2202 Alarm Inspection Brookside.pdf

NFPA 72 REPORT

© Siemens Industry, Inc., Smart Infrastructure Division, 2009-2022. All rights reserved.

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SYSTEM RECORD OF INSPECTION AND TESTING

System Name: BROOKSIDE Panel Name: 01 - BROOKSIDE

Inspection/Test Start Date/Time: 23 May 2022 0600 Inspection/Test Completion Date/Time: 27 May 2022 1500

Contract Info: Kenosha County 2022 (2600149454) Notification Number: 5102244789

Supplemental Form(s) Attached: Yes

1. PROPERTY INFORMATION

Name of property: BROOKSIDE CARE CENTER (4433-53144-00024)

Address: 3508 WASHINGTON RD. KENOSHA, WI. 53144

Description of property: SENIOR CARE CENTER/CBRF

Name of property representative: KENOSHA COUNTY (30078447), Scott McClain

Address: 1010 56TH ST, KENOSHA, WI 53140-3738

Phone: None Fax: None E-mail: scott.mcclain@kenoshacounty.org

2. TESTING AND MONITORING INFORMATION

Testing organization: SIEMENS

Address: 6737 West Washington Street, Suite 2110, Milwaukee, WI 53215

Phone: 414-475-3700 Fax: NA E-mail: NA

Monitoring organization: ALARM DETECTION SYSTEMS, INC.

Address: WILLOWBROOK ENTRANCE ABOVE CEILING

Phone: 1-630-844-6302 Fax: NA E-mail: NA

Account number: ACCT.# 183109 P.C. 1001 Phone line 1: NA Phone line 2: NA

Means of transmission: Digital

Entity to which alarms are retransmitted: NA Phone: NA

3. DOCUMENTATION

On-site location of the required record documents and site-specific software: DOCUMENTS RETAINED BY FACILITIES

4. DESCRIPTION OF SYSTEM OR SERVICE

4.1 Control Unit

System Name: BROOKSIDE Panel Name: 01 - BROOKSIDE

Panel Location and Address: WILLOW BROOK ENTRANCE, 3508 WASHINGTON RD., KENOSHA, WI, 53144

Manufacturer: NOTIFIER Model number: NFS2-3030D

4.2 Software and Firmware

Firmware revision number:

4.3 System Power

4.3.1 Primary (Main) Power

Nominal voltage: 120 Amps: 20 Location: WILLOW BROOK ENTRANCE

Overcurrent protection type: Breaker Amps: 20

Disconnecting means location: Panel LS-1 Breaker 17

4.3.2 Secondary Power

Type: Storage Battery Location: WILLOW BROOK ENTRANCE

Battery type (if applicable): Sealed Lead Acid Manufactured Date: 18 Sep 2021

Calculated capacity of batteries to drive the system:

In standby mode (hours): 24 In alarm mode (minutes): 15

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4.4 Notification Appliance Power Extender Panels

4.4.1 Primary Power

ID Location Input Volts

Panel Amps

Over-current Type

Over-current Amps

Primary Supply Location

Disconnect Location

01:01-01:DP-001 1st Fl Willowbrook Entrance Above Ceiling

BREAKER

01:01-01:NP-001 1st Fl 200 Hall - Room 868 NAC

BREAKER EC/A 4 #4

01:01-01:NP-002 1st Fl 200 Hall - Room 868 NAC

BREAKER EC/A 4 #4

01:01-01:NP-003 1st Fl 400 Hall - Room 811 NAC

BREAKER EL/B #8

01:01-01:NP-004 1st Fl 400 Hall - Room 811 NAC

BREAKER EL/B #8

01:01-01:NP-005 1st Fl R1 - IT Room R146 NAC 5 BREAKER OS/1B #33

01:01-01:NP-006 1st Fl R1 - IT Room R146 NAC 6 BREAKER OS/1B 33

01:01-01:NP-007 1st Fl R1 - IT Room C246 NAC 7 BREAKER OS/2B 35

01:01-01:NP-008 1st Fl Willowbrook - IT Room

C157 FCPS 8

BREAKER OS/1C #67

01:01-01:NP-009 1st Fl Willowbrook - IT Room

C157 FCPS 9

BREAKER OS/1C #67

01:01-01:NP-010 1st Fl 400 Hall - Room 811 NAC

BREAKER EL/B #8

01:01-01:NP-011 1st Fl Willowbrook - IT Room C157 Master Sync

BREAKER OS/1C #67

01:01-01:RP-001 1st Fl 200 Hall - Room 868 AMP

BREAKER EC/A # 2

01:01-01:RP-002 1st Fl R1 - IT Room R146 AMP 2 BREAKER OS/1B #35

4.4.2 Secondary Power

ID Location Battery Type

Manufactured Date

Voltage Rating

Amp Rating

Standby Hours

Alarm Minutes

01:01-01:DP-001 1st Fl Willowbrook Entrance Above Ceiling SLA 2021-10-07 12/12 7 AH 24 15

01:01-01:NP-001 1st Fl 200 Hall - Room 868 NAC 1 SLA 2021-10-28 12/12 7AH 24 15

01:01-01:NP-002 1st Fl 200 Hall - Room 868 NAC 2 SLA 2020-10-15 12/12 7AH 24 15

01:01-01:NP-003 1st Fl 400 Hall - Room 811 NAC 3 SLA 2020-09-15 12/12 7AH 24 15

01:01-01:NP-004 1st Fl 400 Hall - Room 811 NAC 4 SLA 2020-09-15 12/12 7AH 24 15

01:01-01:NP-005 1st Fl R1 - IT Room R146 NAC 5 SLA 2019-04-01 12/12 7AH 24 15

01:01-01:NP-006 1st Fl R1 - IT Room R146 NAC 6 SLA 2019-04-01 12/12 7AH 24 15

01:01-01:NP-007 1st Fl R1 - IT Room C246 NAC 7 SLA 2020-09-15 12/12 7AH 24 15

01:01-01:NP-008 1st Fl Willowbrook - IT Room C157 FCPS 8 SLA 2019-04-26 12/12 7AH 24 15

01:01-01:NP-009 1st Fl Willowbrook - IT Room C157 FCPS 9 SLA 2019-04-01 12/12 7AH 24 15

01:01-01:NP-010 1st Fl 400 Hall - Room 811 NAC 10 SLA 2020-09-15 12/12 7AH 24 15

01:01-01:NP-011 1st Fl Willowbrook - IT Room C157 Master Sync

SLA 2020-09-15 12/12 7AH 24 15

01:01-01:RP-001 1st Fl 200 Hall - Room 868 AMP 1 SLA 2020-05-29 12/12 55 AH 24 15

01:01-01:RP-002 1st Fl R1 - IT Room R146 AMP 2 SLA 2020-08-14 12/12 55 AH 24 15

5. NOTIFICATIONS MADE PRIOR TO TESTING

Monitoring organization Contact: BRIANNA Time: 0600

Building management Contact: SCOTT MCCLAIN Time: 0600

Building occupants Contact: BY SCOTT MCCLAIN Time: 0600

Authority having jurisdiction (AHJ) Contact: NA Time: NA

Other, if required Contact: NA Time: NA

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6. TESTING RESULTS

6.1 Control Unit and Related Equipment

Description Visual Inspection or Functional Test Comments

Control unit Functional None

Disconnect switches Functional None

Fuses Functional None

Ground-fault monitoring Functional None

Interface Equipment Functional None

Lamps/LEDs/LCDs Functional None

Local annunciator Functional None

Primary Power Functional None

Remote annunciators Functional None

Remote power panels Functional None

Supervision Functional None

Trouble signals Functional None

6.2 Secondary Power

Description Visual Inspection or Functional Test Comments

Battery condition Functional MAN. DATE 9-18- 2021 (2) 55 AH BATTERIES

Charger test Functional 27.88

Discharge test Functional 100%/100%

Load voltage Functional 13.85/13.77

Remote panel batteries Functional None

6.3 Notification Appliance Power Extender Panels Secondary Power

ID Location Battery Voltage

Battery Amps

Test Method

Pass/ Fail

01:01-01:DP-001 1st Fl Willowbrook Entrance Above Ceiling 13.79 100% Functional Pass

01:01-01:NP-001 1st Fl 200 Hall - Room 868 NAC 1 13.73/13.78 100%/100% Functional Pass

01:01-01:NP-002 1st Fl 200 Hall - Room 868 NAC 2 13.77/13.77 100%/100% Functional Pass

