Subject: Basic Requirements for Central Station

Central Station Fire Alarm

(Protective Signaling) Service

Monitoring Station Pre-Evaluation Data Sheets

Completed forms must be returned to UL prior to the Evaluation

Service Center Number: ______

Central Station Co. Name: ______

Service Center Address: ______

______

Name of Contact: ______Phone Number: ______

e-Mail Address: ______

RUNNER INFORMATION

Number of Runners per Shift: 1 2 3 4

Qty. in Station #1 ______

Location of Runner (Circle applicable and describe below)

Central Station Runner Station Vehicle Other

______

COMMUNICATION MEANS

Communication Between the Serving Central Station and the Runner(s):

(Note: The communication means must be two-way)

Type Test Schedule

(1) ______

(2) ______

(3) ______

Location of Test log: ______

**** CENTRAL STATION BUILDING DESCRIPTION ****

(Based on Fire Resistance Ratings UL 827, Tables 4.1)

Occupancy Single ______Multiple ______

Sprinkler System Yes ______No ______

Automatic Fire Alarm System Yes ______No ______

Exterior Bearing Wall Construction ______

Interior Bearing Wall Construction ______

Support Beams Construction ______

Support Columns Construction ______

Truss or Joist Construction ______

Floor/ceiling construction (If multiple story, list each floor/ceiling assembly.)

______

If known, please provide the following information:

Design, or fire resistance ratings of any combustible structural members, which comprise the building (Design Ratings based on current UL Fire Resistance Directory Vols. 1 & 2, or an Architect’s documentation)

______

Roof construction ______

______

Roof covering ______

Class ‘A’ covering? ______

NOTE:

All interior doors and frames installed within walls that require a fire resistance rating; shall be UL fire rated for a minimum of 45 minutes.

**** CENTRAL STATION OPERATING ROOM ****

Location/Floor

If central station is housed in a multiple occupancy building, please describe construction of any combustible walls, floors, and ceilings enclosing the central station operating room.

Physical Security of the Station:

Do walls enclosing Operating Room extend to the roofline or fixed assemblies?

Yes ______No ______

Construction of Entry Door(s): ______

Is an Automatic Door Closer Installed? Yes ______No _____

Is a manual means of identification installed? Yes ______No _____

Can the door be readily left in an unlocked position? Yes ______No _____

If an electric strike is used, is standby power provided? Yes ______No _____

Are there windows in the Operating Room? Yes ______No _____

Describe the protection of any windows that are accessible from outside of the alarm service company’s offices:

______

**** POWER/GENERATOR ROOM (S) CONSTRUCTION ****

Location/Floor______

Power Room Wall Construction ______

______

Power Room Floor Construction ______

______

Ceiling Construction ______

______

Door(s) & Frame(s) Construction______

______

If located indoors, are door(s) & frame(s) UL fire rated? Yes ______No ______

Burglar Alarm Supervision Yes ______No ______

Fire Alarm Supervision Yes ______No ______

Ventilation Yes ______No ______

If generator is located out of doors, please describe type of security:

______

**** CENTRAL STATION STAFF ****

No. on Duty per Shift Shift 1 2 3 4

Operator(s) ______

Runner(s) at Central Station ______

Runner(s) at Runner Station ______

**** CENTRAL STATION EQUIPMENT ****

TELEPHONE CABLE

NOTE:

Telephone conductors carrying signal and communications circuits into the building housing the central station shall be protected against mechanical damage, fire, and attack by methods outlined in UL 827, Section -10 Cable System.

Please describe protection and routing of the telephone cable serving the central station:

______

IF APPLICABLE:

An antenna cable connecting a radio antenna to radio receiving and/or transmitting equipment located in a building housing the central station, and used to process UL Listed alarm signals shall be protected against fire, mechanical damage, and attack by the methods outlined in UL 827, Section -10.5 Antenna Cable.

Please describe protection and routing of the antenna cable serving the central station:

______

**** CENTRAL STATION RECEIVING EQUIPMENT ****

RECEIVERS

No. Units Manufacturer Model No. Connected to

Automation System

______

AUTOMATION EQUIPMENT

Software Provider ______Version ______

Main Computer Mfg. ______Model No. ______

Redundant System? Yes______No______

Total Systems Monitored ______Total Systems with Openings/Closings ______

UPS Installed? Yes ______No ______

**** SECONDARY POWER SUPPLY ****

NOTE:

Required standby power shall be in accordance with UL 827, Section 9 Power Supply

(Please check box which best describes standby power)

24 hour Battery Supply with Rectifiers (s) or UPS [ ]

Generator and 4 hour Battery Supply [ ]

Two generators, one with auto start [ ]

BATTERY CHARGERS

Internal to the Receivers Yes ______No ______

(If chargers are part of the receivers, proceed to the next section)

External to the Receivers Yes ______No ______

No. Units Manufacturer Model No. Output Rating

______V______A

GENERATOR(S)

Mfg.______Model ______Rating ______

Mfg.______Model______Rating ______

UNINTERRUPTIBLE POWER SOURCE

Mfg. ______Model______Rating ______

Mfg.______Model______Rating ______

Battery Mfg.: ______Model No. ______

UPS Bypass Switch (For Routine Maintenance) ______

______

Run Time on UPS Batteries ______

Additional Comments about any part of the Central Station:

______

2012/06/25