1、附件C1:Annex C1建筑消防设施巡查记录表Inspection record table for building fire protection facilities 序号: NO:巡查项目item巡 查 内 容content巡 查 情 况Situation部位Part数量Qty.正常Normal故障及处理Fault故障描述Description当场处理情况On-site handling state报修情况Repair消防供配电设施Fire power supply and distribution消防电源主电源、备用电源工作状态Status of main power and st
2、andby power发电机启动装置外观及工作状态The appearance and working state of the generator starting device消防配电房、UPS电池室、发电机房环境The environment of power distribution room, UPS battery room, generator room消防设备末端配电箱切换装置工作状态Working status of power distribution switch box for firefighting equipment火灾自动报警系统Fire automatic a
3、larm system火灾探测器、手动报警按钮、信号输入模块、控制模块外观及运行状态The appearance and operation state of fire detector, manual alarm button, signal input module and control module.火灾报警控制器、火灾显示盘、CRT图形显示器运行状况Operation status of fire alarm controller, fire display panel and CRT graphic display消防联动控制器外观及运行状况Appearance and opera
4、tion status of fire linkage controller火灾报警装置外观Appearance of fire alarm device建筑消防设施远程监控、信息显示、信息传输装置外观及运行状况Appearance and operation status of remote monitoring, information display and information transmission device for building fire facilities系统接地装置外观System appearance of grounding device消防控制室工作环境Wo
5、rk environment of fire control room电气火灾监控系统Electric fire monitor system电气火灾监控探测器的外观及工作状态Appearance and working state of electric fire detector报警主机外观及运行状态Appearance and working state of the alarm host可燃气体探测报警系统Combustible gas detection and alarm system可燃气体探测器的外观及工作状态Appearance and working state of co
6、mbustible gas detectors报警主机外观及运行状态Appearance and working state of the alarm host消防供水设施Fire water supply facilities消防水池、消防水箱外观,液位显示装置外观及运行状况,天然水源水位、水量、水质情况,进户管外观Appearance of fire water pool and fire water tank, appearance and operation status of water level display device; Level, volume and quality
7、of natural source of water;Appearance of water pipe 消防水泵及控制柜工作状态Working state of fire pump and control cabinet稳压泵、增压泵、气压水罐及控制柜工作状态Working state of steady pressure pump, booster pump, pneumatic water tank and control cabinet水泵接合器外观、标识Appearance and identity plate of pump connector系统减压、泄压装置、测试装置、压力表等外
8、观及运行状况Appearance and working state of pressure reduce/relief system, test devices, pressure gauges, etc.管网控制阀门启闭状态Opening and closing state of pipe control valve 泵房照明、排水等工作环境Lighting and drainage of the pump house消火栓(消防炮)灭火系统Fire hydrant (Fire monitor) system室内消火栓、消防卷盘外观及配件完整情况Appearance and accesso
9、ries integrity of indoor fire hydrant and fire reel屋顶试验消火栓外观及配件完整情况、压力显示装置外观及状态显示Appearance and accessories integrity of roof test hydrant;Appearance and status of pressure display device 室外消火栓外观、地下消火栓标识、栓井环境Appearance of exterior hydrant, marking of underground fire hydrant, environment of fire hyd
10、rant chamber消防炮、炮塔、现场火灾探测控制装置、回旋装置等外观及周边环境The appearance and surrounding environment of Fire monitor, turret, field fire detection control device, gyratory device启泵按钮外观Appearance of pump button 自动喷水灭火系统Automatic sprinkler system喷头外观及距周边障碍物或保护对象的距离Appearance of sprinkler and the distance from the sur
11、rounding obstacles or protection objects报警阀组外观、试验阀门状况、排水设施状况、压力显示值Appearance of the alarm valve group, the state of the test valve, the state of the drainage facilities, and the indication value of the pressure充气设备及控制装置、排气设备及控制装置、火灾探测传动及现场手动控制装置外观及运行状况Appearance and operation status of aerated equip
12、ment and control devices, exhaust equipment and control devices, fire detection drive and field manual control devices.楼层或区域末端试验阀门处压力值及现场环境,系统末端试验装置外观及现场环境Pressure value and field environment of terminal test valve on floors/in areas;Appearance and field environment of system terminal test device on
13、 floors/in areas泡沫灭火系统Foam extinguisher泡沫喷头外观及距周边障碍物或保护对象距离Appearance of foam sprinkler and distance from surrounding obstacles or protection objects泡沫消火栓、泡沫炮、泡沫产生器、泡沫比例混合器外观Appearance of foam hydrant, foam gun, foam generator and foam proportioning mixer泡沫液贮罐外观及罐间环境,泡沫液有效期及储存量Appearance and environ
14、ment of foam tank;Validity date of foam liquid; storage capacity控制阀门外观、标识,管道外观、标识Appearance and identity plate of control valve and pipe 火灾探测传动控制、现场手动控制装置外观、运行状况Appearance and operation status of fire detection drive control system and field manual control device 泡沫泵及控制柜外观及运行状况Appearance and operati
15、on status of foam pump and control cabinet 冷却水系统的巡查内容可参考6.2.7The inspection content of the cooling water system can be referred to 6.2.7气体灭火系统Gas fire extinguishing system气体灭火控制器外观、工作状态Appearance and working state of gas extinguisher controller储瓶间环境,气体瓶组或储罐外观,检漏装置外观、运行状况Environment of the storage ta