01:01-01:NP-003 1st Fl 400 Hall - Room 811 NAC 3 13.68/13.65 100%/100% Functional Pass

01:01-01:NP-004 1st Fl 400 Hall - Room 811 NAC 4 13.68/13.86 100%/100% Functional Pass

01:01-01:NP-005 1st Fl R1 - IT Room R146 NAC 5 13.81/1376. 100%/100% Functional Pass

01:01-01:NP-006 1st Fl R1 - IT Room R146 NAC 6 13.75/13.76 100%/100% Functional Pass

01:01-01:NP-007 1st Fl R1 - IT Room C246 NAC 7 13.77/13.76 100%/100% Functional Pass

01:01-01:NP-008 1st Fl Willowbrook - IT Room C157 FCPS 8 13.65/12.56 100%/10% Functional Fail

01:01-01:NP-009 1st Fl Willowbrook - IT Room C157 FCPS 9 13.72/13.78 100%/100% Functional Pass

01:01-01:NP-010 1st Fl 400 Hall - Room 811 NAC 10 13.67/13.73 100%/100% Functional Pass

01:01-01:NP-011 1st Fl Willowbrook - IT Room C157 Master Sync 13.67/13.74 100%/100% Functional Pass

01:01-01:RP-001 1st Fl 200 Hall - Room 868 AMP 1 13.78/13.80 100%/100% Functional Pass

01:01-01:RP-002 1st Fl R1 - IT Room R146 AMP 2 13.80/13.76 100%/100% Functional Pass

6.4 Alarm and Supervisory Alarm Initiating Device

Attach supplementary device test sheets for all initiating devices.

6.5 Notification Appliances

Attach supplementary appliance test sheets for all notification appliances.

6.6 Interface Equipment

Attach supplementary interface component test sheets for all interface components.

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6.7 Supervising Station Monitoring

Description Received Time / Elapsed

Time Pass/Fail Comments

Alarm signal Yes NA / NA Pass None

Alarm restoration Yes NA / NA Pass None

Trouble signal Yes NA / NA Pass None

Trouble restoration Yes NA / NA Pass None

Supervisory signal No NA / NA Na None

Supervisory restoration No NA / NA Na None

6.8 Public Emergency Alarm Reporting System

Description Yes No Time Comments

Alarm signal NA NA

Alarm restoration NA NA

Trouble signal NA NA

Trouble restoration NA NA

Supervisory signal NA NA

Supervisory restoration NA NA

7. NOTIFICATIONS THAT TESTING IS COMPLETE

Monitoring organization Contact: CINDY Time: 1500

Building management Contact: SCOTT MCCLAIN Time: 1500

Building occupants Contact: BY SCOTT MCCLAIN Time: 1500

Authority having jurisdiction (AHJ) Contact: Time:

Other, if required Contact: NA Time: NA

8. SYSTEM RESTORED TO NORMAL OPERATION

Date: 27 May 2022 Time: 1500

9. CERTIFICATION

This Testing Was Performed in Accordance with Applicable NFPA Standards.

Signed:

Stanley Laitinen, Alexander Hanus Date: 5-27-2022

Printed name: STANLEY LAITINEN,ALEXANDER HANUS Title: Technician License No.: SL#150654,AH#148912

Organization: SIEMENS Phone: 414-475-3700

Qualifications (refer to NFPA 72, Section 10.5.3): Inspection, Testing, Service, Programming

10. SUMMARY OF EQUIPMENT MARKED AS FAILED WHEN INSPECTED OR TESTED

NAC Panels

Address Location Model Comment:

01:01-01:NP-

1st Fl Willowbrook - IT Room

C157 FCPS 8

NOTIFIER FCPS6 (2) 7 AH BATTERIES REQUIRE REPLACEMENT

Duct Smoke Detectors (P)

Address Location Model Comment:

01:L1-L1-D055 1st Fl C-Attic Area:

Administration - RTU3:

Return

NOTIFIER

INNOVAIR/FSD-

75IPL

DP-0.10- DID NOT SHUT DOWN UNIT.

01:L1-L1-D056 1st Fl C-Attic Area:

Administration - RTU3:

Supply

NOTIFIER

INNOVAIR/FSD-

75IPL

DP-0.10- DID NOT SHUT DOWN UNIT.

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Duct Smoke Detectors (P)

Address Location Model Comment:

01:L1-L1-D057 1st Fl C-Attic Area: Memory Care - Center Area: Supply

NOTIFIER

INNOVAIR/FSD-

75IPL

DP-0.05-DID NOT SHUT DOWN UNIT.

01:L2-L2-D060 1st Fl C-Attic Area: Center Area -RTU 3 Supply

NOTIFIER

INNOVAIR/FSD-

75IPL

DP-0.10 DID NOT SHUT DOWN UNIT

01:L2-L2-D062 1st Fl C-Attic Area: Center Area - RTU 3-Return

NOTIFIER

INNOVAIR/FSD-

DP-0.05-DID NOT SHUT DOWN UNIT.

11. ACCEPTANCE BY OWNER OR OWNER’S REPRESENTATIVE

The undersigned accepted the test report for the system as specified herein:

Signed:

Printed name: Scott McClain Date:

Organization: KENOSHA COUNTY (30078447) Phone: None

Pursuant to applicable codes and standards, the owner or designated representative is responsible for proper maintenance and care of the system(s) identified in this report. During the site inspection, if Siemens has identified code deficiencies or impairments, Siemens will recommend certain corrective actions contained in this report. In the event the owner fails to correct such deficiencies or impairments within the required time period per the code, Siemens may be required to report such deficiencies or impairments to the Local AHJ or Fire Marshall per regulatory requirements.

Customer shall hold Siemens harmless and releases Siemens of any and all liability due to Customer’s failure to correct such deficiencies or impairments.

12. OTHER

12.1 Special Procedures

ELEVATOR RECALL KEY-FEOK-1

12.2 Comments

ALL SMOKE DETECTORS PASSED SENSITIVITY READINGS AND DIFFERENTIAL TESTING.

DIFFERENTIAL PRESSURE RANGES: MODEL DNR 0.01-1.11 IN. OF WATER. MODEL: INNOVAIR/FSP751PL 0.0015 - 1.2 IN.

OF WATER

ALL AHU SHUTDOWNS FUNCTIONED PROPERLY WITH THE EXCEPTION OF THOSE RELATED TO RTU 3.

ALL DOORS RELEASED PROPERLY UNDER ALARM CONDITIONS.

NOTIFICATION APPLIANCE SUPPLEMENTARY RECORD OF INSPECTION AND TESTING

1. PROPERTY INFORMATION

Name of property: BROOKSIDE CARE CENTER (4433-53144-00024)

Address: 3508 WASHINGTON RD. KENOSHA, WI. 53144

2. NOTIFICATION APPLIANCE TEST RESULTS

2.1 Notification Appliances Equipment Summary by Type

Total Qty Functionally Tested Qty

Functionally Tested %

Visually Tested

Qty

Visually Tested %

Failed Qty Failed % Device or System Type

295 295 100% 0 0% 0 0% Alarm Speakers

187 187 100% 0 0% 0 0% Alarm Speakers w/Strobe

124 124 100% 0 0% 0 0% Visual Alarms

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2.2 Notification Appliances Testing Results by Type

