Title: Surveillance Audit Report Document No: F 545

Issue Date: 03 June 2020 Issue No: 8

Auditor: Ramón Peña / Global Audit Customer Name: Ruhrpumpen, SA de CV

Audit Date: 25 Jun 2020 Index Number: 3036123

Audited Site: Ruhrpumpen, S.A. de C.V. Contact Person / Isel Chapa /

Monterrey Plant Phone: + 52 (81) 8158 5500

Arrival Time: 12:00 Departure Time: 16:00

Audited Hours: 3.0 Report Hours: 1.0

Reviewed by: Date Reviewed:

Select Current Audit Sequence Below:

Quarterly Audit 1st 2nd 3rd 4th

Quarterly Plus 1st 2nd 3rd 4th
Semi-Annual Audit 1st 2nd
Annual Audit Not Performed *

This audit has been conducted as a remote assessment

Please Note: A check mark in a box with an asterisk (*) requires a written Audit Comment and if applicable a detailed
description in the Non-Conformance(s) section of this report.
A. Approval Guide / RoofNav Audit Comment / Findings
The purpose of this section is to: a) confirm who is responsible for maintaining the Approval Guide/RoofNav information; b)
verify that products identified on the “list” in site package are either manufactured at location, no longer manufactured or
manufactured elsewhere; c) Provide a simple listing of products produced at location to enable an auditor to examine each
within the course of a 2 year period.
1.
Is this site responsible for maintaining Approval Yes No * N/A
Guide/RoofNav Information?

If No, provide Name, Address, Contact, Email

Address and Telephone Number of responsible
site.

2.
Product confirmation - Using Approval Guide ,
RoofNav, SCR- (Site Contact Report) or other
product list provided as part of the package for site
audit;

Confirm current status of product (or material)

manufactured: a) List of products no longer
a) No longer manufactured (note Revision manufactured (How validated-discussion
Request required) with who- name & title?)

N/A
Amol Admuthe
Isel Chapa Application engg
Project Manager
Fire Pumps
1
FM Approvals 2011
 b) Manufactured elsewhere b) List of products manufactured
elsewhere inclusive of location and
contact. (How validated-discussion with
who- name & title?)

N/A

Isel Chapa
Project Manager

c) Manufactured in accordance with current c) List all FM Approved products that can
list (note any product produced with be made at this site. Also provide notation
auditor verifying any constraints e.g. if models have production constraints that
produced once a year, on order only etc. impact auditor verification, such as only
made in Q1, or rarely made. (How
validated-visual or discussion with who-
name & title?)

Validated against the Approval Guide, the

Approval Report and 1911:

Fire Pump Systems, Models:

ZW 6X4X8F, ZW 6X4X10F,ZW 6X4X12 F

ZW 6X4X14F,ZW 6X4X16F,ZW 6x5x12 F
ZW 6x5x14 F, ZW 8X5X8F,ZW 8X5X10 F
ZW8X5X12F,ZW 8X5X14F,ZW 8X5X16 F
ZW 8x6x8 F, ZW 8x6x10 F, ZW 8x6x12 F
ZW 8x6x14F, ZW 8x6x16F,ZW 8x6x19.5F
ZW10X6X12F,ZW10X6X14F,
ZW 10X8X10F,ZW 10X8X8F,
ZW 10X8X27F, ZW 12X10X20F,
ZW 12X10X24F, ZW 14X10X24F,
ZW 16X12X20A, ZW 16X12X20F, ZW
16X12X20FH, ZW 20X14X25.

VTP 10C67, VTP 12C135, VTP 14D275,

VTP 15C277,VTP 18D410, VTP 20C600,
VTP 24B440, VTP 24C730.

CPP21 3X1.5X13, CPP21 3X2X13,

CPP213X2X8, CPP21 4X3X8,
CPP21 4X3X10.

HSD 10X8X20, HSD 4X3X17 A,

HSD 10X8X17 A, HSD 8X6X20 A,
HSD 8X6X17 A, HSD 6X4X17,
HSD12X10X15A, HSD 6x4x9 B,
HSD 8X6X9.

HSR 4X6X11 B, HSR 8X10X14

HSC 8X12X14 D, HSC 8X14X21 E,

HSC 8X12X18 A, HSC 10X14X26 A,
HSC 8X12X14 D.

