SPKLR39-2026 Blank.xlsx

XLSX spreadsheet 14 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 39's sprinkler system at the Coatesville VA Medical Center for the year 2026. The template is designed to document semi-annual inspections and tests performed in accordance with NFPA 25: Standard for the Inspection, Testing and Maintenance of Water-Based Fire Protection Systems, 2023 Edition. The document provides structured fields for recording inspector information, dates of inspection, and results across multiple test categories.

The template captures four primary testing categories: main drain static and residual pressure measurements, chamber refill time, and flow test results for the 6-inch zones and main flow lines. Additional sections document tamper valve tests for various devices including OS&Y valves, hose cabinets, standpipes, and the Fire Department Connection (FDC) sprinkler box located near the OS&Y valve. Test results are recorded using a standardized notation system where P indicates passed inspections/tests, F indicates failed, D indicates disconnected, and C indicates contractor tests, with timed results recorded in minutes and seconds format. The template serves as the documentation mechanism for the five-year obstruction inspection program outlined in the related federal solicitation 36C24426Q0415, which requires comprehensive sprinkler system inspections, valve assessments, FDC hydrostatic testing, hydrant flow testing, and gauge replacements to be completed within 30 calendar days of contract award during normal business hours.

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Text version

Building 39

SPRINKLER SYSTEM INSPECTION AND TEST
Building 39
YEAR 20261 ST2ND
Date
Inspector
Main Drain
Static Pressure
Residual Pressure
Chamber Refill Time
Flow Test Results
FloorTest Location6"Zone6"Zone
6'' Main Flow 2402-0146RM. B/16F
BASEMENT 2402-0157RM. B09
GRDS.MAINT.RMOUTSIDE
FIRST FLOOR 2402-0161RM. 102
SECOND FLOOR 2402-0168RM. 203
ATTIC 2402-0173ELEV. ROOM
Tamper Valve Test Results
DeviceLocation
OS & Y 2402-0147MEDICAL MEDIA
P.I.V. 2402-0148SOUTH OF BLDG
MAIN RISER 2402-0150ELEV. LOBBY
BASEMENT ZONEELEV. LOBBY
CENT. HOSE CAB 24702-0154OVER BSMT CAB
WEST HOSE CAB 2402-0156OVER BSMT CAB
EAST HOSE CABOVER BSMNT CAB
EAST STANDPIPE 2402-0153BSMT. STAIRS
WEST STANDPIPE 2402-0155BSMT. STAIRS
1ST FL. 2402-0162RM. 102
2ND FL. 2402-0169RM. 204
ATTIC 2402-0174ELEV.ROOM
BSMT 2402-0152IFO ROOM B09
SPRINKLER BOX
FDC
Sprinkler Box is located near the OS&Y.
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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