Alarm Speakers

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

1 05/25/22 01-01:AN-001 1st Fl 100's Country Kitchen Functional Pass

2 05/25/22 01-01:AN-002 1st Fl 100's Dining Room Functional Pass

3 05/25/22 01-01:AN-003 1st Fl 200's Country Kitchen Functional Pass

4 05/25/22 01-01:AN-004 1st Fl 200's Dining Room Functional Pass

5 05/25/22 01-01:AN-005 1st Fl 400/500 Activity Room: North Functional Pass

6 05/25/22 01-01:AN-006 1st Fl 400/500 Activity Room: South Functional Pass

7 05/25/22 01-01:AN-007 1st Fl 400 TV Room Functional Pass

8 05/25/22 01-01:AN-008 1st Fl 500 Dining Room: Center Functional Pass

9 05/25/22 01-01:AN-009 1st Fl 500 Dining Room: East Functional Pass

10 05/25/22 01-01:AN-010 1st Fl 500 Dining Room: West Functional Pass

11 05/25/22 01-01:AN-011 1st Fl 600/700 Activity Room: East Functional Pass

12 05/25/22 01-01:AN-012 1st Fl 600/700 Activity Room: West Functional Pass

13 05/25/22 01-01:AN-013 1st Fl 600/700 Hall by Activities Room Functional Pass

14 05/25/22 01-01:AN-014 1st Fl 600 Dining: Center Functional Pass

15 05/25/22 01-01:AN-015 1st Fl 600 Dining: East Functional Pass

16 05/25/22 01-01:AN-016 1st Fl 600 Dining: West Functional Pass

17 05/25/22 01-01:AN-017 1st Fl 700 TV Room Functional Pass

18 05/25/22 01-01:AN-018 Bsmnt Break Room Functional Pass

19 05/25/22 01-01:AN-019 1st Fl Business Office Conf Room Functional Pass

20 05/25/22 01-01:AN-020 1st Fl Business Office Cubicles: North Functional Pass

21 05/25/22 01-01:AN-021 1st Fl Business Office Cubicles: South Functional Pass

22 05/25/22 01-01:AN-022 1st Fl Corr by Room 501 Functional Pass

23 05/25/22 01-01:AN-023 1st Fl East Activity Room Functional Pass

24 05/25/22 01-01:AN-024 1st Fl East Country Kitchen Functional Pass

25 05/25/22 01-01:AN-025 1st Fl East Dining Room by Door Functional Pass

26 05/25/22 01-01:AN-026 1st Fl East Entrance Vestibule Functional Pass

27 05/25/22 01-01:AN-027 1st Fl East Entrance Vestibule Functional Pass

28 05/25/22 01-01:AN-028 Bsmnt East Hall: Center Functional Pass

29 05/25/22 01-01:AN-029 Bsmnt East Hall: North Functional Pass

30 05/25/22 01-01:AN-030 Bsmnt East Hall: South Functional Pass

31 05/25/22 01-01:AN-031 1st Fl East Living Room Functional Pass

32 05/25/22 01-01:AN-032 1st Fl Hall by 100's Restroom Functional Pass

33 05/25/22 01-01:AN-033 1st Fl Hall by 600 Kitchen Functional Pass

34 05/25/22 01-01:AN-034 1st Fl Hall by 100's Restroom Functional Pass

35 05/25/22 01-01:AN-035 1st Fl Hall by Business Office Conference Room Functional Pass

