建筑消防设施巡查记录表3正式版

1、建筑消防设施巡查记录表3正式版附件 C1: Annex C1建筑消防设施巡查记录表In specti on record table for build ing fire protecti on facilities序号:NO:巡查项目item巡查内容content巡查情况Situati on部位Part数量Qty.正常Normal故障及处理Fault故障描述Descripti on当场处理情况On-site handlingstate报修情况Repair消防供配电设施Fire power supply anddistributio n消防电源主电源、备用电源工作状态Status of mai

2、n power and standby 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Fi

3、re automatic alarmsystem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 CRTgraphic display消防联动控制器外观及运行状况Appeara

4、nce and operation 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 devi

5、ce消防控制室工作环境Work 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 worki

6、ng state of combustible 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 supplyfacilities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 andoperation status of water level display device;Level, volume

7、and quality of natural source of water;Appearance ofwater 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、

8、测试装置、压力表等外观及运行状况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Firehydra nt(Firemon itor) system室内消火栓、消防卷盘外观及配件完整情况Appearance and

9、 accessories 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 firehydrant, environment of

10、fire hydrant 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 ofFire 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Automaticsprinklersystem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 th

11、e surrounding 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

12、 equipment 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 dev

13、ice on floors/in areas泡沫灭火系统Foam exti nguisher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 foamproportioning 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 e

14、nvironment 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 ope

15、ration status of foam pump and control cabinet气体灭火系统Gas fire extinguishingsystem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 tank;Appearance of the gas cylinder or storage tank;Appearance and operation state of the lea

16、k detector.容器阀、选择阀、驱动装置等组件外观Appearance of components such as container valves, selector valvesand 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 protection 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; sett

17、ingposition; 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 operationstate of components such as refrigeration devices, control devices and safety valves for low pressure carbon dioxide syst

18、ems防烟、排烟系统Smokepreve nti onand 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 working state of smoke retaining wall and its control device; the appearance of smoke exhaust va

19、lve 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Appearance and working state of smoke exhauster and control cabinet应急照明和疏散指示 标志Emerge ncylight ingand

20、evacuati onin dicator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Appearance and working state of centralized power supply emergency lighting, evacuation indicator lights

21、;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 lightingand evacuation indicating lights应急广播系统Emerge ncy broadcasti ng system扬声器外观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,

22、cassette tapedeck and distribution plate消防专用Firefighting telephone消防主机外观、工作状况Appearance and working condition of firefighting telephone host分机外观，插孔外观，插孔机外观Appearance of the extension telephone; 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 an

23、d 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Appearance 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 appe

24、arance and accessories integrity; fire shutter controldevice 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，轿箱内外观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 cond

25、ition 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Watermistfire-exti nguish ing system灭火控制器工作状态Working state of the fire extinguisher controller;储气瓶和储水瓶（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

26、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、分区控制阀等组件 外观Appearance of emergency start/stop button, indicator of release, alarm, sprinkler, partition control v

27、alve and other components防护区状况Condition of protection zone干粉灭火系统Drypowderfire灭火控制器工作状态Working state of the fire extinguisher controllerext in guishi ng system设备储存间环境、驱动气瓶和灭火剂储存装置外观Equipment storage room environment; appearance of driving cylinder and extinguisher storage device选择阀、驱动装置等组件外观Appearanc

28、e 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 exti nguisher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)In spect

29、 ing pers on (sig nature)年月日Date消防安全管理人(签名)Fire Safety Man ager (sig nature)年月日Date备注Remarks注：1、情况正常打“2”存在问题或故障的 打“人”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 not, put a cross and fill theault' 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

30、 be dealt with in time. If inspector cannot handle the problem/failure on-site, he shall fill in sheet ecord of buildiRng fire service failuremaintenance '.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 buil

31、ding fire protection facilities and the inspection time.附件3:建筑消防设施巡杳记录表序号:巡查项目巡查内容巡查情况部位数量正常故障及处理故障描述当场处理情况报修情况消防供配电设施消防电源主电源、备用电源工作状态发电机启动装置外观及工作状态消防配电房、UPS电池室、发电机房环境消防设备末端配电箱切换装置工作状态火灾自动报警系统火灾探测器、手动报警按钮、信号输入模块、控制模块外观及运行T八态、火灾报警控制器、火灾显示盘、CRT图形显示器运行状况消防联动控制器外观及运行状况火灾报警装置外观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