HSL 3X4X10, HSL 6X8X13.

Isel Chapa
Project Manager

2
FM Approvals 2011
 B. Subcontracting Audit Comment / Findings
1.
Since the last audit, has the customer Yes * N/A No There has not been changes to suppliers
subcontracted or changed subcontractors who since the last audit, as validated in the
manufacture specific electrical components, Inspection Checklist for the following
assemblies, raw materials, (including hydraulic and component:
transformer fluid) used in their FM Approved
Products. Part Number: 77009455 Vinoth
Description: Driver (Motor)
Supplier: Clarke
sample case
Purchase Order: 362603019

2.
If Yes, provide the name and address, and contact Yes N/A No * N/A
person of any other sites performing manufacturing
operations to these Approved Product(s), and if
applicable, specify the part number or formulation in
the audit comment / findings field.

C. FM Approvals Required Testing and Assessment Guidance Audit Comment / Findings

For all Hydraulics and Electrical audits consult the section titled Manufacturer Responsibility in the Approval Reports, Audit
Manual, Auditor Production Checklist, etc.. For Building Materials audits, ensure that manufacturer is conducting tests as
specified in the Audit Manuals. This action should be accomplished by dedicating the necessary time to witness testing.
1.
Were specified tests as indicated in the referenced Yes N/A No * Approval Report: 3056796
documents above being correctly performed on FM Specified Tests: 7.4 Ruhrpumpen SA de CV
Approved products at the time of the audit? shall performance test 100 percent of
production fire pumps, recording flow, total
If yes, specify each Approved Product (s) tests Ravi Testing head, speed and power consumed at a
conducted and results. If no, observe testing of minimum of six points spanning from shut off
similar products or review previous test results and / to beyond 1.5 times rated flow. Speeds shall
or test procedures for required tests. Describe these be within ±4 percent of the listed speed. In
observation findings. order to develop the characteristic curve,
test data shall be corrected to rated speed
by means of the affinity relationship. This
curve shall be supplied with the pump.
• Approved Product Observation:
7.5 Ruhrpumpen SA de CV shall test 100
• Similar Product Observation: Hydro Vinoth percent of production fire pumps for body
leakage to the sum of the pump’s shutoff
• Review of previous test :
& team head plus its maximum allowable suction
head, (Pmax.+Pmax. Suction), but not less
than 250 psi (1725 kPa). The pressure shall
be held for a minimum of five minutes with
no objectionable leakage (except at the
shaft packing), at any joint. Pump casing
distortion or leakage is not allowed.

7.6 Ruhrpumpen SA de CV shall supply the

pump and the necessary pump accessories
to provide a complete pump package, as
detailed below, and satisfactory
performance of the “Field Acceptance Test”
for any pump bearing the FM Approvals
Certification Mark. This responsibility may
be delegated to an FM Approvals audited
authorized agent of Ruhrpumpen SA de CV;
this delegation does not relieve
Ruhrpumpen SA de CV of their
accountability and responsibility for the
satisfactory performance of the complete

3
FM Approvals 2011
 pump package.

Product: Centrifugal Fire Pump Split-Case

System
Model: ZW 8X6X12 F
Serial Number: 363200934-01
Quantity: 1 unit
Pump Performance Test Date: 6 Sep 2019
Field Acceptance Test Date: 19 May 2020

Reviewed Tests & Results:

Ravi Testing 7.4) Six Points Spanning Tests:

Rated Speed = 2800 rpm

Test Point 1:
Flow = 0.00 (Shut Off)
Pump Power = 124.35 HP
Total Head = 152.33 PSI

Test Point 4 (Rated Head Capacity):

Flow = 1500 gpm
Pump Power = 176.05 HP
Total Head = 137.39 PSI

Test Point 7 (1.5 Times Head Capacity)

Flow = 2250 gpm
Pump Power = 209.96 HP
Total Head = 118.07 PSI

The results are retained in the Pump Test

Sheet (an uncontrolled document).

Test Leader: Guillermo Cásarez.

Hydro Vinoth
7.5) Hydrostatic Test: Pass
team
Pmax (152.33 PSI) + Pmax Suction (75 PSI)
= 227.33 PSI

The test was performed at 345 PSI @ 5 min

The result of the test is retained in the

following form:

Title: Hydrostatic Test Record

Number: FO-21-16

Inspected by: Raymundo Carrizales.

