SPKLR57-2026 Blank.xlsx

XLSX spreadsheet 16 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 57 sprinkler system at the Coatesville VA Medical Center for the year 2026. The form documents required inspections and tests to be conducted in accordance with NFPA 25 (2023 edition), the standard for inspection, testing, and maintenance of water-based fire protection systems. The template captures data for flow test results across multiple zones (basement, first floor, second floor, and attic) with designated test locations identified by reference numbers (e.g., 2502-0158, 2502-0170). It includes sections for recording static pressure, residual pressure, chamber refill time, and flow test measurements. The form also documents tamper valve test results for various devices and locations, including the main drain, isolation and shut-off valves, pressure independent valves, hose cabinets, standpipes, and zones throughout the building. Testing is conducted on both a first and second inspection cycle, with results marked as P (passed), F (failed), D (disconnected), or C (contractor test), and timed results noted in minutes and seconds format. The fire department connection (FDC) is tested semi-annually in accordance with NFPA 25 standards.

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Text version

Building 57

SPRINKLER SYSTEM INSPECTION AND TEST
Building 57
Year 20261 ST2ND
Date
Inspector
Main Drain
Static Pressure
Residual Pressure
Chamber Refill Time
Flow Test Results
FloorTest Location6"Zone6"Zone
BASEMENT 2502-0158BY ELEV. LOBBY
FIRST FLOOR 2502-0170MAIN ENTRANCE
SECOND FLOOR 2502-0178RM. 201A
ATTIC 2502-0180ELEV. ROOM
Tamper Valve Test Results
DeviceLocation
6'' Main 2502-0146B14
OS & YRM. B14
P.I.V. 2502-0150N.E. OF BLDG.
MAIN RISER 2502-0149ELEV. LOBBY
BASEMENT ZONE 2502-0154BY ELEV.LOBBY
NORTH HOSE CAB 2502-0153OVER BSMT CAB
CENT HOSE CABOVER BSMT CAB
SOUTH HOSE CAB 2502-0156OVER BSMT CAB
NORTH STNDPIPE 2502-0152BSMT. STAIRS
SOUTH STNDPIPE 2502-0155BSMT. STAIRS
1ST FL. ZONE 2502-0171RM. 100-A
2ND FL. ZONE 2502-0179RM. 201A
ATTIC 2502-0181ELEV. ROOM
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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