36 05/25/22 01-01:AN-036 1st Fl Hall by Business Office: North Functional Pass

37 05/25/22 01-01:AN-037 1st Fl Hall by Business Office: South Functional Pass

38 05/25/22 01-01:AN-038 1st Fl Hall by East Activity Room Functional Pass

39 05/25/22 01-01:AN-039 1st Fl Hall by Elevator Car 1 Functional Pass

40 05/25/22 01-01:AN-040 1st Fl Hall by Elevator Seating Area Functional Pass

41 05/25/22 01-01:AN-041 1st Fl Hall by Exam Room Functional Pass

42 05/25/22 01-01:AN-042 1st Fl Hall by FACP Functional Pass

43 05/25/22 01-01:AN-043 1st Fl Hall by Kitchen Functional Pass

44 05/25/22 01-01:AN-044 1st Fl Hall by Massage Room: East Functional Pass

45 05/25/22 01-01:AN-045 1st Fl Hall by Massage Room: West Functional Pass

46 05/25/22 01-01:AN-046 Bsmnt Hall by Mechanical Room Functional Pass

47 05/25/22 01-01:AN-047 Bsmnt Hall by North Exit Functional Pass

48 05/25/22 01-01:AN-048 1st Fl Hall by North Office Functional Pass

49 05/25/22 01-01:AN-049 1st Fl Hall by Patio Door Functional Pass

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Alarm Speakers

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

50 05/25/22 01-01:AN-050 1st Fl Hall by Room 103 Functional Pass

51 05/25/22 01-01:AN-051 1st Fl Hall by Room 107 Functional Pass

52 05/25/22 01-01:AN-052 1st Fl Hall by Room 108 Functional Pass

53 05/25/22 01-01:AN-053 1st Fl Hall by Room 110 Functional Pass

54 05/25/22 01-01:AN-054 1st Fl Hall by Room 111 Functional Pass

55 05/25/22 01-01:AN-055 1st Fl Hall by Room 111 Functional Pass

56 05/25/22 01-01:AN-056 1st Fl Hall by Room 112 Functional Pass

57 05/25/22 01-01:AN-057 1st Fl Hall by Room 114 Functional Pass

58 05/25/22 01-01:AN-058 1st Fl Hall by Room 122 Functional Pass

59 05/25/22 01-01:AN-059 1st Fl Hall by Room 124 Functional Pass

60 05/25/22 01-01:AN-060 1st Fl Hall by Room 201 Functional Pass

61 05/25/22 01-01:AN-061 1st Fl Hall by Room 205 Functional Pass

62 05/25/22 01-01:AN-062 1st Fl Hall by Room 207 Functional Pass

63 05/25/22 01-01:AN-063 1st Fl Hall by Room 209 Functional Pass

64 05/25/22 01-01:AN-064 1st Fl Hall by Room 210 Functional Pass

65 05/25/22 01-01:AN-065 1st Fl Hall by Room 213 Functional Pass

66 05/25/22 01-01:AN-066 1st Fl Hall by Room 214 Functional Pass

67 05/25/22 01-01:AN-067 1st Fl Hall by Room 217 Functional Pass

68 05/25/22 01-01:AN-068 1st Fl Hall by Room 218 Functional Pass

69 05/25/22 01-01:AN-069 1st Fl Hall by Room 219 Functional Pass

70 05/25/22 01-01:AN-070 1st Fl Hall by Room 223 Functional Pass

71 05/25/22 01-01:AN-071 1st Fl Hall by Room 503 Functional Pass

72 05/25/22 01-01:AN-072 1st Fl Hall by Room 507 Functional Pass

73 05/25/22 01-01:AN-073 1st Fl Hall by Room 509 Functional Pass

74 05/25/22 01-01:AN-074 1st Fl Hall by Room 513 Functional Pass

75 05/25/22 01-01:AN-075 1st Fl Hall by Room 514 Functional Pass

76 05/25/22 01-01:AN-076 1st Fl Hall by Room 517 Functional Pass

77 05/25/22 01-01:AN-077 1st Fl Hall by Room 526 Functional Pass

78 05/25/22 01-01:AN-078 1st Fl Hall by Room 604 Functional Pass

79 05/25/22 01-01:AN-079 1st Fl Hall by Room 608 Functional Pass

80 05/25/22 01-01:AN-080 1st Fl Hall by Room 612 Functional Pass

81 05/25/22 01-01:AN-081 1st Fl Hall by Room 614 Functional Pass

82 05/25/22 01-01:AN-082 1st Fl Hall by Room 615 Functional Pass

83 05/25/22 01-01:AN-083 1st Fl Hall by Room 618 Functional Pass

84 05/25/22 01-01:AN-084 1st Fl Hall by Room 619 Functional Pass

85 05/25/22 01-01:AN-085 1st Fl Hall by Room 622 Functional Pass

86 05/25/22 01-01:AN-086 1st Fl Hall by Room 703 Functional Pass

87 05/25/22 01-01:AN-087 1st Fl Hall by Room 707 Functional Pass

88 05/25/22 01-01:AN-088 1st Fl Hall by Room 709 Functional Pass

89 05/25/22 01-01:AN-089 1st Fl Hall by Room 712 Functional Pass

90 05/25/22 01-01:AN-090 1st Fl Hall by Room 714 Functional Pass

91 05/25/22 01-01:AN-091 1st Fl Hall by Room 718 Functional Pass

92 05/25/22 01-01:AN-092 1st Fl Hall by Room 719 Functional Pass

93 05/25/22 01-01:AN-093 1st Fl Hall by Room 723 Functional Pass

94 05/25/22 01-01:AN-094 1st Fl Hall by Room C102 Functional Pass

95 05/25/22 01-01:AN-095 1st Fl Hall by Room C104 Functional Pass

96 05/25/22 01-01:AN-096 1st Fl Hall by Room C111 Functional Pass

97 05/25/22 01-01:AN-097 1st Fl Hall by Room C112 Functional Pass

98 05/25/22 01-01:AN-098 1st Fl Hall by Room C137 Functional Pass

99 05/25/22 01-01:AN-099 1st Fl Hall by Room C140 Functional Pass

100 05/25/22 01-01:AN-100 1st Fl Hall by Room R115 Functional Pass

101 05/25/22 01-01:AN-101 1st Fl Hall by Room R119 Functional Pass

102 05/25/22 01-01:AN-102 1st Fl Hall by Room R120 Functional Pass

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Alarm Speakers

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

103 05/25/22 01-01:AN-103 1st Fl Hall by Room R122 Functional Pass

104 05/25/22 01-01:AN-104 1st Fl Hall by Room R202 Functional Pass

105 05/25/22 01-01:AN-105 1st Fl Hall by Room R207 Functional Pass

106 05/25/22 01-01:AN-106 1st Fl Hall by Room R208 Functional Pass

107 05/25/22 01-01:AN-107 1st Fl Hall by Room R211 Functional Pass

108 05/25/22 01-01:AN-108 1st Fl Hall by Salon: Center Functional Pass

109 05/25/22 01-01:AN-109 1st Fl Hall by South Office Functional Pass

110 05/25/22 01-01:AN-110 1st Fl Hall by Wheelchair Storage Functional Pass

111 05/25/22 01-01:AN-111 1st Fl Kitchen Functional Pass

112 05/25/22 01-01:AN-112 1st Fl Kitchen Functional Pass

113 05/25/22 01-01:AN-113 1st Fl Kitchen Functional Pass

114 05/25/22 01-01:AN-114 1st Fl Kitchen Functional Pass

115 05/25/22 01-01:AN-115 1st Fl Living Room Functional Pass

116 05/25/22 01-01:AN-116 1st Fl Middle: Nurses Area Functional Pass

117 05/25/22 01-01:AN-117 1st Fl Namaste Room Functional Pass

118 05/25/22 01-01:AN-118 1st Fl North Country Kitchen Functional Pass

119 05/25/22 01-01:AN-119 1st Fl North Dining Room Functional Pass

120 05/25/22 01-01:AN-120 1st Fl North Dining Room Functional Pass

121 05/25/22 01-01:AN-121 1st Fl North Dining Room: East Functional Pass

122 05/25/22 01-01:AN-122 1st Fl North Dining Room: West Functional Pass

123 05/25/22 01-01:AN-123 1st Fl North Living Room Functional Pass

124 05/25/22 01-01:AN-124 1st Fl North Living Room Functional Pass

125 05/25/22 01-01:AN-125 1st Fl North Seating Area Functional Pass

126 05/25/22 01-01:AN-126 1st Fl Nurses Station Functional Pass

127 05/25/22 01-01:AN-127 1st Fl Private Dining Functional Pass

128 05/25/22 01-01:AN-128 1st Fl Room 401 Functional Pass

129 05/25/22 01-01:AN-129 1st Fl Room 409 Functional Pass

130 05/25/22 01-01:AN-130 1st Fl Room 410 Functional Pass

131 05/25/22 01-01:AN-131 1st Fl Room 414 Functional Pass

132 05/25/22 01-01:AN-132 1st Fl Room 415 Functional Pass

133 05/25/22 01-01:AN-133 1st Fl Room 418 Functional Pass

134 05/25/22 01-01:AN-134 1st Fl Room 426 Functional Pass

135 05/25/22 01-01:AN-135 1st Fl Room C101 Functional Pass

136 05/25/22 01-01:AN-136 1st Fl Room C102 Functional Pass

137 05/25/22 01-01:AN-137 1st Fl Room C103 Functional Pass

138 05/25/22 01-01:AN-138 1st Fl Room C104 Functional Pass

139 05/25/22 01-01:AN-139 1st Fl Room C105 Functional Pass

140 05/25/22 01-01:AN-140 1st Fl Room C106 Functional Pass

141 05/25/22 01-01:AN-141 1st Fl Room C107 Functional Pass

142 05/25/22 01-01:AN-142 1st Fl Room C108 Functional Pass

143 05/25/22 01-01:AN-143 1st Fl Room C109 Functional Pass

144 05/25/22 01-01:AN-144 1st Fl Room C110 Functional Pass

145 05/25/22 01-01:AN-145 1st Fl Room C111 Functional Pass

146 05/25/22 01-01:AN-146 1st Fl Room C112 Functional Pass

147 05/25/22 01-01:AN-147 1st Fl Room C113 Functional Pass

148 05/25/22 01-01:AN-148 1st Fl Room C114 Functional Pass

149 05/25/22 01-01:AN-149 1st Fl Room C115 Functional Pass

150 05/25/22 01-01:AN-150 1st Fl Room C116 Functional Pass

151 05/25/22 01-01:AN-151 1st Fl Room C117 Functional Pass

152 05/25/22 01-01:AN-152 1st Fl Room C118 Functional Pass

153 05/25/22 01-01:AN-153 1st Fl Room C119 Functional Pass

154 05/25/22 01-01:AN-154 1st Fl Room C120 Functional Pass

155 05/25/22 01-01:AN-155 1st Fl Room C121 Functional Pass

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Alarm Speakers

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

156 05/25/22 01-01:AN-156 1st Fl Room C122 Functional Pass

157 05/25/22 01-01:AN-157 1st Fl Room C122 Functional Pass

158 05/25/22 01-01:AN-158 1st Fl Room C124 Functional Pass

159 05/25/22 01-01:AN-159 1st Fl Room R101 Functional Pass

160 05/25/22 01-01:AN-160 1st Fl Room R102 Functional Pass

161 05/25/22 01-01:AN-161 1st Fl Room R103 Functional Pass

162 05/25/22 01-01:AN-162 1st Fl Room R104 Functional Pass

163 05/25/22 01-01:AN-163 1st Fl Room R105 Functional Pass

164 05/25/22 01-01:AN-164 1st Fl Room R106 Functional Pass

165 05/25/22 01-01:AN-165 1st Fl Room R107 Functional Pass

166 05/25/22 01-01:AN-166 1st Fl Room R108 Functional Pass

167 05/25/22 01-01:AN-167 1st Fl Room R109 Functional Pass

168 05/25/22 01-01:AN-168 1st Fl Room R110 Functional Pass