Field Acceptance Test:

Date: 19 May 2020

Testing Team Owner: Impac
Model: ZW 8X6X12 F
Serial Number: 363200934-01
Driver: Clarke / John Deere
Serial Number: PE6068E008619
Controller: Tornatech
Serial Number: WZ1094637

Electric Wiring: Pass

Flow Test: Pass
Controller Test: Pass
Driver Test: Pass

System Tests Results:

Test Point 1:

4
FM Approvals 2011
 Flow: 0 %
Discharge Pressure: 172.0 PSI
Velocity: 2900 RPM

Test Point 2:
Flow: 100 %
Discharge Pressure: 150.0 PSI
Velocity: 2895 RPM

Test Point 3:
Flow: 150 %
Discharge Pressure: 123 PSI
Velocity: 2855 RPM

Performed by: Héctor Molina

The Field Performance Test was signed on

19 May 2020 by: Ismael Rodríguez.

2.
Does manufacturer have written test procedures for Yes No * Title: Hydrostatic Test Record
the specified tests? Number: FO-21-16
Ravi &
(Identify any test procedures by title/control number
vinoth
Title: Performance Laboratory Test
and dates) Number: OP-RP-LP-001
Revision: 0
Date: 28 Nov 2019
3.
Are provisions for instructions and / or installation, Yes N/A No * Approval Report: 3056796
maintenance, and operation of product in Instruction Requirements: 7.3 Ruhrpumpen
accordance with the Approval Report(s)? SA de CV shall provide installation,
operating, and maintenance manual(s)
with each system.
Amol
Title: ZW Installation, Operation and
Maintenance Manual
Revision: 6
Date: 3 Apr 2019

This manual is available at the

website: www.ruhrpumpen.com

D. FM Approval Mark Audit Comment / Findings

To complete the following questions, consult the section titled Marking Requirements in applicable Approval Report.
Observe product in the manufacturing and finished goods areas. Note: Product is not considered FM Approved if shipped
without the Approval Mark.
1.
Are all outgoing shipments of FM Approved Yes N/A No * Approval Report: 3056796
Products or materials properly marked with the Marking Requirements: 4.1 The following
manufacturer’s name, address, model / type information appears on all Model ZW
designation, and proper ratings in accordance with 6x5x12F, ZW 8x6x10F, ZW 8x6x12F
the applicable drawing or approval report? and ZW 8x6x19.5F centrifugal fire pumps
identified within this Report and meets
standard requirements:

• Manufacturer’s name
• Model designation
amol • Rated capacity
• Rated total head
• Rated speed
• Maximum power required
• Impeller diameters
• Number of stages
• Pump serial number
5
FM Approvals 2011
 • The FM Approvals Certification Mark

See attached marking drawing MK-117192

-Manufacturer’s name: Ruhrpumpen

-Address: García N.L.
-Model Designation: ZW 8X6X12 F
-Rated Capacity: 1500 GPM
-Rated Total Head = 311.9 PSI
Amol -Rated Speed: 2800 RPM
-Maximum Power Required: 214.03 HP
-Impeller Diameter: 11.50 in
-Pump Serial Number: 363200934-01
-Number of Stages: 1
-Driver Manufacturer and Serial Number:
Clarke / S0143199P
-Controller Manufacturer and Serial Number:
TORNATECH / WZ1094637
-The FM Approval Mark

2.
Is the audited location responsible for applying the Yes No * Title: Nameplate for ZW 8x6X12 F
FM Approval Mark? Number: 7108670425
Revision: A
(If no, state which facility has responsibility) Date: 22 Nov 2019
amol
3.
Is the Approval Mark properly applied to all, and Yes N/A No * A ‘Non-FM’ product was verified and it was
only, equipment / materials approved by FM not marked as FM Approved: 6 x 4 x 9 F.
Approvals?
amol
a) Is there a procedure to to ensure that the Yes N/A No * The Bill of Materials sheet indicates if the
Approved Mark is applied only to the FM pump is FM Approved or not. The FM
Approved products? Nameplate is controlled by the warehouse
and released according with the
requirements the Bill of Materials.

