DA Form 3943 Annual Dry Pipe Valve Inspection and Tripping Test

DA Form 3943 or the "Annual Dry Pipe Valve Inspection And Tripping Test" is a Department of the Army-issued form used by and within the United States Military.

The form - often incorrectly referred to as the DD form 3943 - was last revised on October 1, 1972. Download an up-to-date fillable DA Form 3943 down below in PDF-format or look it up on the Army Publishing Directorate website.

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DATE
ANNUAL DRY PIPE VALVE INSPECTION AND TRIPPING TEST
For use of this form, see TM 5-695; the proponent agency is Office of the Chief of Engineers.
INSTALLATION
LOCATION
INSPECTOR
BUILDING NO.
SYSTEM NO.
NO. OF SPRINKLERS ON SYSTEM
VALVE NO.
I - DRY PIPE VALVE
MANUFACTURER
TYPE OR MODEL
SIZE
YEAR MFG.
TEST DATA
AIR PRESSURE
WATER PRESSURE
CONTROLLING VALVE
(During Test)
WIDE
CRACKED OPEN
SHUT
AIR PRESSURE AT LEAK POINT
AIR PRESSURE AT TRIP POINT
TIME TO TRIP
TIME TO GET WATER TO INSPECTOR'S TEST VALVE
VALVE TESTED WITH
ACCELERATOR
EXHAUSTER
DID VALVE LEAK AT ANY POINT WHEN TRIPPED
(If so, where?)
YES
NO
ACCELERATOR OR EXHAUSTER
MANUFACTURER
TYPE OR MODEL
YEAR MFG.
TEST SATISFACTORY (If not, why?)
YES
NO
ALARM
TYPE
WATER MOTOR
ELECTRIC
LOCAL
CENTRAL
TEST SATISFACTORY (If not, why?)
YES
NO
II - CONDITION OF VALVE
GENERAL CONDITION
VALVE FACE AND SEAT RINGS
CORROSION OR INCRUSTATION
III - GENERAL DATA
VALVE RECEIVING GOOD CARE AND ATTENTION
YES
NO
TEST SATISFACTORY (If not, why?)
YES
NO
VALVE TRIPPED OR OPENED
(By whom)
VALVE RE-SET (By whom)
PROTECTION RESTORED AFTER TEST
(If not, why?)
MAIN DRAIN TEST MADE
YES
NO
YES
NO
WAS INSPECTOR'S GAUGE USED OR CORRECTIONS MADE FOR GAUGE ERRORS?
(USE REVERSE SIDE FOR REMARKS EXPLAINING FAULTY CONDITIONS)
DA FORM 3943, OCT 1972
APD LC v1.00
REPLACES DA FORM 5-118, 1 APR 47, WHICH WILL BE USED.
DATE
ANNUAL DRY PIPE VALVE INSPECTION AND TRIPPING TEST
For use of this form, see TM 5-695; the proponent agency is Office of the Chief of Engineers.
INSTALLATION
LOCATION
INSPECTOR
BUILDING NO.
SYSTEM NO.
NO. OF SPRINKLERS ON SYSTEM
VALVE NO.
I - DRY PIPE VALVE
MANUFACTURER
TYPE OR MODEL
SIZE
YEAR MFG.
TEST DATA
AIR PRESSURE
WATER PRESSURE
CONTROLLING VALVE
(During Test)
WIDE
CRACKED OPEN
SHUT
AIR PRESSURE AT LEAK POINT
AIR PRESSURE AT TRIP POINT
TIME TO TRIP
TIME TO GET WATER TO INSPECTOR'S TEST VALVE
VALVE TESTED WITH
ACCELERATOR
EXHAUSTER
DID VALVE LEAK AT ANY POINT WHEN TRIPPED
(If so, where?)
YES
NO
ACCELERATOR OR EXHAUSTER
MANUFACTURER
TYPE OR MODEL
YEAR MFG.
TEST SATISFACTORY (If not, why?)
YES
NO
ALARM
TYPE
WATER MOTOR
ELECTRIC
LOCAL
CENTRAL
TEST SATISFACTORY (If not, why?)
YES
NO
II - CONDITION OF VALVE
GENERAL CONDITION
VALVE FACE AND SEAT RINGS
CORROSION OR INCRUSTATION
III - GENERAL DATA
VALVE RECEIVING GOOD CARE AND ATTENTION
YES
NO
TEST SATISFACTORY (If not, why?)
YES
NO
VALVE TRIPPED OR OPENED
(By whom)
VALVE RE-SET (By whom)
PROTECTION RESTORED AFTER TEST
(If not, why?)
MAIN DRAIN TEST MADE
YES
NO
YES
NO
WAS INSPECTOR'S GAUGE USED OR CORRECTIONS MADE FOR GAUGE ERRORS?
(USE REVERSE SIDE FOR REMARKS EXPLAINING FAULTY CONDITIONS)
DA FORM 3943, OCT 1972
APD LC v1.00
REPLACES DA FORM 5-118, 1 APR 47, WHICH WILL BE USED.

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