F-340RT Instructions 04-04-2012
FIRE PROTECTION EQUIPMENT PERFORMANCE CERTIFICATION F-340RT
(RE-TEST) INITIATED BY:
Chief’s Regulation No. 4 Certified Tester
NUMBER OF SECTIONS: 3- Sections I-III (Section III from the initial test report) required (Section V “Supplemental Information” form optional) PERIOD RETAINED:
Five years or until next certification, in Fire Station or Fire Prevention Inspection Unit file
FORWARD TO:
Fire Station or Fire Prevention Unit responsible for the maintenance of all inspection records for the occupancy
REFERENCE:
L.A.M.C. 57.01.35, Chief's Regulation No. 4
ROUTING:
Certified Tester to Fire Station or Fire Prevention Unit
RETEST: The Certified Tester shall verify that all defects indicated in Section III (Findings) of the initial performance test have been repaired prior to performing a retest. The retest results shall be documented on the copy of Section III from the initial test and shall be attached to F-340RT retest report. The original plus one copy shall be sent directly to the Fire Station or Fire Prevention Unit and a second copy shall be sent to the Chief’s Regulation No. 4 Unit. APPLICATION: This form is used by Chief’s Regulation No. 4 Certified Testers to document the results of fire protection equipment performance retest in accordance with Chief’s Regulation No. 4 and L.A.M.C. 57.01.35. This form provides certification that a required retest has been performed. It shall be used as a cover sheet to the F-340R Section III (Findings) where fire protection equipment defects are documented after an initial performance test. 1. When a retest is required, the Certified Tester shall obtain a copy of the F-340R Section III (Findings). In all cases, this copy shall have the date of the initial test, and the name, certification number, signature, and phone number of the Certified Tester who performed the initial test. 2. New defects shall not be added to this form. If new defects are discovered on the system or equipment during a retest, the Certified Tester shall contact the Fire Inspector or Fire Station member responsible for the address as soon as possible but in no case later than 24 hours and be guided by their instruction. 3. If the Fire Station member is not available, the Certified Tester shall contact the Chief’s Regulation No. 4 Unit for direction or instruction. For issues such as “violations” pertaining to the Fire Code or the Building Code, the Certified Tester may report the issue by attaching a Section V “Supplemental Information” form to the F-340RT behind Section III. Note: In every case the Fire Department member shall investigate and issue a Notice of Violation or contact LADBS as necessary when a Section V form is attached to any report.
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