169 05/25/22 01-01:AN-169 1st Fl Room R111 Functional Pass

170 05/25/22 01-01:AN-170 1st Fl Room R112 Functional Pass

171 05/25/22 01-01:AN-171 1st Fl Room R113 Functional Pass

172 05/25/22 01-01:AN-172 1st Fl Room R114 Functional Pass

173 05/25/22 01-01:AN-173 1st Fl Room R115 Functional Pass

174 05/25/22 01-01:AN-174 1st Fl Room R116 Functional Pass

175 05/25/22 01-01:AN-175 1st Fl Room R117 Functional Pass

176 05/25/22 01-01:AN-176 1st Fl Room R118 Functional Pass

177 05/25/22 01-01:AN-177 1st Fl Room R119 Functional Pass

178 05/25/22 01-01:AN-178 1st Fl Room R120 Functional Pass

179 05/25/22 01-01:AN-179 1st Fl Room R121 Functional Pass

180 05/25/22 01-01:AN-180 1st Fl Room R122 Functional Pass

181 05/25/22 01-01:AN-181 1st Fl Room R123 Functional Pass

182 05/25/22 01-01:AN-182 1st Fl Room R124 Functional Pass

183 05/25/22 01-01:AN-183 1st Fl Room R201 Functional Pass

184 05/25/22 01-01:AN-184 1st Fl Room R202 Functional Pass

185 05/25/22 01-01:AN-185 1st Fl Room R203 Functional Pass

186 05/25/22 01-01:AN-186 1st Fl Room R204 Functional Pass

187 05/25/22 01-01:AN-187 1st Fl Room R205 Functional Pass

188 05/25/22 01-01:AN-188 1st Fl Room R206 Functional Pass

189 05/25/22 01-01:AN-189 1st Fl Room R207 Functional Pass

190 05/25/22 01-01:AN-190 1st Fl Room R208 Functional Pass

191 05/25/22 01-01:AN-191 1st Fl Room R209 Functional Pass

192 05/25/22 01-01:AN-192 1st Fl Room R210 Functional Pass

193 05/25/22 01-01:AN-193 1st Fl Room R211 Functional Pass

194 05/25/22 01-01:AN-194 1st Fl Room R212 Functional Pass

195 05/25/22 01-01:AN-195 1st Fl Room R213 Functional Pass

196 05/25/22 01-01:AN-196 1st Fl Room R214 Functional Pass

197 05/25/22 01-01:AN-197 1st Fl Room R215 Functional Pass

198 05/25/22 01-01:AN-198 1st Fl Room R216 Functional Pass

199 05/25/22 01-01:AN-199 1st Fl Room R217 Functional Pass

200 05/25/22 01-01:AN-200 1st Fl Room R218 Functional Pass

201 05/25/22 01-01:AN-201 1st Fl Room R219 Functional Pass

202 05/25/22 01-01:AN-202 1st Fl Room R220 Functional Pass

203 05/25/22 01-01:AN-203 1st Fl Room R221 Functional Pass

204 05/25/22 01-01:AN-204 1st Fl Room R222 Functional Pass

205 05/25/22 01-01:AN-205 1st Fl Room R223 Functional Pass

206 05/25/22 01-01:AN-206 1st Fl Room R224 Functional Pass

207 05/25/22 01-01:AN-207 1st Fl South Country Kitchen Functional Pass

208 05/25/22 01-01:AN-208 1st Fl South Dining Room Functional Pass

This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 10 of 36

Alarm Speakers

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

209 05/25/22 01-01:AN-209 1st Fl South Dining Room Functional Pass

210 05/25/22 01-01:AN-210 1st Fl South Dining Room: East Functional Pass

211 05/25/22 01-01:AN-211 1st Fl South Dining Room: West Functional Pass

212 05/25/22 01-01:AN-212 1st Fl South Hall: North Functional Pass

213 05/25/22 01-01:AN-213 1st Fl South Hall: South Functional Pass

214 05/25/22 01-01:AN-214 1st Fl South Living Room Functional Pass

215 05/25/22 01-01:AN-215 1st Fl South Living Room Functional Pass

216 05/25/22 01-01:AN-216 1st Fl South Living Room: East Functional Pass

217 05/25/22 01-01:AN-217 1st Fl South Living Room: West Functional Pass

218 05/25/22 01-01:AN-218 1st Fl Southport room: East - Center Functional Pass

219 05/25/22 01-01:AN-219 1st Fl Southport room: East - North Functional Pass

220 05/25/22 01-01:AN-220 1st Fl Southport room: East - South Functional Pass

221 05/25/22 01-01:AN-221 1st Fl Southport room: West - Center Functional Pass

222 05/25/22 01-01:AN-222 1st Fl Southport room: West - North Functional Pass

223 05/25/22 01-01:AN-223 1st Fl Southport room: West - South Functional Pass

224 05/25/22 01-01:AN-224 1st Fl South Seating Area Functional Pass

225 05/25/22 01-01:AN-225 1st Fl The Bistro: Center Functional Pass

226 05/25/22 01-01:AN-226 1st Fl The Bistro: North Functional Pass

227 05/25/22 01-01:AN-227 1st Fl The Bistro: South Functional Pass

228 05/25/22 01-01:AN-228 1st Fl Therapy Conference Room Functional Pass

229 05/25/22 01-01:AN-229 1st Fl Therapy Connector Hall: South Functional Pass

230 05/25/22 01-01:AN-230 1st Fl Therapy Gym: East Functional Pass

231 05/25/22 01-01:AN-231 1st Fl Therapy Gym: East Center Functional Pass

232 05/25/22 01-01:AN-232 1st Fl Therapy Gym: West Functional Pass

233 05/25/22 01-01:AN-233 1st Fl Therapy Gym: West Center Functional Pass

234 05/25/22 01-01:AN-234 1st Fl Therapy Hall: East Functional Pass

235 05/25/22 01-01:AN-235 1st Fl Therapy Hall: East Center Functional Pass

236 05/25/22 01-01:AN-236 1st Fl Therapy Hall: West Functional Pass

237 05/25/22 01-01:AN-237 1st Fl Therapy Hall: West Center Functional Pass

238 05/25/22 01-01:AN-238 1st Fl Therapy Office Functional Pass

239 05/25/22 01-01:AN-239 1st Fl Training Room: Entrance Functional Pass

240 05/25/22 01-01:AN-240 1st Fl Training Room: North Functional Pass

241 05/25/22 01-01:AN-241 1st Fl Training Room: South Functional Pass

242 05/25/22 01-01:AN-242 1st Fl TV Room Functional Pass

243 05/25/22 01-01:AN-243 1st Fl Wander Path Hall East: North Functional Pass

244 05/25/22 01-01:AN-244 1st Fl Wander Path Hall East: South Functional Pass

245 05/25/22 01-01:AN-245 1st Fl Wander Path Hall: Seating Area Functional Pass

246 05/25/22 01-01:AN-246 1st Fl Wander Path Hall West: Center Functional Pass

247 05/25/22 01-01:AN-247 1st Fl Wander Path Hall West: East Functional Pass

248 05/25/22 01-01:AN-248 1st Fl Wander Path Hall West: West Functional Pass

249 05/25/22 01-01:AN-249 1st Fl West Country Kitchen Functional Pass

250 05/25/22 01-01:AN-250 1st Fl West Cubicles Functional Pass

251 05/25/22 01-01:AN-251 1st Fl West Dining Room Functional Pass

252 05/25/22 01-01:AN-252 1st Fl West Dining Room by Door Functional Pass

253 05/25/22 01-01:AN-253 1st Fl West Living Room Functional Pass

254 05/25/22 01-01:AN-254 1st Fl West Restroom by 02 Storage Functional Pass

255 05/25/22 01-01:SP-001 2nd Fl Activity Room Functional Pass

256 05/25/22 01-01:SP-002 2nd Fl Country Kitchen Functional Pass

257 05/25/22 01-01:SP-003 2nd Fl Country Kitchen Functional Pass

258 05/25/22 01-01:SP-004 2nd Fl Dining Room Functional Pass

259 05/25/22 01-01:SP-005 2nd Fl Dining Room Functional Pass

260 05/25/22 01-01:SP-006 2nd Fl Dining Room Functional Pass

261 05/25/22 01-01:SP-007 2nd Fl Hall by Room R202 Functional Pass

This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 11 of 36

Alarm Speakers

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

262 05/25/22 01-01:SP-008 2nd Fl Hall by Room R207 Functional Pass

263 05/25/22 01-01:SP-009 2nd Fl Hall by Room R208 Functional Pass

264 05/25/22 01-01:SP-010 2nd Fl Hall by Room R211 Functional Pass

265 05/25/22 01-01:SP-011 2nd Fl Hall by Room R216 Functional Pass

266 05/25/22 01-01:SP-012 2nd Fl Hall by Room R217 Functional Pass

267 05/25/22 01-01:SP-013 2nd Fl Hall by Room R219 Functional Pass

268 05/25/22 01-01:SP-014 2nd Fl Hall by Room R222 Functional Pass

269 05/25/22 01-01:SP-015 2nd Fl Nurses Room Functional Pass

270 05/25/22 01-01:SP-016 2nd Fl Room R201 Functional Pass

271 05/25/22 01-01:SP-017 2nd Fl Room R202 Functional Pass

272 05/25/22 01-01:SP-018 2nd Fl Room R203 Functional Pass

273 05/25/22 01-01:SP-019 2nd Fl Room R204 Functional Pass

274 05/25/22 01-01:SP-020 2nd Fl Room R205 Functional Pass

275 05/25/22 01-01:SP-021 2nd Fl Room R206 Functional Pass

276 05/25/22 01-01:SP-022 2nd Fl Room R207 Functional Pass

277 05/25/22 01-01:SP-023 2nd Fl Room R208 Functional Pass

278 05/25/22 01-01:SP-024 2nd Fl Room R209 Functional Pass

279 05/25/22 01-01:SP-025 2nd Fl Room R210 Functional Pass

280 05/25/22 01-01:SP-026 2nd Fl Room R211 Functional Pass

281 05/25/22 01-01:SP-027 2nd Fl Room R212 Functional Pass

282 05/25/22 01-01:SP-028 2nd Fl Room R214 Functional Pass

283 05/25/22 01-01:SP-029 2nd Fl Room R215 Functional Pass

284 05/25/22 01-01:SP-030 2nd Fl Room R216 Functional Pass

285 05/25/22 01-01:SP-031 2nd Fl Room R217 Functional Pass

286 05/25/22 01-01:SP-032 2nd Fl Room R218 Functional Pass

287 05/25/22 01-01:SP-033 2nd Fl Room R219 Functional Pass

288 05/25/22 01-01:SP-034 2nd Fl Room R220 Functional Pass

289 05/25/22 01-01:SP-035 2nd Fl Room R221 Functional Pass

290 05/25/22 01-01:SP-036 2nd Fl Room R222 Functional Pass

291 05/25/22 01-01:SP-037 2nd Fl Room R223 Functional Pass

292 05/25/22 01-01:SP-038 2nd Fl Room R224 Functional Pass

293 05/25/22 01-01:SP-039 2nd Fl Room R221 Functional Pass

294 05/25/22 01-01:SP-040 2nd Fl TV Room Functional Pass

295 05/25/22 01-01:SP-041 2nd Fl TV Room Functional Pass

Alarm Speakers w/Strobe

Functional

Pass/ Fail

1 05/25/22 01-01:AV-001 1st Fl 100/200 Courtyard (Outside) Functional Pass

2 05/25/22 01-01:AV-002 1st Fl 100/200 Courtyard (Outside) Functional Pass

3 05/25/22 01-01:AV-003 1st Fl 100's Dining Room Functional Pass

4 05/25/22 01-01:AV-004 1st Fl 100's Nurses Office Functional Pass

5 05/25/22 01-01:AV-005 1st Fl 100's Nurses Office Medication Room Functional Pass

