Fire Test Form

Complete this information to put a fire system on test. After submitting this information, please call 215-576-7111 to confirm that your email was received and that your system has been/will be placed on test.

System Account Number(Required)

Site Name(Required)

Site Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Reason for Test(Required)

Start Date of Test(Required)

Start Time of Test(Required)

End Date of Test(Required)

End Time of Test(Required)

Additional Information

I acknowledge that I have notified the Authority Having Jurisdiction (AHJ) that the Fire Alarm system will be out of service for the duration of the period described above as is required by the Fire Code.

Definitions:
Authority having jurisdiction (AHJ): The organization, office or individual responsible for approving equipment, and installation or a procedure. The Authority Having Jurisdiction may be (but is not limited to) a federal, state or local department or individual such as a fire chief, fire marshal, fire prevention bureau, building official, electrical inspector or others having statutory authority.

Fire Code 901.7:
Systems out of service. Where a required fire protection system is out of service, the fire department and the fire code official shall be notified immediately and, where required by the fire code official, the building shall either be evacuated or an approved fire watch shall be provided for all occupants left unprotected by the shutdown until the fire protection system has been returned to service.

Fire Protection System:
Approved devices, equipment and systems or combinations of systems used to detect a fire, activate an alarm, extinguish or control a fire, control or manage smoke and products of a fire or any combinations thereof.

Name of Signer(Required)

First Last

I am requesting that the following be placed on test (Please check all appropriate boxes):(Required)

ENTIRE FIRE SYSTEM

BURGLARY SYSTEM

ONLY FIRE ZONE(S) LISTED

ZONE(S)

Sign your name to acknowledge the above. If you do NOT accept this agreement, you cannot continue.(Required)

Phone(Required)

Email(Required)

This field is for validation purposes and should be left unchanged.

Fire Test Form

Why B Safe Security?

It's a Great Day to B Safe! Are You Ready?