The nameplate is released to the production

planner through the following form:
amol
Title: Nameplate Requirement UL-FM
Number: FO-RP-EN-014
Revision: 0

b) If the Approval Mark is applied before final Yes N/A No * The FM Approval Mark is applied after the
acceptance is completed, is there a final acceptance has been completed.
procedure to ensure that the Approval
Mark is removed from any rejected
products or the product is made JP & Team Sample completed root
functionally inoperative.? card for latest project

E. Critical Drawings and Documentation Control Audit Comment / Findings

A critical document list, when available, will be provided in the site package. If a critical document list is not available in the
site package, consult the section titled Documentation in the Approval Reports. Critical document lists are not created for
Building Materials clients. Consult Building Materials audit manuals and / or Approvals Report.
1.
Does the audited facility have responsibility for N/A
Yes No *
drawing / documentation control?

If no, indicate location of Design Control Facility.

RP Mexico Resp
(e.g.: contact person, address, phone )

6
FM Approvals 2011
 2.
Does the audited facility have documented Title: Engineering Change
Yes No *
procedures for control of critical drawings / Number: WI-RP-IN-014
formulations? Revision: 0
Date: 17 Oct 2019 RP Mexico Resp
(Including how document changes may be
transmitted from design / drawing control
location).
3.
Do change procedures specify that all changes to Title: Engineering Change
Yes No *
critical drawings / formulations be approved by Number: WI-RP-IN-014
FM Approvals prior to implementation to Revision: 0
production? Date: 17 Oct 2019 RP Mexico Resp
Section 7 Development

7.1.4. “For UL - FM Approved products, if

any change of revision for the drawings
or raw material is required, the
Engineering area notifies to the
certifications responsible for sending the
Revision Request Format to FM. The
Enginnering Area shall be wait for the FM
Approvals notification of the approval”.

4. RP Mexico Resp
Are documentation levels and formulations in Approval Report: 3029546
Yes N/A No *
accordance with Approval reports, audit manuals,
Revision Request forms, and /or critical Document Revision Site Revision
document lists (if any for specific Approval
reports)? AJ002269 1 1
AJ002656 0 0
If no, customer is to be advised that this is a AJ002713 0 0
requirement of the Master Approval Agreement. AJ002714 1 1
AJ002716 - -
Any changes made to controlled documents must AJ002733 1 1
be submitted to FM Approvals via the Revision AJ002744 - -
Request form. AJ002789 - -
Customer is to submit the form electronically AJ002850 - -
to [email protected] AJ002920 - -
AJ002938 - -
AJ002941 - -
AJ002986 - -
AJ003034 A A
AJ003036 A A
AJ003037 A A
AJ003038 A A
AJ003042 B B
AJ003043 B B
AJ003044 B B
AJ003062 0 0
AJ003063 - -
AJ003073 A A
AJ003102 - -
AJ003111 1 1
AJ003168 - -
AJ003169 - -
AJ003170 - -
AJ003171 - -
AJ003172 - -
AJ003176 B B
AJ003418 - -
AJ003551 - -
AJ003552 A A
AJ003622 1 1
AJ003628 A A
AJ003639 - -
AJ003684 2 2
AJ003768 0 0
7
FM Approvals 2011
 AJ003799 - -
AJ003807 B B
AJ003981 - -

5.
List drawings that do not match FM Approvals revision levels in the Description of Non-conformance(s) section of this report.
Provide drawing number, project ID number, FM Approvals revision and current revision.

F. Quality Registrations Audit Comment / Findings

1.
Is the facility ISO 9001 registered? Standard: ISO 9001:2015
Yes No
Registrar: SAI Global (ANAB Accredited)
If yes, view copy of certificate and identify Certificate: CERT-0115783
registrar, certification number name and Certification Date: 15 Mar 2018
expiration date. Expiry Date: 10 Jan 2021
Scope: Manufacturing, Installation and Service of
If ISO 9001 Registration is planned, please JP Horizontal and Vertical Centrifugal Pumps.
provide timetable, contact name and telephone
number The last audit was conducted on 2 Sep 2019.

No nonconformities were reported as reviewed in

the 2019 Audit Results Report.

The next audit is planned for Sep 2020.