6 05/25/22 01-01:AV-006 1st Fl 200's Dining Room Functional Pass

7 05/25/22 01-01:AV-007 1st Fl 200's Nurses Office Functional Pass

8 05/25/22 01-01:AV-008 1st Fl 200's Nurses Office Medication Room Functional Pass

9 05/25/22 01-01:AV-009 1st Fl 400 02 Storage Functional Pass

10 05/25/22 01-01:AV-010 1st Fl 400/500 Entry Functional Pass

11 05/25/22 01-01:AV-011 1st Fl 400's Nurses Station Functional Pass

12 05/25/22 01-01:AV-012 1st Fl 400's Nurses Station: Med Room Functional Pass

13 05/25/22 01-01:AV-013 1st Fl 400 TV Room Functional Pass

14 05/25/22 01-01:AV-014 1st Fl 500 Conference Room Functional Pass

15 05/25/22 01-01:AV-015 1st Fl 500 Kitchen Functional Pass

This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 12 of 36

Alarm Speakers w/Strobe

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

16 05/25/22 01-01:AV-016 1st Fl 500 Nurse's Station Functional Pass

17 05/25/22 01-01:AV-017 1st Fl 500 Nurse's Station: Med Room Functional Pass

18 05/25/22 01-01:AV-018 1st Fl 500 Staff Office Functional Pass

19 05/25/22 01-01:AV-019 1st Fl 600/700 Entry Functional Pass

20 05/25/22 01-01:AV-020 1st Fl 600 Kitchen Functional Pass

21 05/25/22 01-01:AV-021 1st Fl 600 Nurse's Station Functional Pass

22 05/25/22 01-01:AV-022 1st Fl 600 Nurse's Station: Med Room Functional Pass

23 05/25/22 01-01:AV-023 1st Fl 600 Staff Office Functional Pass

24 05/25/22 01-01:AV-024 1st Fl 700 Conference Room Functional Pass

25 05/25/22 01-01:AV-025 1st Fl 700 Nurse's Station Functional Pass

26 05/25/22 01-01:AV-026 1st Fl 700 Nurse's Station: Med Room Functional Pass

27 05/25/22 01-01:AV-027 1st Fl 700 TV Room Functional Pass

28 05/25/22 01-01:AV-028 1st Fl Administrator's Office Functional Pass

29 05/25/22 01-01:AV-029 1st Fl AV Device 1 East Admissions Office Functional Pass

30 05/25/22 01-01:AV-030 1st Fl AV Device 1 South Seating Area Storage Functional Pass

