Fire Extingusiher Monthly Inspection_July 2023.pdf
PDF 1 MB Posted
- Attached to
- J012--Fire Extinguisher Inspections and repair
- Solicitation number
- 36C24623Q1077
About this file
This document summarizes the requirements for solicitation number 36C24623Q1077 for fire extinguisher inspections and repair services issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6. Key details include monthly inspections of over 500 portable fire extinguishers located across multiple buildings on the Durham VA Medical Center campus. Inspections will document equipment locations, model information, inspection dates, and results. Repair and maintenance services such as recharging extinguishers are also required. The period of performance is one year with options to renew for additional years. Pricing shall be provided on an hourly rate schedule with unit prices for common repair items.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24623Q1077 0001.docx | DOCX document | |
| 36C24623Q1077.docx | DOCX document |
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Johnson Controls is committed to serving our customers with the best-in-class services and technologies. Xaap is an advanced inspection reporting application that has been used by Johnson Controls on your inspections.
Xaap is a software-as-a-service (SaaS) solution that provides a streamlined and digitized approach for performing fire and life safety inspections and managing compliance reports in a single, centralized platform.
The application allows inspectors to capture data for fire and life safety systems and devices while generating the required compliance reports directly from their phones. It also provides facility managers, building managers and key stakeholders with a centralized view of all building systems and deficiency data. Users can easily access, download and share historical inspection reports through Xaap.
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Inspection Summary
Customer Information
Name Durham VA Hospital
Building Information
Name Durham VA Hospital
Address 508 Fulton Street, Durham NC, 27705
Contact Information
Name Robert Lowe
Role Building Management
E-Mail robert.lowe@va.gov
Phone 3366755640
Account Information
Service Provider Johnson Controls North America
Office Address 540 Civic Blvd Raleigh Nc 27610
Office Phone 919 279 6400
Office License 531603
Inspector Name Shawn Casey
Inspector License 531603
Inspection Information
Start Date 07/25/2023
Date 07/26/2023
Inspection Type Joint Commission
Work Order# 12345678
Timezone GMT-04:00
Inspection Summary
The following Tests and Inspections have been covered in this inspection
EP 15 - Portable Fire Extinguishers (Monthly)
DEVICE DEFICIENCIES
No device deficiencies in this inspection.
CANNOT INSPECT REPORT
LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE DATE OF TEST TYPE IMAGES
(Building 14) FL 01 Access door across man bridge- by Rm
— ABC Extinguisher 10LB — Z - 604826 07/26/2023 Cannot Inspect —
Reason cannot inspect: Missing www.xaapbuildings.com
REPAIRED DEVICES
TEST TO
PERFORM LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE LAST FAILURE
DATE DATE OF REPAIR TYPE
EP15,EP16 (Parking Garage B) Level 05 F/C by starwell 2 — ABC
Extinguisher 10LB — AB456185 07/26/2023 07/26/2023 PASSED AFTER
REPAIR
INITIAL FAILURE REASON: Need to be replaced
RESOLUTION: Recharge
EP15,EP16 Skywalk Main Garage — ABC Extinguisher — — N-433490 07/26/2023 07/26/2023 PASSED AFTER
REPAIR
INITIAL FAILURE REASON: Needs to be replaced
RESOLUTION: Recharge
INSPECTION RESULTS SUMMARY
CURRENT INSPECTION RESULTS PREVIOUS INSPECTION RESULTS
TEST PERFORMED DEVICE TYPE TOTAL PASSED FAILED CANNOT INSPECT % INSPECTED TOTAL
EP15 ABC Extinguisher 467 466 0 1 99 467
EP15 Extinguisher - CO2 23 23 0 0 100 23
EP15 Extinguisher - Clean Agent 11 11 0 0 100 11
EP15 Extinguisher - Liquid 15 15 0 0 100 15
TOTAL 516 515 0 1 99 516
PORTABLE FIRE EXTINGUISHERS
CUSTOMER NAME: Durham VA Hospital BUILDING NAME: Durham VA Hospital BUILDING ADDRESS: 508 Fulton Street, Durham NC, 27705
CONTACT NAME: Robert Lowe CONTACT E-MAIL: robert.lowe@va.gov CONTACT ROLE: Building Management
CONTACT PHONE: 3366755640
SERVICE PROVIDER: Johnson Controls North America OFFICE ADDRESS: 540 Civic Blvd Raleigh Nc 27610
OFFICE PHONE: 919 279 6400
OFFICE LICENSE: 531603
INSPECTOR: Shawn Casey
INSPECTOR LICENSE: 531603
INSPECTION START DATE: 07/25/2023
INSPECTION END DATE: 07/26/2023
WORK ORDER: 12345678
TIMEZONE: GMT-04:00
INSPECTION RESULTS SUMMARY
CURRENT INSPECTION RESULTS PREVIOUS INSPECTION RESULTS
DEVICE TYPE INVENTORY COUNT PASSED FAILED CANNOT INSPECT % INSPECTED INVENTORY COUNT
Extinguisher - Liquid 15 15 0 0 100 15
Extinguisher - CO2 23 23 0 0 100 23
Extinguisher - Clean Agent 11 11 0 0 100 11
ABC Extinguisher 467 466 0 1 99 467
DEVICE DEFICIENCIES
No device deficiencies in this inspection.