2.
Does the manufacturer have any other Quality N/A
Yes No
System Registrations such as ATEX, IECEx,
CPR, etc.? JP
If yes, please indicate the registrar, certification
number, name and expiration date.

G. Quality Procedures and Inspection Audit Comment / Findings

1.
Does the customer have an organized quality The site maintains an ISO 9001:2015
Yes No *
management system? Certified Quality Management System.
If yes, customer must have all the following: Quality Control Representative:
• Quality Control Representative
• Quality Assurance Manual Norma Navarrete
• Supporting Written Procedures Quality Manager
[email protected]
+52 (81) 8158 5500

Title: Quality Manual

JP
Number: RPQMS-16
Revision: 18
Date: 23 Mar 2020

2.
Is product traceability documented from incoming The finished product is identified with
Yes N/A No *
inspection to finished product? Model and Serial Number, for example:
JP Sample document
Product: Centrifugal Fire Pump Split-
for any other latest Case System
Pumpset Like SM Model: ZW 8X6X12 F
Serial Number: 363200934-01

The components are identified at the

receiving with Part Number and Serial
Number, for example:

Part Number: 77009455

8
FM Approvals 2011
 Description: Driver (Motor)
Supplier: Clarke
Serial Number: S0143199P

During the production the product is

identified with Model and Serial
Number (Project Number), for example:

Product: Centrifugal Fire Pump Split-

Case System
Model: ZW 8X6X12 F
Serial Number: 363200934-01

3.
Incoming Inspection (If Applicable)
a) Are incoming shipments identified and
Yes N/A No * The components are identified with
checked for conformity with
Part Number and Serial Number and
specifications?
are checked for conformity against the
Vinoth Sample Buy Out Check List, for example:
document for any Part Number: 77009455
other latest Description: Driver (Motor)
Supplier: Clarke
Pumpset Like SM Serial Number: S0143199P

Title: Buy-Out Check List

Number: FO-RP-CA-058
Revision: 1
b) Are non-conforming items identified and
Yes N/A No * The nonconforming items are identified
segregated?
with the Hold Tag and segregated in
the Reject Area, for example:

NMCR: 123226
Vinoth Sample Part Number: 72016425
Date: 25 Jun 2020
document for any Issue: Purchase Order indicates ¾
NPT and arrived ½ NPT
other latest Quantity: 9 pieces
Pumpset Like SM
Title: Hold for Disposition
Number: FO-RP-CA-040
Revision: 0

Title: Non-Conforming Control

Number: OP-RP-CA-001
Revision: 2
Date: 5 Jul 2018

The incoming inspection records are

c) Are inspection procedures/records
Yes N/A No * retained and are available in the
maintained and available for review?
Quality Office, for example:

Part Number: 77009455

Description: Driver (Motor)
Supplier: Clarke
Purchase Order: 362603019
Vinoth Sample Received Date: 20 Nov 2019
Received Quantity: 1 unit
document for any Inspected Date: 20 Nov 2019
other latest Inspection Type: Visual and
Quantitative.
Pumpset Like SM Material according PO: Yes
Painting: OK
Damage: OK
Threads: OK
Quantity: Pass

9
FM Approvals 2011
 Title: Buy-Out Check List
Vinoth Sample Number: FO-RP-CA-058
Revision: 1
document for any
other latest Title: Visual and Dimensional
Inspection
Pumpset Like SM Number: OP-RP-CA-008
Revision: 4
Date: 11 Dec 2019

4.
In Process Inspection(if applicable)
a) Are inspection and test instructions
Yes N/A No * Product: Centrifugal Fire Pump Split-
available and used?
Case System
Model: ZW 8X6X12 F
Serial Number: 363200934
Date: 25 Nov 2019

Dimensional Inspection:

Dimension 1 = 16 15/16”
Dimension 3 = 14 3/4”
Dimension 4 = 14 /4”

Title: Dimensional Test Report

Number: FO-RP-CA-005
Revision: 00

5.
Final Inspection and Test (if applicable) Title: Hydrostatic Test Record
Yes N/A No *
a) Are written final test and inspection Number: FO-21-16
procedures available and used?
Vinoth Sample Title: Performance Laboratory Test
document for any Number: OP-RP-LP-001
Revision: 0
other latest Date: 28 Nov 2019
b) Are items identified to indicate final Pumpset
Yes Like N/A
SM No * The Hydrostatic Test Record and the
acceptance? Pump Test Sheet are used to indicate
the final acceptance of the product, for
example:

