Monthly Electric Fire Pump Report

Pump Location:

Pump Rating:

GPM @

PSI @

RPM

Completed By:

Date:

1. Is fire pump controller on “automatic”?

• Yes
• No
• N / A

2. Is jockey pump controller on “automatic”?

• Yes
• No
• N / A

3. Are all jockey pump and fire pump control valves open?

• Yes
• No
• N / A

4. Is jockey pump running frequency normal?

• Yes
• No
• N / A

5. Is pump room adequately heated?

• Yes
• No
• N / A

6. Did fire pump start automatically by a drop in water pressure?

• Yes
• No
• N / A

Pump start pressure: psi

Pump discharge pressure: psi

Pump suction pressure: psi

7. Are pump bearings operating at normal temperature?

• Yes
• No
• N / A

8. Are pump packing glands leaking sufficient water?

• Yes
• No
• N / A

9. Is pump free of unusual noises and vibrations?

• Yes
• No
• N / A

10. Is pump circulating relief valve operating?

• Yes
• No
• N / A

11. Is the pump test header drained to prevent freezing?

• Yes
• No
• N / A

12. Is a charged fire extinguisher in the pump room?

• Yes
• No
• N / A

13. Is pump room clean and free of combustible materials?

• Yes
• No
• N / A

14. Is pump controller’s “Power Available” light on?

• Yes
• No
• N / A

15. Did all remote pump alarms function properly? (i.e., running, power loss, etc.)

• Yes
• No
• N / A

16. Was water tank overfilled to verify it’s full, or is reservoir at normal level?

• Yes
• No
• N / A

17. Was pump run for at least 10 minutes?

• Yes
• No
• N / A

18. Were both the jockey pump and fire pump controllers left on “automatic”?

• Yes
• No
• N / A

Explain all “No” responses and corrective actions taken: (Ex: 8. Pump packing leaking too much – repaired 5/1)

Reviewed By:

Date: