High Priority
Medium Priority
Low Priority
ASSET INTEGRITY ASSESMENT FORM
1. Project Details
Project Asset Integrity Assessment of Critical Systems
Client Katara Cultural Village FMS Mosanada
2. Asset Identification Details
Barcode KCV-015323 Asset Code KCV-015323
Description FM- 200 Sys Building NEC Location Security
Command Room
3. Asset Details
Make: Auto Pulse Model Z-10 Type FECP
Serial Number: Z-10 Rating Mfg year 2011
4. Assessment Observations / Results
Extinguishing Panel Information FM 200 Cylinder Information
Manufacturer Auto Pulse Manufacturer Pyrochem
Model Z-10 Serial No ATM-478789/472212/472180
Type Agent Weight LBS 354.9/219.4/219.4
Voltage 252.2 VAC Tare Weight LBS 236.6/201.1/200
Battery 13.3/13.3 VDC Total Weight LBS 591.5/420.4/419.3
Program Actuator Validity
Location Outside the protected Room Validated Date 09/03/24
Tag Validated in Kgs 269.2/198.9/189.7
No. Items Check Change Test Remarks
1 Gauge Pressure Level √
2 Physical Condition √
3 Bracket √
4 Tagged √
5 Collar x
6 Safety Cap √
7 Flexible Hose √
8 Solenoid Valve √ 30 sec
9 Nozzle √
10 Zone 1 – Smoke Detector √
11 Zone 2 – Smoke Detector √
12 Alarm Notification √
13 Manual Pull Station √
14 Abort Switch √ 30 sec
15 Physical condition of Agent cylinder √
16 Piping visual inspection √
17 Signages √
Page 1 of 3
ASSET INTEGRITY ASSESMENT FORM
System Function Summary & Test
Alarm Panel Supervisory Functions
Function Description Test Result
Panel AC Power Loss Loss of AC power to the alarm panel is detected by the OK
alarm system
Panel Sec Power Loss Loss of Secondary power to the alarm panel is detected OK
by the alarm system.
Open Alarm Circuits Electrical opens in initiating and indicating circuits are OK
detected
Short Alarm Circuits Electrical shorts in initiating and indicating circuits are NA
detected.
Panel to Panel Circuits Integrity of single or multiple circuits providing interface NA
between two or more control panels verified
Ground Faults Ground faults in alarm and power circuits are detected NA
Detected
System Function Summary & Test
Alarm Functions - Chemical Suppression
Function Description Test Result
1st Alarm A single initiating zone shows alarm OK
2nd Alarm A 2nd initiating zone shows alarm OK
Time Delay Delay between 2nd alarm and agent discharge 30 secs
Discharge Alarm Audible alarm upon agent discharge OK
Agent discharge Actual discharge of chemical fire suppression agent NA
Abort Switch Switch prevents discharge of chemical fire suppression 30 secs
agent.
Panel Inspection
System was in operation upon arrival?_ Yes
Panel and surrounding equipment, conduit and wiring well secured and in good condition_ Yes
Are all lamps and displays operating correctly?_ Yes
Primary power supply operates properly under full load? _ Yes
Are drawings and wiring diagrams available at the panel?_ No
Are operating instructions posted or available at the panel?_ No
Are zones labelled and identified?_ No
Page 2 of 3
ASSET INTEGRITY ASSESMENT FORM
5. Performance Assessment Summary
Parameter Actual Requirement
Result Remarks
Observation Min. Max.
1. Visual Inspection As mentioned Acceptable OK
in Clause 4.
2. Functional Test As mentioned Activation & Acceptable OK
in Clause 4. Sequence of
Operation as Per
QCDD
6. Conclusion & Recommendation
The above mentioned FM200 system has been assessed and the functionality is satisfactory:
Page 3 of 3
