [email protected]
SPRINKLER TAGSApril 2006 – Mark Redlitz. P.E.
FRONT BACK FRONT BACK FRONT BACK
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
After any service or addition, attach this service tag to the applicable system riser. Also attach or remove a yellow or red tag
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SERVICE TAG
Name & Address of Sprinkler Firm Phone Number SCR-Number
RME’s Name
RME’s License No.
Signature of Service
Person
TYPE OF WORK
Service
Remodel
Other
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if appropriate. Tags shall be retained on the riser for five years. Name of Owner or Occupant Address Building No. or Location or System No. List Services: Corrected all YELLOW TAG
conditions from tag dated ______________
Corrected all RED TAG
conditions from tag dated ______________
Revised SERVICE Tag
CHANGED FROM GREEN TO WHITE. NO MORE GREEN
TAGS
1) Describes purpose and use of the tag.
2) Indicates how long it should remain on the system.
SERVICE TAG(No more Green Tags)
NEW - BLUE FOR ANNUALINSPECTION, TEST & MAINTENANCE (ITM)
REVISED - YELLOW FOR SYSTEMDOES NOT MEET APPLICABLE CODE
REVISED - RED FOR SYSTEM IMPAIRED(INOPERABLE) ACCORDING TO NFPA 25
FRONT BACKFRONT BACKNEW - WHITE FOR INITIAL INSTALLATIONTO RECORD FIRM AND WATER SUPPLY
REVISED - WHITE FOR SYSTEMSERVICE (PREVIOUSLY GREEN)
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) www.tdi.state.tx.us e-mail [email protected]
SPRINKLER TAGSApril 2006 – Mark Redlitz. P.E.
FRONT BACK FRONT BACK FRONT BACK
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
After an inspection, test and maintenance service, attach this ITM tag to the applicable system riser. Also attach a
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ITM TAG Inspection, Test & Maintenance Tag
TYPE of ITM Initial Installation
Monthly
Quarterly
ANNUAL
Third Year
Fifth Year
SYSTEM STATUS AFTER ITM
Acceptable
Yellow Tag (attached)
Red Tag (attached)
License Number after 1-2008
Name of Inspector
Signature of Inspector
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yellow or red tag if appropriate. Tags shall be retained on the riser for five years.
Name & Address of Sprinkler Firm Phone Number SCR-Number
Name of Owner or Occupant
Address
Building No. or Location or System No. Note: MAIN DRAIN TEST at lead-in or riser Static: _______psi Flowing: ________psi
NEW (blue)INSPECTION, TEST,
& MAINTENANCE (ITM) TAG
1) Used to record the type (annual, quarterly, etc.) and system status after a scheduled ITM.
2) Describes purpose and use of the tag.
3) Indicates how long it should remain on the system.
(No more Green Tags)
BLUE - INSPECTION, TEST & MAINTENANCE (ITM) TAG
NEW - BLUE FOR ANNUALINSPECTION, TEST & MAINTENANCE (ITM)
REVISED - YELLOW FOR SYSTEMDOES NOT MEET APPLICABLE CODE
REVISED - RED FOR SYSTEM IMPAIRED(INOPERABLE) ACCORDING TO NFPA 25
FRONT BACKFRONT BACKNEW - WHITE FOR INITIAL INSTALLATIONTO RECORD FIRM AND WATER SUPPLY
REVISED - WHITE FOR SYSTEMSERVICE (PREVIOUSLY GREEN)
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) www.tdi.state.tx.us e-mail [email protected]
SPRINKLER TAGSApril 2006 – Mark Redlitz. P.E.
FRONT BACK FRONT BACK FRONT BACK
Revised YELLOW Tag
Minor changes.
1) Describes purpose and use of the tag.
2) Reminds licensee to contact owner and AHJ within the specified timeframe.
3) Indicates how long it should remain on the system.
