2202 Alarm Inspection Parking Ramp.pdf
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- Solicitation number
- 2202
- Issued by
- Kenosha County, Kellnersville Village, Wisconsin
About this file
This is an NFPA 72 System Record of Inspection and Testing Report for Kenosha County, Wisconsin, documenting the alarm inspection and testing of the fire alarm system installed at the Kenosha County Park & Ride facility located at 920 54th Street, Kenosha, Wisconsin. The inspection and testing was conducted by Siemens Industry, Inc., Smart Infrastructure Division on August 10, 2022, beginning at 12:00 PM and completing at 1:30 PM. The system under inspection is a Simplex 4010 fire alarm control panel (FACP) located in the parking garage elevator lobby. The testing included functional and visual inspections of the control unit, secondary power systems, notification appliance power extender panels, initiating devices, and interface equipment. All tested components passed inspection, including three heat detectors on floors one through three, one system smoke detector located above the FACP in the elevator equipment room, and three remote relay interface components for elevator recall functions. The system is powered by a 120-volt, 20-amp primary power supply with a sealed lead acid battery backup (manufactured April 30, 2019) providing 24 hours of standby capacity and 15 minutes of alarm mode capacity.
The inspection was performed by certified technicians Stanley Laitinen (License No. SL#150654) and Alexander Hanus (License No. AH#148912) in accordance with applicable NFPA standards. Notifications of the testing were made to building management, building occupants, and the monitoring organization (Alarm Detection Service) prior to and upon completion of testing. The smoke detector sensitivity testing passed in accordance with NFPA 72-2016 standards, and elevator recall functionality operated properly. The system was restored to normal operation at 1:30 PM on August 10, 2022. Acceptance of the test report was signed by Kenosha County representative Rhonda Haidinger on August 15, 2022. No equipment failures were identified during inspection or testing. The property owner is responsible for proper maintenance and care of the system, and Siemens retains the right to report any code deficiencies to the local Authority Having Jurisdiction if corrective actions are not completed within required timeframes.
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NFPA 72 REPORT
© Siemens Industry, Inc., Smart Infrastructure Division, 2009-2022. All rights reserved.
This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 1 of 7
SYSTEM RECORD OF INSPECTION AND TESTING
System Name: KENOSHA PARK & RIDE Panel Name: 01 - PARK & RIDE 4010
Inspection/Test Start Date/Time: 10 Aug 2022 1200 Inspection/Test Completion Date/Time: 10 Aug 2022 1330
Contract Info: Kenosha County 2022 (2600149454) Notification Number: 5102270779
Supplemental Form(s) Attached: Yes
1. PROPERTY INFORMATION
Name of property: KENOSHA COUNTY PARK RIDE (4433-53140-00023)
Address: 920 54TH ST. KENOSHA, WI. 53140
Description of property:
Name of property representative: KENOSHA COUNTY (30078447), None
Address: 1010 56TH ST, KENOSHA, WI 53140-3738
Phone: None Fax: None E-mail: None
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 SERVICE
Address: NA
Phone: NA Fax: NA E-mail: NA
Account number: NA 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:
4. DESCRIPTION OF SYSTEM OR SERVICE
4.1 Control Unit
System Name: KENOSHA PARK & RIDE Panel Name: 01 - PARK & RIDE 4010
Panel Location and Address: PARKING GARAGE ELEVATOR LOBBY, 920 54TH ST., KENOSHA WI. 53140
Manufacturer: SIMPLEX Model number: 4010
4.2 Software and Firmware
Firmware revision number:
4.3 System Power
4.3.1 Primary (Main) Power
Nominal voltage: 120 Amps: 20 Location: PARKING GARAGE ELEVATOR LOBBY
Overcurrent protection type: BREAKER Amps: 20
Disconnecting means location: UNKNOWN
4.3.2 Secondary Power
Type: Storage Battery Location: PARKING GARAGE ELEVATOR LOBBY
Battery type (if applicable): Sealed Lead Acid Manufactured Date: 30 Apr 2019
Calculated capacity of batteries to drive the system:
In standby mode (hours): 24 In alarm mode (minutes): 15
This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 2 of 7
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:DIALER-01 FL1 ELEV. EQUIPMENT
RM
UNKNOWN
4.4.2 Secondary Power
ID Location Battery Type
Manufactured Date
Voltage Rating
Amp Rating
Standby Hours
Alarm Minutes
01:DIALER-01 FL1 ELEV. EQUIPMENT RM 2018-08-11 12 8AH 24 10
5. NOTIFICATIONS MADE PRIOR TO TESTING
Monitoring organization Contact: CALLED BY RHONDA HAIDINGER Time: 1145
Building management Contact: RHONDA HAIDINGER Time: 1145
Building occupants Contact: BY RHONDA HAIDINGER Time: 1145
Authority having jurisdiction (AHJ) Contact: Time:
Other, if required Contact: NA Time: NA
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 Not Tested N/A
Remote power panels Not Tested None
Supervision Functional None
Trouble signals Functional None
6.2 Secondary Power
Description Visual Inspection or Functional Test Comments
Battery condition Functional (2) 7AH BATTERIES
Charger test Functional 27.24
Discharge test Functional 100%/100%
Load voltage Functional 13.68/13.64
Remote panel batteries Not Tested None
6.3 Notification Appliance Power Extender Panels Secondary Power
ID Location Battery Voltage
Battery Amps
Test Method
Pass/ Fail
01:DIALER-01 FL1 ELEV. EQUIPMENT RM 13.77 100% Functional Pass
This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 3 of 7
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.
