SPKLR3-2026 Blank.xlsx

XLSX spreadsheet 17 KB Posted

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Fire Suppression Sprinklers at Coatesville VAMC
Solicitation number
36C24426Q0415
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About this file

This is a blank inspection and testing template for the Building 3 sprinkler system at the Coatesville VA Medical Center for the year 2026. The template is designed to document semi-annual inspection and testing results in accordance with NFPA 25: Standard for the Inspection, Testing and Maintenance of Water-Based Fire Protection Systems, 2023 Edition. The form captures data for two inspection periods (1st and 2nd) and includes sections for recording inspector names, main drain static and residual pressures, chamber refill times, flow test results across multiple zones and floors, tamper valve test results, pre-action device testing (trouble, alarm, and supervisory), and fire department connection (FDC) testing results. Specific locations referenced include the elevator pit, basement elevator lobby, ground floor sprinkler closet in the CT scan area, and first-floor test locations such as Room B-37 and Building 3 sprinkler closets. The template uses standardized result codes: "P" for passed inspection/test, "F" for failed inspection/test, "D" for disconnected, and "C" for contractor test, with timed results documented in minutes and seconds format.

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Text version

Building 3

SPRINKLER SYSTEM INSPECTION AND TEST
Building 3
YEAR 20261ST2ND
Date
Inspector(s)
Main Drain
Static Pressure
Residual Pressure
Chamber Refill Time
Flow Test Results
FloorTest Location6"Zone6"Zone
Grd Fl. Flow 1702-0156Inside Rm B-37
1st Fl. Flow 1702-0158Sprinkler Closet in Cat scan
Tamper Valve Test Results
DEVICELOCATION
Elevator pit 1702-0137Bsmt Elevator Lobby above ceiling
PIVINSIDE OVAL CENTER OF BLDG
Grd. Floor 1702-0157Sprinkler Closet in Cat scan
1st Floor 1702-0159Sprinkler Closet in Cat scan
Pre-action Trouble 1702-0161B-38
Pre-action Alarm 1702-0160B-38
Pre-action Suprvisory 1702-0162B-38
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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