31 05/25/22 01-01:AV-031 Bsmnt Break Room: East Functional Pass

32 05/25/22 01-01:AV-032 Bsmnt Break Room: West Functional Pass

33 05/25/22 01-01:AV-033 1st Fl Business Office Functional Pass

34 05/25/22 01-01:AV-034 1st Fl Business Office: Conference Room Functional Pass

35 05/25/22 01-01:AV-035 1st Fl Business Office Copy Room Functional Pass

36 05/25/22 01-01:AV-036 1st Fl Center Office Functional Pass

37 05/25/22 01-01:AV-037 1st Fl East Activity Room Functional Pass

38 05/25/22 01-01:AV-038 1st Fl East Dining Room Functional Pass

39 05/25/22 01-01:AV-039 1st Fl East Dining Room Functional Pass

40 05/25/22 01-01:AV-040 1st Fl East Entrance Vestibule Functional Pass

41 05/25/22 01-01:AV-041 Bsmnt East Hall: South Functional Pass

42 05/25/22 01-01:AV-042 1st Fl East Laundry Room C146 Functional Pass

43 05/25/22 01-01:AV-043 1st Fl East Living Room Functional Pass

44 05/25/22 01-01:AV-044 1st Fl East Soiled Linen Functional Pass

45 05/25/22 01-01:AV-045 Bsmnt Elevator Equipment Room Functional Pass

46 05/25/22 01-01:AV-046 1st Fl Elevator Lobby Functional Pass

47 05/25/22 01-01:AV-047 Bsmnt Elevator Lobby Functional Pass

48 05/25/22 01-01:AV-048 Bsmnt Elevator Lobby by Stairs Functional Pass

49 05/25/22 01-01:AV-049 1st Fl Elevator Seating Area Functional Pass

50 05/25/22 01-01:AV-050 1st Fl Enclosed Activity Room Functional Pass

51 05/25/22 01-01:AV-051 1st Fl Entry to Memory Care Functional Pass

52 05/25/22 01-01:AV-052 Bsmnt Exercise Room Functional Pass

53 05/25/22 01-01:AV-053 1st Fl Family Room Functional Pass

54 05/25/22 01-01:AV-054 1st Fl Hall by 02 Room Functional Pass

55 05/25/22 01-01:AV-055 Bsmnt Hall by 3W Stairs Functional Pass

56 05/25/22 01-01:AV-056 Bsmnt Hall by 4W Stairs Functional Pass

57 05/25/22 01-01:AV-057 1st Fl Hall by 100's Middle Storage Functional Pass

58 05/25/22 01-01:AV-058 1st Fl Hall by 200's Restroom Functional Pass

59 05/25/22 01-01:AV-059 1st Fl Hall by 400/500 Activity Room Functional Pass

60 05/25/22 01-01:AV-060 1st Fl Hall by 400 Smoke Door Functional Pass

61 05/25/22 01-01:AV-061 1st Fl Hall by 400 TV Rm Functional Pass

62 05/25/22 01-01:AV-062 1st Fl Hall by 500 Restroom Functional Pass

63 05/25/22 01-01:AV-063 1st Fl Hall by 700 Conference Room Functional Pass

64 05/25/22 01-01:AV-064 Bsmnt Hall by Boiler Room Functional Pass

65 05/25/22 01-01:AV-065 1st Fl Hall by Business Office Functional Pass

66 05/25/22 01-01:AV-066 1st Fl Hall by Business Office Restroom Functional Pass

67 05/25/22 01-01:AV-067 Bsmnt Hall by Coolers Functional Pass

68 05/25/22 01-01:AV-068 1st Fl Hall by East Activity Room Functional Pass

This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 13 of 36

Alarm Speakers w/Strobe

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

69 05/25/22 01-01:AV-069 1st Fl Hall by FACP Functional Pass

70 05/25/22 01-01:AV-070 1st Fl Hall by FACP Functional Pass

71 05/25/22 01-01:AV-071 Bsmnt Hall by Maintenance Exit Functional Pass

72 05/25/22 01-01:AV-072 1st Fl Hall by North Restroom Functional Pass

73 05/25/22 01-01:AV-073 1st Fl Hall by North Smoke Door Functional Pass

74 05/25/22 01-01:AV-074 1st Fl Hall by Patio Door Functional Pass

75 05/25/22 01-01:AV-075 1st Fl Hall by R-2 Seating Area Functional Pass

76 05/25/22 01-01:AV-076 1st Fl Hall by Rehab Directors Office Functional Pass

77 05/25/22 01-01:AV-077 Bsmnt Hall by Restrooms Functional Pass

78 05/25/22 01-01:AV-078 1st Fl Hall by Room 101 Functional Pass

79 05/25/22 01-01:AV-079 1st Fl Hall by Room 102 Functional Pass

80 05/25/22 01-01:AV-080 1st Fl Hall by Room 112 Functional Pass

81 05/25/22 01-01:AV-081 1st Fl Hall by Room 213 Functional Pass

82 05/25/22 01-01:AV-082 1st Fl Hall by Room 215 Functional Pass

83 05/25/22 01-01:AV-083 1st Fl Hall by Room 224 Functional Pass

84 05/25/22 01-01:AV-084 1st Fl Hall by Room 505 Functional Pass

85 05/25/22 01-01:AV-085 1st Fl Hall by Room 606 Functional Pass

86 05/25/22 01-01:AV-086 1st Fl Hall by Room C103 Functional Pass

87 05/25/22 01-01:AV-087 1st Fl Hall by Room C106 Functional Pass

88 05/25/22 01-01:AV-088 1st Fl Hall by Room C108 Functional Pass

89 05/25/22 01-01:AV-089 1st Fl Hall by Room C109 Functional Pass

90 05/25/22 01-01:AV-090 1st Fl Hall by Room C113 Functional Pass

91 05/25/22 01-01:AV-091 1st Fl Hall by Room C115 Functional Pass

92 05/25/22 01-01:AV-092 1st Fl Hall by Room C116 Functional Pass

93 05/25/22 01-01:AV-093 1st Fl Hall by Room C119 Functional Pass

94 05/25/22 01-01:AV-094 1st Fl Hall by Room C120 Functional Pass

95 05/25/22 01-01:AV-095 1st Fl Hall by Room C122 Functional Pass

96 05/25/22 01-01:AV-096 1st Fl Hall by Room C123 Functional Pass

97 05/25/22 01-01:AV-097 1st Fl Hall by Room C124 Functional Pass

98 05/25/22 01-01:AV-098 1st Fl Hall by Room C141 Functional Pass

99 05/25/22 01-01:AV-099 1st Fl Hall by Room R113 Functional Pass

100 05/25/22 01-01:AV-100 1st Fl Hall by Room R114 Functional Pass

101 05/25/22 01-01:AV-101 1st Fl Hall by Salon: North Functional Pass

102 05/25/22 01-01:AV-102 1st Fl Hall by Salon: South Functional Pass

103 05/25/22 01-01:AV-103 Bsmnt Hall by South Exit Functional Pass

104 05/25/22 01-01:AV-104 1st Fl Hall by South Office Functional Pass

105 05/25/22 01-01:AV-105 1st Fl Hall by South Restroom Functional Pass

106 05/25/22 01-01:AV-106 1st Fl Hall by South Restroom Functional Pass

107 05/25/22 01-01:AV-107 1st Fl Hall by Stair 9 Functional Pass

108 05/25/22 01-01:AV-108 1st Fl Hall by Therapy Conference Room Functional Pass

109 05/25/22 01-01:AV-109 1st Fl Hall by Therapy Office Functional Pass

110 05/25/22 01-01:AV-110 1st Fl IT Room Functional Pass

111 05/25/22 01-01:AV-111 1st Fl Kitchen Functional Pass

112 05/25/22 01-01:AV-112 Bsmnt Kitchen Functional Pass

113 05/25/22 01-01:AV-113 1st Fl Kitchen Functional Pass

114 05/25/22 01-01:AV-114 1st Fl Kitchen Functional Pass

115 05/25/22 01-01:AV-115 1st Fl Kitchen Functional Pass

116 05/25/22 01-01:AV-116 Bsmnt Laundry Functional Pass

117 05/25/22 01-01:AV-117 1st Fl Laundry Room C148 Functional Pass

118 05/25/22 01-01:AV-118 1st Fl Living Room Functional Pass

119 05/25/22 01-01:AV-119 1st Fl Living Room Functional Pass

120 05/25/22 01-01:AV-120 Bsmnt Locker Room: North Functional Pass

121 05/25/22 01-01:AV-121 Bsmnt Locker Room: South Functional Pass

This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 14 of 36

Alarm Speakers w/Strobe

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

122 05/25/22 01-01:AV-122 1st Fl Medical Records Functional Pass

123 05/25/22 01-01:AV-123 1st Fl Medical Records File Room Functional Pass

124 05/25/22 01-01:AV-124 1st Fl Middle IT Room Functional Pass

125 05/25/22 01-01:AV-125 1st Fl Middle: Med Room Functional Pass

126 05/25/22 01-01:AV-126 1st Fl Middle Nurse's Area Functional Pass

127 05/25/22 01-01:AV-127 1st Fl Middle Nurse's Area Functional Pass

128 05/25/22 01-01:AV-128 1st Fl Namaste Room Functional Pass

129 05/25/22 01-01:AV-129 1st Fl North Activity Storage Functional Pass

130 05/25/22 01-01:AV-130 1st Fl North Dining Room Functional Pass

131 05/25/22 01-01:AV-131 1st Fl North Dining Room Functional Pass

132 05/25/22 01-01:AV-132 1st Fl North Exam Room Functional Pass

133 05/25/22 01-01:AV-133 1st Fl North Hall by Tub Room Functional Pass

134 05/25/22 01-01:AV-134 1st Fl North Hall by Tub Room Functional Pass

135 05/25/22 01-01:AV-135 1st Fl North Living Room Functional Pass

136 05/25/22 01-01:AV-136 1st Fl North Living Room Functional Pass

137 05/25/22 01-01:AV-137 1st Fl North Office Functional Pass

138 05/25/22 01-01:AV-138 1st Fl North Seating Area Functional Pass

139 05/25/22 01-01:AV-139 1st Fl North Seating Area Storage Functional Pass

140 05/25/22 01-01:AV-140 1st Fl Nurse's Station Functional Pass

141 05/25/22 01-01:AV-141 1st Fl Nurse's Station: Med Room Functional Pass

142 05/25/22 01-01:AV-142 Bsmnt Nursinig Central Supply: East Functional Pass

143 05/25/22 01-01:AV-143 Bsmnt Nursinig Central Supply: West Functional Pass

144 05/25/22 01-01:AV-144 1st Fl Office by Reception Functional Pass

145 05/25/22 01-01:AV-145 1st Fl Private Dining Functional Pass

146 05/25/22 01-01:AV-146 1st Fl Receptionist Office Functional Pass

147 05/25/22 01-01:AV-147 1st Fl Room C139 Functional Pass