YELLOW TAG
DO NOT REMOVE BY ORDER OF
TEXAS STATE FIRE MARSHAL
If the system is not compliant with the NFPA standard, at the time it was installed, attach
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YELLOW TAG
Name & Address of Sprinkler Firm Phone Number SCR-Number
RME’s License Number
Printed name of serviceperson / inspector
Signature of authorized serviceperson / inspector
REPORT STATUS TO OWNER AND AHJ
IN WRITING (within 5 business
days)
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this yellow tag to the applicable system riser. An authorized individual may remove this tag after a service tag has been attached indicating the condition has been corrected. Name of Owner or Occupant Address Building No. or Location or System No. List impairments not compliant with NFPA standards:
NEW - BLUE FOR ANNUALINSPECTION, TEST & MAINTENANCE (ITM)
REVISED - YELLOW FOR SYSTEMDOES NOT MEET APPLICABLE CODE
REVISED - RED FOR SYSTEM IMPAIRED(INOPERABLE) ACCORDING TO NFPA 25
FRONT BACKFRONT BACKNEW - WHITE FOR INITIAL INSTALLATIONTO RECORD FIRM AND WATER SUPPLY
REVISED - WHITE FOR SYSTEMSERVICE (PREVIOUSLY GREEN)
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) www.tdi.state.tx.us e-mail [email protected]
SPRINKLER TAGSApril 2006 – Mark Redlitz. P.E.
FRONT BACK FRONT BACK FRONT BACK
DO NOT REMOVE BY ORDER OF
TEXAS STATE FIRE MARSHAL
If the system impairments constitute an “emergency” impairment as defined in
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RED TAG
Name & Address of Sprinkler Firm Phone Number SCR-Number
RME's License Number
Printed name of service
person
Signature of authorized
service person
IMMEDIATELY REPORT STATUS TO
OWNER AND AHJ (and in writing within
24 hrs)
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NFPA 25, attach this red tag to the applicable system riser. An authorized individual may remove this tag after a service tag has been attached indicating the condition has been corrected. Name of Owner or Occupant Address Building No. or Location or System No. List Emergency Impairments:
Revised RED Tag
Minor changes.
1) Describes purpose and use of the tag
2) Reminds licensee to contact owner and AHJ within specified timeframe.
RED TAG
KITCHEN HOODFIRE PROTECTION
SYSTEMS
LIST of IM PAIRM ENTS:
O W N E R 'S N A M E and AD D R E SS :D O NO T R EMO VE
N am e,Address, &
Telephone Num berof Fire Protection Firm
C ertif icate of R egistra tion N um ber
N am e o f Licensee
S igna tu re
L icen se N um ber
Date
EQ U IPME NT IMPAIRED
D O N O T R E M O V EB Y O R D ER O F
T H E S T A T E F IR E M A R SH A L
Name ,Address, &
Telep hone Numberof Fire Protection Firm
N a m e o f L ic e n se e
S ig n a tu re
L icen se N um be r
E XT IN G U IS H E R TY P E , S IZ Eand LO C A TIO N :
O W N E R 'S N A M E and AD D R E S S:
TYPE of WORK
C e rt if ic a te o f R e g ist ra tio n N u m b e r
N E W E XT IN G U IS H E R
S E R V IC E (L is t o n ba c k)
M A IN T E N A N C E
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1996
1
997
1
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1
999
20
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DATE OF LAST SERVICE
(M o n th ly In sp e c tio n - In itia l a nd da t e b e lo w )
LIST SER VICE PER FORMED:
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) • www.tdi.state.tx.us E-mail [email protected]
EXTINGUISHER TAGSApril 2006 – Mark Redlitz. P.E.
No Change - RED FOR IMPAIRED CAUSING INOPERABLE or UNSAFE
FRONT BACK
New – YELLOW FOR SYSTEM DOESNOTCOMPLY WITH UL 300
FRONT BACK
No Change - ANY COLOR TAG FOR SERVICE OR MAINTNENCE
FRONT BACK
No Change – USE SERVICE TAG FOR INSPECTIONS
(SAME AS SERVICE TAGS)Those using Yellow
can continue to do so
DO NOT REMOVEBY ORDER OF
THE STATE FIRE MARSHALSYSTEM INSTALLATION RECORD
Firm Name ___________________________
Firm Address ________________________
City ________________________________
Telephone __________________________
Cert. of Registration No. _______________
Name of Licensee ____________________
License Number ______________________
_____________________________________
Installation Date ______________________
Manufacturer's Installation Manual _______
_____________________________________
(Signature of Licensee)
No Change - WHITE LABEL FOR INITIAL SYSTEMINSTALLATION RECORD OF FIRM
NEW YELLOW Tag
To identify kitchen hood fire protection systems that do not meet the new UL 300 standard.