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 None
Supervisory restoration No 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: CALLED BY RHONDA HAIDINGER Time: 1330
Building management Contact: RHONDA HAIDINGER Time: 1330
Building occupants Contact: BY RHONDA HAIDINGER Time: 1330
Authority having jurisdiction (AHJ) Contact: Time:
Other, if required Contact: NA Time: NA
8. SYSTEM RESTORED TO NORMAL OPERATION
Date: 10 Aug 2022 Time: 1330
9. CERTIFICATION
This Testing Was Performed in Accordance with Applicable NFPA Standards.
Signed:
Alexander Hanus Date: 08/10/2022
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
10. SUMMARY OF EQUIPMENT MARKED AS FAILED WHEN INSPECTED OR TESTED
11. ACCEPTANCE BY OWNER OR OWNER’S REPRESENTATIVE
The undersigned accepted the test report for the system as specified herein:
Signed:
Printed name: RHONDA HAIDINGER Date:
Organization: KENOSHA COUNTY (30078447) Phone: None
08/15/22
This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 4 of 7
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
12.2 Comments
SMOKE DETECTOR PASSED SENSITIVITY TESTING.
*Reviewed the sensitivity of the Analog Smoke/Duct detectors with use of Fire Alarm Control Panel whereby the detector causes a signal at the control panel when its sensitivity is outside its listed sensitivity range.
NFPA 72-2016 14.4.3.2-17 (h)(4) states that *Smoke detector/control unit arrangement whereby the detector causes a signal at the control unit when its sensitivity is outside it listed sensitivity range*
ELEVATOR RECALL FUNCTIONED PROPERLY.
This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 5 of 7
NOTIFICATION APPLIANCE SUPPLEMENTARY RECORD OF INSPECTION AND TESTING
1. PROPERTY INFORMATION
Name of property: KENOSHA COUNTY PARK RIDE (4433-53140-00023)
Address: 920 54TH ST. KENOSHA, WI. 53140
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
THERE ARE
NO
NOTIFICATION
DEVICES ON
THIS SYSTEM.
N/A N/A N/A N/A N/A N/A N/A
2.2 Notification Appliances Testing Results by Type
See main System Record of Inspection and Testing for additional information, certifications, and approvals.
This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 6 of 7
INITIATING DEVICE SUPPLEMENTARY RECORD OF INSPECTION AND TESTING
1. PROPERTY INFORMATION
Name of property: KENOSHA COUNTY PARK RIDE (4433-53140-00023)
Address: 920 54TH ST. KENOSHA, WI. 53140
2. INITIATING DEVICE TEST RESULTS
2.1 Initiating Devices Equipment Summary by Type
Total Qty Functionally Tested Qty
Functionally Tested %
Visually Tested
Qty
Visually Tested %
Failed Qty Failed % Device or System Type
3 3 100% 0 0% 0 0% Heat Detectors
1 1 100% 0 0% 0 0% System Smoke Detectors (P)
2.2 Initiating Devices Testing Results by Type
Heat Detectors
Row Date Dev.# Location Model Visual/ Functional
Pass/ Fail
1 08/10/22 01:M1-004 FL1 PARKING GARAGE ELEV. LOBBY SIMPLEX Functional Pass
2 08/10/22 01:M1-005 FL2 PARKING GARAGE ELEV. LOBBY SIMPLEX Functional Pass
3 08/10/22 01:M1-006 FL3 PARKING GARAGE ELEV. LOBBY SIMPLEX Functional Pass
System Smoke Detectors (P)
Row Date Dev.# Location Factory Setting
Model Visual/ Functional
Pass/ Fail
1 08/10/22 01:M1-007 ABOVE FACP - ELEVATOR EQUIPMENT RM 1.5-3.7 SIMPLEX
4098-9757
Functional Pass
See main System Record of Inspection and Testing for additional information, certifications, and approvals.
This report was created by TechAdvance+™, a service of Siemens Industry, Inc. Page 7 of 7
INTERFACE COMPONENT SUPPLEMENTARY RECORD OF INSPECTION AND TESTING
1. PROPERTY INFORMATION
Name of property: KENOSHA COUNTY PARK RIDE (4433-53140-00023)
Address: 920 54TH ST. KENOSHA, WI. 53140
2. INTERFACE COMPONENT TEST RESULTS
2.1 Equipment Summary by Type
Total Qty Functionally Tested Qty
Functionally Tested %
Visually Tested
Qty
Visually Tested %
Failed Qty Failed % Device or System Type
3 3 100% 0 0% 0 0% Remote Relays
2.2 Equipment Testing Results by Type
Remote Relays
Row Date Dev.# Location Model Visual/ Functional
Pass/ Fail
1 08/10/22 01:M1-001 FL1 ELEV. MECH RM PRIMARY RECALL SIMPLEX Functional Pass
2 08/10/22 01:M1-002 FL1 ELEV. MECH RM ALT RECALL SIMPLEX Functional Pass
3 08/10/22 01:M1-003 FL1 ELEV. MECH RM RED HAT SIMPLEX Functional Pass
2.3 Additional Equipment Testing Results
Interface Component Type Address Location Test Results
See main System Record of Inspection and Testing for additional information, certifications, and approvals.
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