SPKLR1-2026 Blank.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
Fire Suppression Sprinklers at Coatesville VAMC
Solicitation number
36C24426Q0415
Issued by

About this file

This file is a blank inspection and testing template for Building 1's sprinkler system for the year 2026, designed to document compliance with NFPA 25 standards for water-based fire protection systems. The template provides a structured format for recording semi-annual sprinkler system inspections and tests, including main drain static and residual pressure measurements, chamber refill time, and flow test results across multiple floors and zones (basement, ground floor, first through third floors, and attic). The form identifies specific test locations throughout the building using asset identification numbers, including six-inch zones in the center stairwell, the main riser in the basement, and various valve and device locations such as OS&Y valves, pressure independent valves (PIV), tamper alarms, and the Fire Department Connection (FDC).

The template establishes a standardized inspection protocol requiring documented results for each location with pass/fail indicators, timed chamber refill results noted in minutes and seconds, and notation fields for inspector names and dates of inspection. This blank template is intended for use in conjunction with the related federal contract opportunity (Solicitation 36C24426Q0415) for five-year obstruction inspection and maintenance services at Coatesville VA Medical Center, where contractors must perform all NFPA 25-required inspections, internal pipe assessments, valve inspections, FDC hydrostatic testing, and hydrant flow testing within 30 calendar days of award during regular administrative hours (Monday-Friday, 8:00 a.m. to 4:30 p.m.).

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Text version

Building 1

SPRINKLER SYSTEM INSPECTION AND TEST
Building 1
YEAR 20261ST2ND
Date
Inspector(s)
Main Drain
Static Pressure
Residual Pressure
Chamber Refill Time
Flow Test Results
Floor / ZoneTest Location6"Zone6"Zone
BSMT. 2202-0146RM. B06 (EMS closet)
GRND. 2202-0156CENTER STAIR
1ST. 2202-0173CENTER STAIR
2ND. 2202-0179CENTER STAIR
3RD. 2202-0185CENTER STAIR
ATTIC 2202-0189CENTER
Cupola 2202-0191Attic
Tamper Alarm / Valve Test Results
DEVICELOCATION
OS & Y-Mislabeled Main B21 2202-0159RM. B21 (Key 49)KEY #49
P.I.V. 2202-0158S. E. OF BLDG.
West Stair Riser 2202-0160Grd Floor West Stairwell
East Stair Riser 2202-0162Grd Floor East Stairwell
MAIN RISER 2202-0161CENTER STAIR
BSMT. ZONE 2202-0147RM. B21 (Key 49)
GRD. FL. ZONE 2202-0157CENTER STAIR
Exterior PIV 2202-0163S.E. Corner
1ST. FL. ZONE 2202-0174CENTER STAIR
2ND FL. ZONE 2202-0180CENTER STAIR
3RD FL. ZONE 2202-0186CENTER STAIR
ATTIC ZONE 2202-0190ATTIC
CUPOLA ZONE 2202-0192ATTIC
ATTIC OS & Y 2202-0193ATTIC
ATTIC 2202-0194ATTIC
SPRINKLER BOX
FDC
TESTED SEMI-ANNUALLY IAW
NFPA 25: STANDARD FOR THE INSPECTION, TESTING AND MAINTENANCE
OF WATER BASED FIRE PROTECTION SYSTEMS, 2023 EDITION
ACCEPTABLE TESTING RESULTS
P = PASSED INSPECTION / TEST
F = FAILED INSPECTION / TEST
D= DISCONNECTED
C= CONTRACTOR TEST
TIMED RESULTS NOTED IN MINUTES AND SECONDS ( EXAMPLE 1M 30S )

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