Building Official / Fire Marshal Notification Form
Retain this portion of checklist at premises for Fire Marshal inspection. See local AHJ or Fire Marshal for
other information and requirements regarding conformance with NFPA 80 & NFPA 105.
Test Checklist (Fusible Link and Smoke dampers do not have sensors. Only steps a & b apply.)
1. Single Sensor Combination Damper
a.
Open smoke detector or relay wire or contact to cut power.
Damper springs closed.
b.
Reconnect power.
Damper drives open.
c.
Open thermal sensor using heat gun.
Damper springs closed.
d.
Press thermal sensor manual reset.
Damper drives open.
Repeat 3 times to ensure operation. This imitates UL555S test.
2. Reopenable Two Sensor Fire-Smoke Combination Damper
(Since this system involves the Firefighters’ Smoke Control System, inform fire department.)
With FSCS switch in Auto position:
a.
Disconnect power from smoke detector or relay contacts.
Actuator springs damper closed.
b.
Reconnect power.
Actuator drives damper open.
c.
Trip thermal sensor.
Actuator springs damper fully closed.
d.
Press manual reset.
Actuator drives damper open.
Test FSCS switch functions:
a.
Move FSCS switch to Off position.
Actuator springs damper fully closed.
b.
Move FSCS switch to Hand position.
Actuator drives damper open.
c.
Trip secondary (higher temperature) thermal sensor.
Actuator springs damper fully
closed.
d.
Press manual reset of secondary sensor.
Actuator drives damper open.
Move FSCS switch back to Auto position:
a.
Actuator springs damper closed if Primary sensor is still open.
b.
Actuator stays open if Primary sensor has re-closed.
When completed, ensure sensors are reset and smoke detector is in normal state and FSCS switch is
in Auto. Damper is normally Open; check sequence of operation.
Damper Numbers or Location Identifying Numbers..………………………………………………………
Date……-…………-..……
Contractor……………………………………………………………………………………………………….
Service Technician (Print)……………..………………………………………………………………………
Service Technician (Signed)……………..……………………………………………………………………
Phone Number (……)………………………………………………
Notes…….………………………………………………………………………………………………………
……………..…………………………………………………………………………………………………….
……………...……………………………………………………………………………………………………
Safe-Air Honeywell ML & MS Motors with Belimo FSNF120 Series March 2018
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