Firm is required to notify owner and AHJ in writing.
Starting January 1, 2008 a red tag will be attached in lieu of this yellow tag.
YELLOW – NOTIFICATION TAG for Kitchen Hood Systems
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
SYSTEM DOES NOT COMPLY WITH STANDARD UL 300.
SY
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SY
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ICA
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Name & Address and
Phone No. of Extinguisher Firm
Certificate of Registration Number
Name of Licensee
License Number
Signature
TYPE OF WORK Maintenance
Service
DATE MARKED IS DATE OF LAST SERVICE J
AN
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07
200
8
2
009
2
010
This fire protection system may have met the nationally recognized testing requirements at the time it was installed. However recent changes to modern cooking appliances and/or the cooking media may prevent the fire protection system from extinguishing a typical fire. Since this system was not tested according to Underwriter’s Laboratories test Standard UL 300 it will be red tagged after January 1, 2008. The owner should consider replacing or upgrading the system before that time. Name of owner or occupant Address
List Services
FOR SUBMITTAL RECORD DRAWINGS I have reviewed these plans and certify that they comply with the applicable codes and standards; Or certify they were copied from sealed engineering plans and any violations of the applicable codes or standards are specifically noted on these plans.
Registered Firm’s Name Street Address City, State, Zip
Phone Number ACR- (number) APS Licensee Signature - License # APS Printed name Date
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) • www.tdi.state.tx.us e-mail [email protected]
FIRE ALARM CERTIFICATESApril 2006 – Mark Redlitz. P.E.
New - WHITE FOR 1-2 FAMILYDWELLING CERTIFICATION
New – WHITE FOR SYSTEM CERTIFICATON
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for life of system) 1 or 2 family fire alarm/detection devices or system
INSTALLATION RECORD (Post inside panel or if no panel in a permanent location)
Registered Firm’s Name
Street Address City, State, Zip
Phone Number ACR- (number)
Installation Date - Licensee Signature - License # I hereby certify, on behalf of the registered firm, that the fire alarm equipment or system has been tested and complies with the requirements of the Texas Insurance Code Art. 5.43-2, the Fire Alarm Rules, the adopted codes and standards, and the manufacturer’s requirements.
Texas Department of Insurance State Fire Marshal’s Office, Mail Code 112-FM 333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221 512-305-7900 • 512-305-7910 fax • www.tdi.state.tx.us
FIRE ALARM INSTALLATION CERTIFICATE After completion of an installation, modification, or addition of a system or single station detector (excluding a one or two family residence) the licensee shall complete and present this certificate to the owner or their representative or post the certificate near the main control panel according to the Fire Alarm Rules 28TAC§34.617 DISTRIBUTION: Original to owner or posted on site at control panel. Copy 1 to main authority having jurisdiction. Copy 2 Certifying firm to retain in their office for access by SFMO.
Property Name: Type of Installation: The system complies with the following codes and standards.
Bldg. or Floor No.:
New
Code or Std. Year/Edition Code or Std. Year/Edition
Street:
Modification
NFPA 72 IBC / IFC
City / Zip:
Addition
NFPA 70
Name of CERTIFYING firm: NFPA 101
City / State / Zip: Name of nearest Fire Department:
Phone Number: Fire Department (non-emergency) Phone:
ACR- Emergency Phone Number:
SYSTEM INFORMATION Control Panel Manufacturer: Model # Other:
Check all the applicable system types below that were installed by the above certifying firm or the system type(s) in which the firm made modifications or additions.
Fire Alarm/Evacuation Fire Detection Smoke Damper Control Sprinkler System Supervision
Voice Notification Elevator Control HVAC Control/Shutdown Magnetic Door Holder/Release INITIATING DEVICES INITIATING DEVICES NOTIFICATION APPLIANCES SUPERVISORY DEVICES CIRCUIT STYLE CIRCUIT STYLE/CLASS Type Quantity Type Quantity Type Quantity Type Quantity Quantity Quantity Smoke Detectors UV/IR Bell, Horn or Chime Valve Tamper Switches SLC 4 NAC Y or B Heat Detectors Isolation Modules Strobe High / Low Air Pressure SLC 6 NAC Z or A Duct Smoke Detectors Kitchen Suppression Speaker Fire Pump SLC 7 Beam Smoke Detectors Sprinkler Flow Switch Horn/Chime/Strobe IDC A Fire Alarm Boxes Gas Fire Protection Syst. Speaker Strobe IDC B Fire Phones Annunciation Panel
RECORD DRAWINGS Record Drawings (One with original planner’s signature.) Company Instructions describing, operation, test & maintenance
City / State Information to aid in establishing an Emergency Evacuation Plan
Planner's Name The above required documents were supplied to: License Num. PE or APS Person's name:
Date on Plan Company’s name: Revision number/date Date:
I hereby certify, on behalf of the registered certifying firm, that this fire alarm system has been tested and complies with the requirements of Texas Insurance Code, Art 5.43-2, the Fire Alarm Rules, the applicable codes and standards and the manufacturer's installation requirements.
Signature of Licensee: License Number:
Printed name of Licensee: Date signed:
New - WHITE PLAN STAMP
NEWFML-009A
Installing firm must keep one copy in a separate file in their office for access
by SFMO instead of mailing to Austin.
No longer used for 1-2 family residences.
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) • www.tdi.state.tx.us e-mail [email protected]
FIRE ALARM CERTIFICATESApril 2006 – Mark Redlitz. P.E.
New - WHITE FOR 1-2 FAMILYDWELLING CERTIFICATION
New – WHITE FOR SYSTEM CERTIFICATON
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for life of system) 1 or 2 family fire alarm/detection devices or system
INSTALLATION RECORD (Post inside panel or if no panel in a permanent location)
Registered Firm’s Name
Street Address City, State, Zip
Phone Number ACR- (number)
Installation Date - Licensee Signature - License # I hereby certify, on behalf of the registered firm, that the fire alarm equipment or system has been tested and complies with the requirements of the Texas Insurance Code Art. 5.43-2, the Fire Alarm Rules, the adopted codes and standards, and the manufacturer’s requirements.
Texas Department of Insurance State Fire Marshal’s Office, Mail Code 112-FM 333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221 512-305-7900 • 512-305-7910 fax • www.tdi.state.tx.us
FIRE ALARM INSTALLATION CERTIFICATE After completion of an installation, modification, or addition of a system or single station detector (excluding a one or two family residence) the licensee shall complete and present this certificate to the owner or their representative or post the certificate near the main control panel according to the Fire Alarm Rules 28TAC§34.617 DISTRIBUTION: Original to owner or posted on site at control panel. Copy 1 to main authority having jurisdiction. Copy 2 Certifying firm to retain in their office for access by SFMO.
Property Name: Type of Installation: The system complies with the following codes and standards.
Bldg. or Floor No.:
New
Code or Std. Year/Edition Code or Std. Year/Edition
Street:
Modification
NFPA 72 IBC / IFC
City / Zip:
Addition
NFPA 70
Name of CERTIFYING firm: NFPA 101
City / State / Zip: Name of nearest Fire Department:
Phone Number: Fire Department (non-emergency) Phone:
ACR- Emergency Phone Number:
SYSTEM INFORMATION Control Panel Manufacturer: Model # Other:
Check all the applicable system types below that were installed by the above certifying firm or the system type(s) in which the firm made modifications or additions.