32、b.、/r状况系统接地装置外观消防控制室工作环境电气火灾监控系统电气火灾监控探测器的外观及工作状态报警主机外观及运行状态可燃气体探测报警系 统可燃气体探测器的外观及工作状态报警主机外观及运行状态消防供水设施消防水池、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，进户管外观消防水泵及控制柜工作状态稳压泵、增压泵、气压水罐及控制柜工作状态水泵接合器外观、标识系统减压、泄压装置、测试装置、压力表等外观及运行状况管网控制阀门启闭状态泵房照明、排水等工作环境消火栓（消防炮）灭火系统室内消火栓、消防卷盘外观及配件完整情况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

33、示室外消火栓外观、地下消火栓标识、栓井环境消防炮、炮塔、现场火灾探测控制装置、回旋装置等外观及周边环境启泵按钮外观自动喷水灭火系统喷头外观及距周边障碍物或保护对象的距离报警阀组外观、试验阀门状况、排水设施状况、压力显示值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泡沫灭火系统泡沫喷头外观及距周边障碍物或保护对象距离泡沫消火栓、泡沫炮、泡沫产生器、泡沫比例混合器外观泡沫液贮罐外观及罐间环境，泡沫液有效期及储存量控制阀门外观、标识，管道外观、标识火灾探测传动控制、现场手动控制装置外观、运

34、行状况泡沫泵及控制柜外观及运行状况气体灭火系统气体灭火控制器外观、工作状态储瓶间环境，气体瓶组或储罐外观，检漏装置外观、运行状况容器阀、选择阀、驱动装置等组件外观紧急启/停按钮外观，喷嘴外观、防护区状况，预制灭火装置外观、设置位置、控制装置外观及运行状况放气指示灯及警报器外观低压二氧化碳系统制冷装置、控制装置、安全阀等组件外观、防烟、排烟系统送风阀外观送风机及控制柜外观及工作状态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电动排烟窗、自然排烟设施外观排烟机及控制柜外观及工作状况送风、排烟机房环境应急照明和疏散指示标志应急灯具外观、工作状态疏散指示标志外观、工作状态集中供电型应急照明灯

35、具、疏散指示标志灯外观、工作状况，字母型应急照明灯具、疏散指示标志灯外观、工作状态应急广播系统扬声器外观功放、卡座、分配盘外观及工作状态消防专用消防主机外观、工作状况分机 外观，插孔外观，插孔机外观防火分隔设施防火窗外观及固定情况防火门外观及配件完整性，防火门启闭状况及周围环境电动型防火门控制装置外观及工作状态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防火墙外观防火封堵外观消防电梯紧急按钮外观，轿箱内外观电梯井排水设施外观及工作状况消防电梯工作状况细水雾灭火系统灭火控制器工作状态，火灾探测部分巡查内容见622条储气瓶和储水瓶（或储水罐）外观、工作环境高压泵组、稳压泵外观及工作状态，

36、末端试水装置压力值（闭 式系统）紧急启/停按钮、释放指示灯、报警器、喷头、分区控制阀等 组件外观防护区状况干粉灭火系统灭火控制器工作状态，火灾探测部分巡查内容见条设备储存间环境、驱动气瓶和灭火剂储存装置外观选择阀、驱动装置等组件外观紧急启/停按钮、放气指示灯、警报器、喷嘴外观防护区状况灭火器灭火器外观设置位置状况其他设施巡查人（签名）年月日消防安全管理人（签名）年月日备注注：1、情况正常打存在问题或故障的打“X”，并填写“故障及处理”栏中相关内容;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；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。灭火器箱 编号灭火器 编号型号配置日期报废日期维修日期设置部位灭火器 编号型号配置日期报废日期维修日期检查日期灭火器是否清洁铅封是否完 好喷嘴、喷管是否完 好畅通压力表指针是否 正常灭火器箱状态检查人监督人员签字备注要求：1、检查人员必须每月对灭火器进行两次安全检查，并