16、nk;Appearance of the gas cylinder or storage tank;Appearance and operation state of the leak detector.容器阀、选择阀、驱动装置等组件外观Appearance of components such as container valves, selector valves and driving devices紧急启/停按钮外观,喷嘴外观、防护区状况Appearance of emergency start/stop button and nozzle; Condition of protecti
17、on area 预制灭火装置外观、设置位置、控制装置外观及运行状况Appearance of pre-fabricated fire extinguishing system; setting position; appearance and operation state of control device放气指示灯及警报器外观Appearance of gas release indicator light and alarm 低压二氧化碳系统制冷装置、控制装置、安全阀等组件外观、运行状况Appearance and operation state of components such a
18、s refrigeration devices, control devices and safety valves for low pressure carbon dioxide systems防烟、排烟系统Smoke prevention and exhaust system送风阀外观Appearance of air supply valve 送风机及控制柜外观及工作状态Appearance and working state of air blower and control cabinet 挡烟垂壁及其控制装置外观及工作状况、排烟阀及其控制装置外观The appearance and
19、 working state of smoke retaining wall and its control device; the appearance of smoke exhaust valve and its control device电动排烟窗、自然排烟设施外观Appearance of electric smoke window, natural smoke exhaust facilities排烟机及控制柜外观及工作状况Appearance and working state of smoke exhauster and control cabinet送风、排烟机房环境Appe
20、arance and working state of smoke exhauster and control cabinet应急照明和疏散指示标志Emergency lighting and evacuation indicator应急灯具外观、工作状态Appearance and working state of emergency lamps and lanterns疏散指示标志外观、工作状态Appearance and working state of the evacuation indicator集中供电型应急照明灯具、疏散指示标志灯外观、工作状况,集中电源工作状态Appearan
21、ce and working state of centralized power supply emergency lighting, evacuation indicator lights;Working state of centralized power supply字母型应急照明灯具、疏散指示标志灯外观、工作状态The appearance and working state of letter type emergency lighting and evacuation indicating lights应急广播系统Emergency broadcasting system扬声器外
22、观Appearance of loudspeaker 功放、卡座、分配盘外观及工作状态The appearance and working state of power amplifier, cassette tape deck and distribution plate消防专用电话Firefighting telephone消防电话主机外观、工作状况Appearance and working condition of firefighting telephone host分机电话外观,电话插孔外观,插孔电话机外观Appearance of the extension telephone;
23、 Appearance of telephone jack, the appearance of jack phone.防火分隔设施Fireproof facility防火窗外观及固定情况Appearance and fixation of fireproof windows防火门外观及配件完整性,防火门启闭状况及周围环境Fire door appearance and accessories integrity; Fire door opening and closing situation and surrounding environment电动型防火门控制装置外观及工作状态Appear
24、ance and working condition of electric fire door control device防火卷帘外观及配件完整性,防火卷帘控制装置外观及工作状况Fire shutter appearance and accessories integrity; fire shutter control device appearance and working condition防火墙外观Firewall appearance防火封堵外观Fire prevention and closure appearance消防电梯Fire elevator紧急按钮外观,轿箱内电话外
25、观Emergency button appearance, telephone appearance in the elevator car电梯井排水设施外观及工作状况Appearance and working condition of drainage facilities in elevator shaft消防电梯工作状况Working state of fire elevator细水雾灭火系统Water mist fire-extinguishing system灭火控制器工作状态Working state of the fire extinguisher controller; 储气
26、瓶和储水瓶(或储水罐)外观、工作环境Appearance and working environment of gas cylinders and water storage tank高压泵组、稳压泵外观及工作状态,末端试水装置压力值(闭式系统)Appearance and working state of the high pressure pump group and the steady pressure pump;Pressure value of the terminal water test device (closed system)紧急启/停按钮、释放指示灯、报警器、喷头、分区
27、控制阀等组件外观Appearance of emergency start/stop button, indicator of release, alarm, sprinkler, partition control valve and other components 防护区状况Condition of protection zone 干粉灭火系统Dry powder fire extinguishing system灭火控制器工作状态Working state of the fire extinguisher controller设备储存间环境、驱动气瓶和灭火剂储存装置外观Equipmen
28、t storage room environment; appearance of driving cylinder and extinguisher storage device 选择阀、驱动装置等组件外观Appearance of selector valves and driving devices紧急启/停按钮、放气指示灯、警报器、喷嘴外观Appearance of emergency start/stop button, indicator of release, alarm, sprinkler防护区状况Condition of protection zone灭火器Fire ext
29、inguisher灭火器外观Appearance of fire extinguisher 设置位置状况Status of setting position其他设施Other facilities巡查人(签 名)Inspecting person (signature) 年 月 日Date消防安全管理人(签名)Fire Safety Manager (signature) 年 月 日Date备注Remarks注:1、情况正常打“”,存在问题或故障的打“”,并填写“故障及处理”栏中相关内容;Note: 1. If the situation is normal, put a tick. If n
30、ot, put a cross and fill the Fault part. 2、对发现的问题和故障应及时处理,当场不能处置的要填报建筑消防设施故障维修记录表;2, The problem/failure should be dealt with in time. If inspector cannot handle the problem/failure on-site, he shall fill in sheetRecord of building fire service failure maintenance.3、本表为样表,单位可根据建筑消防设施实际情况和巡查时间段制表。3. The table is a template. The social unit can make own table according to the actual situation of the building fire protection facilities and the inspection time.此文档可自行编辑修改,如有侵权请告知删除,感谢您的支持,我们会努力把内容做得更好最新可编辑word文档