Fire Alarm/Evacuation Fire Detection Smoke Damper Control Sprinkler System Supervision
Voice Notification Elevator Control HVAC Control/Shutdown Magnetic Door Holder/Release INITIATING DEVICES INITIATING DEVICES NOTIFICATION APPLIANCES SUPERVISORY DEVICES CIRCUIT STYLE CIRCUIT STYLE/CLASS Type Quantity Type Quantity Type Quantity Type Quantity Quantity Quantity Smoke Detectors UV/IR Bell, Horn or Chime Valve Tamper Switches SLC 4 NAC Y or B Heat Detectors Isolation Modules Strobe High / Low Air Pressure SLC 6 NAC Z or A Duct Smoke Detectors Kitchen Suppression Speaker Fire Pump SLC 7 Beam Smoke Detectors Sprinkler Flow Switch Horn/Chime/Strobe IDC A Fire Alarm Boxes Gas Fire Protection Syst. Speaker Strobe IDC B Fire Phones Annunciation Panel
RECORD DRAWINGS Record Drawings (One with original planner’s signature.) Company Instructions describing, operation, test & maintenance
City / State Information to aid in establishing an Emergency Evacuation Plan
Planner's Name The above required documents were supplied to: License Num. PE or APS Person's name:
Date on Plan Company’s name: Revision number/date Date:
I hereby certify, on behalf of the registered certifying firm, that this fire alarm system has been tested and complies with the requirements of Texas Insurance Code, Art 5.43-2, the Fire Alarm Rules, the applicable codes and standards and the manufacturer's installation requirements.
Signature of Licensee: License Number:
Printed name of Licensee: Date signed:
FOR SUBMITTAL RECORD DRAWINGS I have reviewed these plans and certify that they comply with the applicable codes and standards; Or certify they were copied from sealed engineering plans and any violations of the applicable codes or standards are specifically noted on these plans.
Registered Firm’s Name Street Address City, State, Zip
Phone Number ACR- (number) APS Licensee Signature - License # APS Printed name Date
New - WHITE PLAN STAMP
WHITE - INSTALLATION LABEL – 1 & 2 FAMILY DWELLING
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for life of system) 1 or 2 family fire alarm/detection devices or system
INSTALLATION RECORD (Post inside panel or if no panel in a visible location
e.g. electrical breaker panel)
Registered Firm’s Name Street Address City, State, Zip
Phone Number ACR- (number)
Installation Date - Licensee Signature - License # I hereby certify, on behalf of the registered firm, that the fire alarm equipment or system has been tested and complies with the requirements of the Texas Insurance Code Art. 5.43-2, the Fire Alarm Rules, the adopted codes and standards, and the manufacturer’s requirements.
1
NEW Installation Label(and certification)
for 1-2 Family Residences
1) Specifies it should be used only for 1-2 family residences.
2) Includes a “certification” statement upon signing. Eliminates need for FML-009A for 1-2 Family Residences.
Texas Department of InsuranceState Fire Marshal’s Office, Mail Code 112 -FM333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221512-305-7900 • 512-305-7910 (fax) • www.tdi.state.tx.us e-mail [email protected]
FIRE ALARM CERTIFICATESApril 2006 – Mark Redlitz. P.E.
New - WHITE FOR 1-2 FAMILYDWELLING CERTIFICATION
New – WHITE FOR SYSTEM CERTIFICATON
DO NOT REMOVE BY ORDER OF TEXAS STATE FIRE MARSHAL
(for life of system) 1 or 2 family fire alarm/detection devices or system
INSTALLATION RECORD (Post inside panel or if no panel in a permanent location)
Registered Firm’s Name
Street Address City, State, Zip
Phone Number ACR- (number)
Installation Date - Licensee Signature - License # I hereby certify, on behalf of the registered firm, that the fire alarm equipment or system has been tested and complies with the requirements of the Texas Insurance Code Art. 5.43-2, the Fire Alarm Rules, the adopted codes and standards, and the manufacturer’s requirements.