Pump Type: ZW 8X6X12 F

Project: 363200934-01

6.
Review Customer Complaints Procedure Title: Nonconformities and Corrective Actions
(Specifically FM Approved product) Number: OP-RP-SG-004
Revision: 0
Yes In-place with evidence of activity Date: 24 May 2017
N/A In-place with no evidence of activity
Complaint: 060320-01
No * No procedure in place
Vinoth/JP Sample Date: 3 Jun 2020
Customer: PDO USA
document for any Product: SM Type Pump (Non-FM)
other latest Quantity: 1 unit
Problem Description: The pump showed casting issues
Pumpset Like SM (damage)
Resolution: The visual aid for the inspection of the casting was
updated through the quality alert AC-060320-01.
Status: Closed.
7.
Have any products that are FM Approved or were If No: Provide the name of the person
Yes No
FM Approved been the subject of a product being audited, their title and the
recall? statement that no recalls have been
issued.

10
FM Approvals 2011
 Isel Chapa, Project Manager:
“No recalls have been issued”
a) Was the recall due to a non-
Yes
Vinoth/JP
No
Sample
conformance that affects the product If Yes: Provide a detailed account of
approval? document for any the recall activity, actions taken and
gather supportive documentation if
available.

N/A

8.
Have any products that are FM Approved or were If Yes: Provide detail of the non-
Yes No
FM Approved been the subject of a field conformance and obtain applicable
notification alerting customers to a non- documentation regarding the field
conformance? notification.

N/A

9.
Are any identified product complaints above N/A
Yes * No
suspected to require a Notification of Concern?

H. Equipment Calibration Audit Comment / Findings

1.
Are test and measurement equipment CENAM
Yes No *
calibrations traceable to national standards?

(If no, describe basis used to determine

accuracy)

2. Vinoth/JP Sample
Do written calibration procedures exist? document for any
Title: Test and Measuring Equipment Control
Yes No *
Number: OP-RP-CA-002
Revision: 2
Date: 29 Jan 2020
3.
Identify contractor(s) providing calibration service(s), if any. CERTIFIK
15 de Mayo 1613 Pte. Maria Luisa.
Monterrey, Nuevo Leon 64040
México.

Fujian Survey, S.A. de C.V.

Vinoth/JP Sample Av. Revolución 1008,
document for any Coatzacoalcos, Veracruz,
México

CANHEFERN
Esperanza 111, Col. Carretas
Querétaro, 76050
México

4.
Are due date tags applied to calibration Equipment: Digital Tachometer
Yes No *
equipment and are the due date tags current? Number: EM-967
Calibration Date: 12 Jun 2020
If no, describe tracking / recall system. Next Calibration: 12 Jun 2021
Certificate: CA-CE-22175-11
Calibrated by: CANHEFERN
Vinoth/JP Sample Traceability: CENAM
document for any Equipment: Pressure Gauge
Number: EM-1750
Calibration Date: 20 Jul 2019
Next Calibration: 20 Jul 2020
11
FM Approvals 2011
 Certificate: PR-061984-2
Calibrated by: CERTIFIK
Traceability: CENAM

Equipment: Flow Meter

Number: EM-036
Calibration Date: 10 May 2018
Next Calibration: 10 May 2020
Certificate: FSFL-CCMM-062343-A/18
Calibrated by: Fujian Survey
Status: In Calibration

I. Approved Product Validation Audit Comment / Findings

The purpose of this section is to document the products validated for compliance during the audit, and the reference
documents used. Note: The auditor shall provide a summary of whether the audited products were found to be in
compliance or otherwise in this section.
1.
Identify products / models / materials for which a List of products for which a detailed audit was performed. Note below product
detailed audit was performed. model, inspection / test performance, results’ satisfactory / un-satisfactory.
(Note to auditor: Detailed product class checklists are available for reference
during this activity)
Amol
Serial Number: 363200934-01
Product: Centrifugal Fire Pump Split-Case System
Quantity: 1 unit
Model: ZW 8X6X12 F
Pump Performance Test Date: 6 Sep 2019
Field Acceptance Test Date: 19 May 2020

