7/23/2019 Form71—FireHydrantAndSprinklersSystemCommissioning

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Form 71—fire hydrant and sprinkler system commissioningThis form is to be used for the purposes of commissioning water based fire safety installations, as required by the Queensland Development Code

 – Mandatory Part MP! "#$, which is a building assessment provision under the Building Act 1975 , section %&# This form is also to be used inaccordance with the '(ire hydrant and sprin)ler system commissioning and periodic maintenance procedure*, defined in MP "#$ as the '+elevantprocedure*# Please note that this form does not comprise all testing requirements for commissioningthis form is only for collecting results oftesting for some sections of the -ustralian .tandards referred to and in each case, further testing is required#

Part A—Test details

Site name 

Site address  

Contractor   

Testing

details

Test date: Commissioning test/

fire hydrant

fire sprin)ler 

  combinedTime:

Part B—Hydrant hydrostatic test PASS FA!

+efer to the required pressure specification for commissioning as per -.01$2#$#

Boost press"re )Pa Test press"re   )Pa

#"ration of test  

mins $nd of test press"re  

)Pa !oss %if any&:   34min

Comments/

Part C—Hydrant test e'"ipment(press"re ga"ges

5f using more devices, provide details in the 6otes section below or complete another form# The correction factor must be )Pa or a percentage#

Flo) meas"ring de*ice 7rifice Mechanical 8lectro magnetic

Part C not required for orifice testing Calibrated/ 

4 

4 

Calibrated/ 

4 

4 

Device4gauge $ Device4gauge 0 Device4gauge % Device4gauge 1

.erial number   

Date calibrated  

Correction certificate  

"94$&&4$9& mm face 

Digital reader   

5ncrements )Pa!  

Part #—Hydrant system flo) test PASS FA!

This part relates to section $&#% of -.01$2#$# 5f pressure4flow rates do not meet the fire system design criteria and there are no on:siteproblems, contact the relevant water service provider to ascertain if there are any problems with the water system networ)# 5n the table below,please record the pressure readings obtained during the hydrant system flow test#

;ydrant $ location 

;ydrant % location 

;ydrant 0 location 

;ydrant 1 location 

.ystem requirements  34s at   )Pa .tatic pressure

  )Pa

7n:site pump set installed  +es ,o

Pressure <onenumber/

Si-e(flo)rate

#e*ice(ga"geno. %Part C&

Hydrant 1only

Hydrants 1and /

Hydrants 10/ and

Hydrants 10/0 and 2

,o--les $2 mm   )Pa   )Pa   )Pa   )Pa

00 mm   )Pa   )Pa   )Pa   )Pa

09 mm   )Pa   )Pa   )Pa   )Pa

3ther porta4letesting de*ices

9 34s   )Pa   )Pa   )Pa   )Pa

$& 34s   )Pa   )Pa   )Pa   )Pa

$9 34s   )Pa   )Pa   )Pa   )Pa

0& 34s   )Pa   )Pa   )Pa   )Pa

%& 34s   )Pa   )Pa   )Pa   )Pa

.ystem achieved/ 34s at )Pa

B"ilding Codes 5"eenslandDepartment of ;ousing and Public =or)s

>ersion $ – ?uly 0&$1

7/23/2019 Form71—FireHydrantAndSprinklersSystemCommissioning

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Part $—P"mp appliance 4ooster test PASS FA!

B"ilding Codes 5"eenslandDepartment of ;ousing and Public =or)s

7/23/2019 Form71—FireHydrantAndSprinklersSystemCommissioning

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This part relates to sections $&#1 and $&#9 of -.01$2#$# 5f pressure4flow 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 networ)# 5n the tablebelow, please record the pressure readings obtained during the pump appliance booster test#

;ydrant locations 

;eight of highest hydrant above booster   m

.ystem requirements   34s at   )Pa .tatic pressure   )Pa

Pump inlet pressure   )Pa Pump discharge pressure   )Pa

@oost pressure 

)Pa Calculated frictional loss 

)PaComments/

Part F—Sprinkler hydrostatic test PASS FA!

+elevant required pressure specification in -.0$$A#$, -.0$$A#1 and -.0$$A#"#

Pressure   )Pa Time held   mins

Comments/

Part 6—Sprinkler system flo) test

This section is to be used for sections 1#$1 of -.0$$A#$:$222, 1 of -.0$$A#":0&$0 and "#0 of -.0$$A#1:0&$0# 6otes/ $! (or -.0$$A#$ and -.0$$A#" systems, multiple testing points may be required# 0! (or -.0$$A#1, a simulated running test may be required for systems without aflow measuring device, in which the test involves opening a valve to discharge a volume of water that is accepted as being in eBcess of thedesign flow# .ystem test points shall be noted for each different system and its location and descriptor#

System specifications %4lock plan&: Test res"lts:Test point $ 3ocation  

+equired flow rate   34min Pass(ail   34min

+equired pressure   )Pa Pass(ail   )Pa

Test point 0 3ocation  

+equired flow rate   34min Pass(ail   34min

+equired pressure   )Pa Pass(ail   )Pa

+unning test 5nstallation gauge pressure/ )Pa

Comments/

Part H—Compliance

Critical defectsidentified

es ive owner4occupier a critical defect notice

6o 6o action required in relation to critical defects at this time

epairs(correcti*eactions taken

es  -ttach details including action and date ta)en! as part of 3icensee*s report

6o 6o action required in relation to repairs4corrective actions at this time

System Pass

(ail

Part —Signat"re@y signing this (orm E$, 5 confirm that the information contained herein is correct to the best of my )nowledge given the information availableand that this (orm E$ has been completed in accordance with the relevant standards, codes and regulations#

!icensee name   !icensee signat"re  

!icence no. %5BCC(PC&   !icensee report no.  

,ote: @uilding owners4occupiers are responsible for ensuring their buildings continuously meet fire safety standards# =here a building owner4occupier becomes aware that their building does notmeet the minimum requirements for water pressure required by any standard applicable under the Queensland Development Code Mandatory Part "#$ Maintenance of fire safety installations! thebuilding owner4occupier should contact the Queensland (ire and 8mergency .ervice##efinitions “Commissioning test”  is a test that is required upon completion of a new system or an eBtension to an eBisting system# “Running test”  means a two inch waste test installed at thesprin)ler control valve on older systems#Pri*acy:  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 a!et"Regulation 200# FlegislationG!# This information may be stored in the department*s database and may be used for statistical research, information provision and evaluation of Plumbing 5ndustryCouncil and state government services# our personal information may be disclosed to other government agencies, local government authorities and third parties for purposes related to thisapplication# 8Bcept for these circumstances, personal information will only be disclosed to third parties with your consent or in accordance with the $n!ormation Pri%ac" Act 2009#T: The information collected on this form will be retained as required by the Public Records Act 2002  and other relevant -cts and regulations, and is subHect to the +ight to 5nformation regimeestablished by the Rig&t to $n!ormation Act 2009# 5f you have any further questions regarding your privacy, please email @uilding Codes Queensland on buildingcodesIqld#gov#au J The .tate of

Queensland Department of ;ousing and Public =or)s! ?uly 0&$1# Published by the Queensland overnment ?uly 0&$1, 1$ eorge .treet, @risbane Q3D 1&&&#

B"ilding Codes 5"eenslandDepartment of ;ousing and Public =or)s