REPAIRED DEVICES
LOCATION DESCRIPTION ADDRESS DEVICE MAKE MODEL BARCODE LAST FAILURE
DATE DATE OF REPAIR TYPE IMAGES
(Parking Garage B) Level 05 F/C by starwell 2 — ABC Extinguisher 10LB — AB456185 07/26/2023 07/26/2023 PASSED AFTER
REPAIR —
INITIAL FAILURE REASON: Need to be replaced
RESOLUTION: Recharge
Skywalk Main Garage — ABC Extinguisher — — N-433490 07/26/2023 07/26/2023 PASSED AFTER
REPAIR —
INITIAL FAILURE REASON: Needs to be replaced
RESOLUTION: Recharge
RETIRED DEVICES
No retired devices in this inspection.
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023 Customer: Durham VA Hospital | Building: Durham VA Hospital
Elements of Performance #15
At least monthly, the facility inspects portable fire extinguishers. The completion dates of the inspections are documented.
• Note 1: There are many ways to document the inspections, such as using bar-coding equipment, using check marks on a tag, or using an inventory.
• Note 2: Inspections involve a visual check for the presence and correct type of extinguisher, broken parts, full charge, and ease of access.
Portable Fire Extinguishers
For additional guidance on performing the tests, see NFPA 10 (2022): 7.2.2.4; 7.2.4. In addition to 7.2.2, fire extinguishers shall be visually inspected in accordance with 7.2.2.2 if they are located where any of the following conditions exists:
1. High frequency of fires in the past.
2. Severe hazards
3. Locations that expose fire extinguishers to mechanical injury or physical damage.
4. Exposure to abnormal temperatures or corrosive atmospheres.
Device Test Method
Portable Fire Extinguishers
7.2.2 Procedures. Periodic inspection of fire extinguishers shall include a check of at least the following items:
1. Location in designated place
2. No obstruction to access or visibility
3. Pressure gauge reading or indicator in the operable range or position
4. Fullness determined by weighing or "hefting"
5. Condition tires, wheels, carriage , hoses and nozzle, checked ( for wheeled units)
6. Indicator for nonrechargeable extinguishers using push-to-test pressure indicators
7.2.2.2 Where required by 7.2.2.1 the following inspection procedures shall be in addition to those addressed in 7.2.2
1. Verifying that operating instructions on nameplates are legible and face outward
2. Checking for Broken or missing safety seals
3. Examination for obvious physical damage, corrosion, leakage, or clogged nozzle.
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
ABC EXTINGUISHER
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
(Building 15) FL 01 1st Floor Fire a pump room(next to elevator) — H-19223393 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 03/19/2023 03/19/2023 03/19/2023
Main Building (Building 1) FL 02
2nd FL Mech spaces(F201 across from F2103)
— Z - 606744 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2010 01/15/2016 01/15/2022
Main Building (Building 1) FL 02
2nd FL Mech Spaces (F2103 across from
F2101 towards the exit door)
— WH - 147343 Shawn Lee Casey 07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2004 01/15/2020 01/15/2022
Main Building (Building 1) FL 02
2nd FL Mech Spaces(F2103 across from F2102)
— L - 653423 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2009 01/15/2015 01/15/2021
Main Building (Building 1) FL 04
4th FL F/C A/B Wing intersection — G - 17269088 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2020 01/15/2020 01/15/2020
Vehicles 0771-01475 — F-50549372 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 5 lbs 03/29/2018 N/A N/A
Main Building (Building 1) FL 02 A2018 — G - 17277889 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 05 A5014 (behind door) — F-86761806 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) FL 10
A/B Wing intersectionF/C across
A10000
— A-29023848 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
(Building 14) FL 01 Access door across man bridge- by Rm 9 — C - 85049188 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2016 01/15/2022 01/15/2016
(Building 14) FL 01
Access door across man bridge - by Rm
— BR - 161943 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2013 01/15/2019 01/15/2013
(Building 14) FL 01
Access door across man bridge- by Rm
— Z - 604826 Shawn Lee Casey
07/26/2023 Cannot Inspect
ABC - Stor Press Refill 10 lbs 01/15/2010 01/15/2016 01/15/2022
Reason cannot inspect: Missing
Main Building (Building 1) FL 10
A WingF/C (Outside A10034) — A-29027347 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 10
A Wing Hallway (stair #2) By A10023 — BS - 843139 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
15 Main Building (Building 1) FL 01 B1025 — V - 657229 Shawn Lee Casey 07/25/2023 Passed
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
ABC - Stor Press Refill 10 lbs 01/13/2010 01/13/2016 01/13/2022
Main Building (Building 1) FL 01