Reviewed Tests & Results:

7.4) Six Points Spanning Tests:

Rated Speed = 2800 rpm

Test Point 1:
Flow = 0.00 (Shut Off)
Pump Power = 124.35 HP
Total Head = 152.33 PSI

Test Point 4 (Rated Head Capacity):

Flow = 1500 gpm
Pump Power = 176.05 HP
Total Head = 137.39 PSI

Test Point 7 (1.5 Times Head Capacity)

Flow = 2250 gpm
Pump Power = 209.96 HP
Total Head = 118.07 PSI

The results are retained in the Pump Test Sheet (an uncontrolled document).

Test Leader: Guillermo Cásarez.

7.5) Hydrostatic Test: Pass

Pmax (152.33 PSI) + Pmax Suction (75 PSI) = 227.33 PSI

The test was performed at 345 PSI @ 5 min

The result of the test is retained in the following form:

Title: Hydrostatic Test Record

Number: FO-21-16

Inspected by: Raymundo Carrizales.

12
FM Approvals 2011
 Field Acceptance Test:

Date: 19 May 2020

Owner: Impac Amol /JP
Model: ZW 8X6X12 F
Serial Number: 363200934-01
Driver: Clarke / John Deere
Serial Number: PE6068E008619
Controller: Tornatech
Serial Number: WZ1094637

Electric Wiring: Pass

Flow Test: Pass
Controller Test: Pass
Driver Test: Pass

System Tests Results:

Test Point 1:
Flow: 0 %
Discharge Pressure: 172.0 PSI
Velocity: 2900 RPM

Test Point 2:
Flow: 100 %
Discharge Pressure: 150.0 PSI
Velocity: 2895 RPM

Test Point 3:
Flow: 150 %
Discharge Pressure: 123 PSI
Velocity: 2855 RPM

Performed by: Héctor Molina

The Field Performance Test was signed on 19 May 2020 by: Ismael
Rodríguez.

2.
List the Approval Reports and/or Audit Manuals 3056796
associated with the audited product(s). 3029546
3036957

3.
Identify the drawings/formulations validated during Approval Report: 3036957
the detailed audit. Amol
Title: Impeller
Number: 111601069
Revision: B
Date: 30 Jan 2014
Site Revision: B

Dimension listed in the drawing:

Impeler Diameter (maximum) = 315 mm (12 13/32 in)

Dimension listed in the Approval Report 3056796 (Section 3.2): 10.625 to 12.4
in.

Validated against the dimension (Final Diameter) of the Impulsor used in the
manufacture of the audited pump:

Final Impeller Diameter = 11.50 in

13
FM Approvals 2011
 J. Surveillance Audit Summary
The purpose of this section is to document the surveillance audit history of FM Approved products listed for this audit site
during prior visits. Note: The auditor shall update this summary during subsequent visits to ensure that all the
manufacturer’s listed products are subjected to audit.
Production Examined Compliance
at time of during this Confirmed
visit? visit?
Approval
Date Report/ Audit Product Description / Notes
Manual Yes No Yes No Yes No

3056796,
6/25/20 3029546, Centrifugal Fire Pump Split-Case System / ZW 8X6X12 F
3036957

14
FM Approvals 2011
 Surveillance Audit Non-Conformance Report and Corrective Action Request

Categories of Non-Conformance:
Approval Guide Approval Mark CDL Variation
Subcontracting Approval Documentation Calibration
Testing Requirements Quality Systems Product Validation
Formulation Deviation

Description of Non-Conformance(s)
NC Naming Convention as follows NC-YYMMDD-01

N/C #: N/A
Category of Non-Conformance: N/A
Non-Conformance: N/A
Proposed Corrective Action: N/A

Add additional non-conformances by cutting and pasting the format

Please identify any Non-Conformances identified above suspected to require a Notification of Concern by
N/C#: N/A

Additional Auditor Comments: The revision of the Quality System documents was performed from 12:00 to
16:00 and the remote assessment was performed from 13:00 to 16:00.

Customer Comments: N/A

Ongoing Non-conformance: N/A

Agreed Response Date: N/A Contacts: N/A Date: N/A

Auditor: N/A

15
FM Approvals 2011