DA Form 4005 Automatic Sprinkler and Standpipe Equipments Inspections and Tests

DA Form 4005 - also known as the "Automatic Sprinkler And Standpipe Equipments Inspections And Tests" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 4005 - was last revised on January 1, 1973. Download an up-to-date fillable PDF version of the DA 4005 below or request a copy through the chain of command.

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WATER SUPPLIES
AUTOMATIC SPRINKLER & STANDPIPE EQUIPMENTS INSPECTIONS & TESTS
For use of this form, see TM 5-695; the proponent agency in The Chief of Engineers.
SHEET NO.
INSTALLATION
PRESSURE
LEVEL
FIRE
PUMP
DATE
OUTSIDE
GRAVITY
PERFORM-
RESERVOIRS
ANCE
SOURCE
TANKS
INSPECTOR
LOCATION
LBS. / SQ. INCH
FEET
MAIN DRAIN
ALARMS
STANDPIPES
CONDITION
DRY PIPE VALVES
VALVE
(5)
(6)
(7)
(8)
QUICK OPEN-
PRESSURE
PRESSURE
ING DEVICE
(1)
(2)
(3)
(4)
(9)
(10)
(11)
(12)
(13)
REMARKS (Use reverse side if necessary)
DA FORM 4005, JAN 1973
REPLACES DA FORM 5-119, 1 APR 47, WHICH WILL BE USED.
APD LC v1.00

Download DA Form 4005 Automatic Sprinkler and Standpipe Equipments Inspections and Tests

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