Texas Department of Insurance State Fire Marshal’s Office, Mail Code 112-FM 333 Guadalupe • P. O. Box 149221, Austin, Texas 78714-9221 512-305-7900 • 512-305-7910 fax • www.tdi.state.tx.us
FIRE ALARM INSTALLATION CERTIFICATE After completion of an installation, modification, or addition of a system or single station detector (excluding a one or two family residence) the licensee shall complete and present this certificate to the owner or their representative or post the certificate near the main control panel according to the Fire Alarm Rules 28TAC§34.617 DISTRIBUTION: Original to owner or posted on site at control panel. Copy 1 to main authority having jurisdiction. Copy 2 Certifying firm to retain in their office for access by SFMO.
Property Name: Type of Installation: The system complies with the following codes and standards.
Bldg. or Floor No.:
New
Code or Std. Year/Edition Code or Std. Year/Edition
Street:
Modification
NFPA 72 IBC / IFC
City / Zip:
Addition
NFPA 70
Name of CERTIFYING firm: NFPA 101
City / State / Zip: Name of nearest Fire Department:
Phone Number: Fire Department (non-emergency) Phone:
ACR- Emergency Phone Number:
SYSTEM INFORMATION Control Panel Manufacturer: Model # Other:
Check all the applicable system types below that were installed by the above certifying firm or the system type(s) in which the firm made modifications or additions.
Fire Alarm/Evacuation Fire Detection Smoke Damper Control Sprinkler System Supervision
Voice Notification Elevator Control HVAC Control/Shutdown Magnetic Door Holder/Release INITIATING DEVICES INITIATING DEVICES NOTIFICATION APPLIANCES SUPERVISORY DEVICES CIRCUIT STYLE CIRCUIT STYLE/CLASS Type Quantity Type Quantity Type Quantity Type Quantity Quantity Quantity Smoke Detectors UV/IR Bell, Horn or Chime Valve Tamper Switches SLC 4 NAC Y or B Heat Detectors Isolation Modules Strobe High / Low Air Pressure SLC 6 NAC Z or A Duct Smoke Detectors Kitchen Suppression Speaker Fire Pump SLC 7 Beam Smoke Detectors Sprinkler Flow Switch Horn/Chime/Strobe IDC A Fire Alarm Boxes Gas Fire Protection Syst. Speaker Strobe IDC B Fire Phones Annunciation Panel
RECORD DRAWINGS Record Drawings (One with original planner’s signature.) Company Instructions describing, operation, test & maintenance
City / State Information to aid in establishing an Emergency Evacuation Plan
Planner's Name The above required documents were supplied to: License Num. PE or APS Person's name:
Date on Plan Company’s name: Revision number/date Date:
I hereby certify, on behalf of the registered certifying firm, that this fire alarm system has been tested and complies with the requirements of Texas Insurance Code, Art 5.43-2, the Fire Alarm Rules, the applicable codes and standards and the manufacturer's installation requirements.
Signature of Licensee: License Number:
Printed name of Licensee: Date signed:
FOR SUBMITTAL RECORD DRAWINGS I have reviewed these plans and certify that they comply with the applicable codes and standards; Or certify they were copied from sealed engineering plans and any violations of the applicable codes or standards are specifically noted on these plans.
Registered Firm’s Name Street Address City, State, Zip
Phone Number ACR- (number) APS Licensee Signature - License # APS Printed name Date
New - WHITE PLAN STAMP
FOR SUBMITTAL RECORD DRAWINGS I have reviewed these plans and certify that they comply with the applicable codes and standards; Or certify they were copied from sealed engineering plans and any violations of the applicable codes or standards are specifically noted on these plans.
Registered Firm’s Name Street Address City, State, Zip
Phone Number ACR- (number) APS Licensee Signature - License #
APS Printed name Date
PLAN STAMP
New Fire Alarm Plan Stamp
Permits designer to submitplans as drawn by a PE butthey must SPECIFICALLY identify (list) ON THE PLANthe items that do not complywith the applicable codes.
Hopefully the AHJ willreturn the plans “approved”(or resubmit) subjectto complete compliance withall applicable codes and standards, including the correction of the listed violations and compliance with any other items they note. Record drawings shall reflect all changes and depict the firealarm system “as-installed”.