148 05/25/22 01-01:AV-148 1st Fl Room C140 Functional Pass

149 05/25/22 01-01:AV-149 1st Fl Room C141: Conference Room Functional Pass

150 05/25/22 01-01:AV-150 1st Fl Shared Office Functional Pass

151 05/25/22 01-01:AV-151 1st Fl South Dining Room Functional Pass

152 05/25/22 01-01:AV-152 1st Fl South Dining Room Functional Pass

153 05/25/22 01-01:AV-153 1st Fl South Hall: North Functional Pass

154 05/25/22 01-01:AV-154 1st Fl South Hall: South Functional Pass

155 05/25/22 01-01:AV-155 1st Fl Staff Office Functional Pass

156 05/25/22 01-01:AV-156 1st Fl The Bistro: East Functional Pass

157 05/25/22 01-01:AV-157 1st Fl The Bistro: West Functional Pass

158 05/25/22 01-01:AV-158 1st Fl Therapy Connector Hall: North Functional Pass

159 05/25/22 01-01:AV-159 1st Fl Therapy Gym: East Functional Pass

160 05/25/22 01-01:AV-160 1st Fl Therapy Gym: Entrance Functional Pass

161 05/25/22 01-01:AV-161 1st Fl Therapy Gym: West Functional Pass

162 05/25/22 01-01:AV-162 1st Fl Therapy Hall by Emergency Exit Functional Pass

163 05/25/22 01-01:AV-163 1st Fl Therapy Hall: East Functional Pass

164 05/25/22 01-01:AV-164 1st Fl Therapy Office Functional Pass

165 05/25/22 01-01:AV-165 1st Fl Training Room Functional Pass

166 05/25/22 01-01:AV-166 1st Fl Tub Room Functional Pass

167 05/25/22 01-01:AV-167 1st Fl TV Room Functional Pass

168 05/25/22 01-01:AV-168 1st Fl West Cubicles Functional Pass

169 05/25/22 01-01:AV-169 1st Fl West Dining Room Functional Pass

170 05/25/22 01-01:AV-170 1st Fl West Living Room Functional Pass

171 05/25/22 01-01:SV-001 2nd Fl Activities Room Functional Pass

172 05/25/22 01-01:SV-002 2nd Fl Activity Room Functional Pass

173 05/25/22 01-01:SV-003 2nd Fl Activity Storage Room Functional Pass

174 05/25/22 01-01:SV-004 2nd Fl Dining Room Functional Pass

This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 15 of 36

Alarm Speakers w/Strobe

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

175 05/25/22 01-01:SV-005 2nd Fl Dining Room Functional Pass

176 05/25/22 01-01:SV-006 2nd Fl Elevator Lobby Functional Pass

177 05/25/22 01-01:SV-007 2nd Fl Hall by Restroom Functional Pass

178 05/25/22 01-01:SV-008 2nd Fl Hall by Room 201 Functional Pass

179 05/25/22 01-01:SV-009 2nd Fl Hall by Room R203 Functional Pass

180 05/25/22 01-01:SV-010 2nd Fl Hall by Room R217 Functional Pass

181 05/25/22 01-01:SV-011 2nd Fl Nurses Station Functional Pass

182 05/25/22 01-01:SV-012 2nd Fl R-2 by Entrance Functional Pass

183 05/25/22 01-01:SV-013 2nd Fl R-2 Entrance Functional Pass

184 05/25/22 01-01:SV-014 2nd Fl Activities Room Functional Pass

185 05/25/22 01-01:SV-015 2nd Fl Sitting Area Functional Pass

186 05/25/22 01-01:SV-016 2nd Fl TV Room Functional Pass

187 05/25/22 01-01:SV-017 2nd Fl TV Room Functional Pass

Visual Alarms

Functional

Pass/ Fail

1 05/25/22 01-01:ST-001 1st Fl 100's Restrooms Functional Pass

2 05/25/22 01-01:ST-002 1st Fl 200's Restrooms Functional Pass

3 05/25/22 01-01:ST-003 1st Fl 400's Restrooms Functional Pass

4 05/25/22 01-01:ST-004 1st Fl 500 Restrooms Functional Pass

5 05/25/22 01-01:ST-005 1st Fl 600's Restrooms Functional Pass

6 05/25/22 01-01:ST-006 1st Fl 700's Restrooms Functional Pass

7 05/25/22 01-01:ST-007 Bsmnt Boiler Room Functional Pass

8 05/25/22 01-01:ST-008 1st Fl Business Office Restrooms Functional Pass

9 05/25/22 01-01:ST-009 1st Fl Corridor by Room 723 Functional Pass

10 05/25/22 01-01:ST-010 1st Fl Corridor by Tub Room Functional Pass

11 05/25/22 01-01:ST-011 1st Fl Corridor by Tub Room Functional Pass

12 05/25/22 01-01:ST-012 1st Fl East Entrance Men's Restroom Functional Pass

13 05/25/22 01-01:ST-013 1st Fl East Entrance Women's Restroom Functional Pass

14 05/25/22 01-01:ST-014 Bsmnt East Restrooms Functional Pass

15 05/25/22 01-01:ST-015 1st Fl East Restrooms by 02 Storage Functional Pass

16 05/25/22 01-01:ST-016 1st Fl Exam Room Functional Pass

17 05/25/22 01-01:ST-017 1st Fl Hall by Emergency Exit Functional Pass

18 05/25/22 01-01:ST-018 1st Fl Hall by O2 Storage Functional Pass

19 05/25/22 01-01:ST-019 1st Fl Hall by Room 106 Functional Pass

20 05/25/22 01-01:ST-020 1st Fl Hall by Room 115 Functional Pass

21 05/25/22 01-01:ST-021 1st Fl Hall by Room 201 Functional Pass

22 05/25/22 01-01:ST-022 1st Fl Hall by Room 501 Functional Pass

23 05/25/22 01-01:ST-023 1st Fl Hall by Room 526 Functional Pass

24 05/25/22 01-01:ST-024 1st Fl Hall by Room 602 Functional Pass

25 05/25/22 01-01:ST-025 1st Fl Hall by Room 612 Functional Pass

26 05/25/22 01-01:ST-026 1st Fl Hall by Room 619 Functional Pass

27 05/25/22 01-01:ST-027 1st Fl Hall by Room 705 Functional Pass

28 05/25/22 01-01:ST-028 1st Fl Hall by Room 712 Functional Pass

29 05/25/22 01-01:ST-029 1st Fl Hall by West Kitchen Functional Pass

30 05/25/22 01-01:ST-030 Bsmnt Laundry Room: East Functional Pass

31 05/25/22 01-01:ST-031 Bsmnt Laundry Room: West Functional Pass

32 05/25/22 01-01:ST-032 Bsmnt Locker Room/Changing Room: East Functional Pass

33 05/25/22 01-01:ST-033 Bsmnt Locker Room/Changing Room: West Functional Pass

34 05/25/22 01-01:ST-034 1st Fl Massage Room Functional Pass

35 05/25/22 01-01:ST-035 Bsmnt Men's Restrooms Functional Pass

36 05/25/22 01-01:ST-036 1st Fl Middle Restrooms Functional Pass

This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 16 of 36

Visual Alarms

Row Date Dev.# Location Visual/ Functional

Pass/ Fail

37 05/25/22 01-01:ST-037 1st Fl Middle Staff Restrooms Functional Pass

38 05/25/22 01-01:ST-038 1st Fl Middle Staff Restrooms Functional Pass

39 05/25/22 01-01:ST-039 1st Fl Mother's Room Functional Pass

40 05/25/22 01-01:ST-040 1st Fl North Restrooms Functional Pass

41 05/25/22 01-01:ST-041 1st Fl North Restrooms by Tub Room Functional Pass

42 05/25/22 01-01:ST-042 Bsmnt Nurses Central Supply: East Functional Pass

43 05/25/22 01-01:ST-043 1st Fl Restrooms Functional Pass

44 05/25/22 01-01:ST-044 1st Fl Restrooms Functional Pass

45 05/25/22 01-01:ST-045 1st Fl Restrooms by East Activity Room Functional Pass

46 05/25/22 01-01:ST-046 1st Fl Restrooms by Therapy Conference Room Functional Pass

47 05/25/22 01-01:ST-047 1st Fl Room 408 Functional Pass

48 05/25/22 01-01:ST-048 1st Fl Room 415 Functional Pass

49 05/25/22 01-01:ST-049 1st Fl Room 420 Functional Pass

50 05/25/22 01-01:ST-050 1st Fl South Restrooms Functional Pass

51 05/25/22 01-01:ST-051 1st Fl South Restrooms by Tub Room Functional Pass

52 05/25/22 01-01:ST-052 1st Fl Therapy Gym Restrooms Functional Pass

53 05/25/22 01-01:ST-053 1st Fl Tub Room Functional Pass

54 05/25/22 01-01:ST-054 1st Fl Tub Room Functional Pass

55 05/25/22 01-01:ST-055 Bsmnt West Restrooms Functional Pass

56 05/25/22 01-01:ST-056 Bsmnt Women's Restrooms Functional Pass

57 05/25/22 01-01:VN-001 1st Fl Visible Notification Device 1 100's Restroom Functional Pass

58 05/25/22 01-01:VN-002 1st Fl Visible Notification Device 1 200's Restroom Functional Pass

59 05/25/22 01-01:VN-003 1st Fl Visible Notification Device 1 400 Restroom Functional Pass

60 05/25/22 01-01:VN-004 1st Fl Visible Notification Device 1 500 Restroom Functional Pass

61 05/25/22 01-01:VN-005 1st Fl Visible Notification Device 1 600 Restroom Functional Pass

62 05/25/22 01-01:VN-006 1st Fl Visible Notification Device 1 700 Restroom Functional Pass

63 05/25/22 01-01:VN-007 1st Fl Visible Notification Device 1 Business Ofc Restrm Functional Pass

64 05/25/22 01-01:VN-008 1st Fl Visible Notification Device 1 Corr by 02 Storage Functional Pass

65 05/25/22 01-01:VN-009 1st Fl Visible Notification Device 1 Corr by Emer Exit Functional Pass

66 05/25/22 01-01:VN-010 1st Fl Visible Notification Device 1 Corr by Room 106 Functional Pass

67 05/25/22 01-01:VN-011 1st Fl Visible Notification Device 1 Corr by Room 115 Functional Pass

68 05/25/22 01-01:VN-012 1st Fl Visible Notification Device 1 Corr by Room 201 Functional Pass

69 05/25/22 01-01:VN-013 1st Fl Visible Notification Device 1 Corr by Room 501 Functional Pass

70 05/25/22 01-01:VN-014 1st Fl Visible Notification Device 1 Corr by Room 526 Functional Pass

71 05/25/22 01-01:VN-015 1st Fl Visible Notification Device 1 Corr by Room 602 Functional Pass

72 05/25/22 01-01:VN-016 1st Fl Visible Notification Device 1 Corr by Room 612 Functional Pass

73 05/25/22…