B1058 (Dental Prosthetics Lab) — BS - 843141 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2014 01/13/2020 01/13/2014
Main Building (Building 1) FL 10
B10001 E- Sleep clinic (In office) — D-58909240 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2017 01/14/2017 01/14/2017
Building 9
Back Door AC Side where temp piping run through man door
— B - 0408849 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2015 01/14/2021 01/14/2015
Main Building (Building 1) Ground
Floor
BG004 - Electronic Shop — F - 86579433 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 5 lbs 01/13/2019 01/13/2019 01/13/2019
Main Building (Building 1) Ground
Floor
BG008 Mailroom (Back Door) — BF - 850164 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2013 01/13/2019 01/13/2013
Main Building (Building 1) Ground
Floor BG009 - Pharmacy — D - 58912734 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 5 lbs 01/13/2017 01/13/2017 01/13/2017
Main Building (Building 1) Ground
Floor
Bio Compactor (Sanipak) — D - 06990605 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2017 01/13/2017 01/13/2017
Building 9 Boiler Plant/ Supv.
Office (by EZ7) — WC - 492833 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2010 01/14/2016 01/14/2022
Building 7
Boiler Room (by pole near mandoor that leads to landscape area)
— C - 85092011 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2016 01/14/2022 01/14/2016
Main Building (Building 1) FL 10 B WingF/C B10020B — AW-277313 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2012 01/14/2018 01/14/2012
(Building 14) Ground Floor By G16 and elevator — WL - 036198 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2004 01/15/2015 01/15/2021
Skywalk By Main Entrance — A - 96140919 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 10 lbs 01/15/2015 01/15/2021 01/15/2015
Main Building (Building 1) FL 01
C1008A (go through waiting area to patient rooms) 2022
— B - 75397684 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2016 01/13/2022 01/13/2016
Main Building (Building 1) FL 05
C-5044 Men's Locker inside OR surgical suite
— F-93115343 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
Main Building (Building 1) FL 10
C-10006 S/C-Traumatic stress and health research lab (5025 door code)
— D-58912282 Shawn Lee Casey 07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2017 01/14/2017 01/14/2017
Main Building (Building 1) FL 03
Cardiology Lab by A3034 (inside Scrub
Room A3042)
— G -17271898 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
(Building 6) Basement Carpenter Shop — MR - 811166 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 5 lbs 01/14/2007 01/14/2013 01/14/2019
Main Building (Building 1) Basement
CB005 Elevator Room (by morgue) — B - 80037584 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2016 01/13/2022 01/13/2016
Main Building (Building 1) FL 03
Center wall beam (Lab.
Service) — AW -288053 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2012 01/14/2018 01/14/2012
Main Building (Building 1) FL 03 Chapel (C3024) — WM - 71781 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2004 01/14/2016 01/14/2022
(Building 23) Ground Floor
CLC Dock Mech Room (clean laundry) — BS - 843155 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 02 Common Shop (Wall) — G - 17268973 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) Penthouse Compressor (rear) — BS - 843127 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) Basement
C Wing Storage area (Hallway) — A - 32930595 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2015 01/13/2021 01/13/2015
Main Building (Building 1) Basement
C Wing Storage (Hallway)by CB03 — B - 04379426 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2015 01/13/2021 01/13/2015
Main Building (Building 1) FL 01 D1011 — SW - 082992 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2002 01/13/2015 01/13/2021
Main Building (Building 1) FL 02 D2117 — TB - 735548 Shawn Lee Casey
07/25/2023 Passed
ABC - Cart Refill 10 lbs 01/14/2023 01/14/2013 01/14/2019
Main Building (Building 1) Ground
Floor
DG011 EMS Storage Room — NW - 00965820 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2001 01/13/2011 01/13/2017
Main Building (Building 1) FL 03
Dialysis Back door (by B3036) — G - 17277875 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 01
D Wing (D1110) Prime Clinic — ZR - 307368 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2008 01/13/2016 01/13/2022
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
Main Building (Building 1) FL 01
D Wing (D1125) Prime Clinic — X - 827477 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2010 01/13/2016 01/13/2022
Main Building (Building 1) FL 01
D Wing (D1134) GI Clinic Prime Clinic — B - 77612379 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2016 01/13/2022 01/13/2016
(E Wing) FL 01 E1006 — S - 850110 Shawn Lee Casey
07/25/2023 Passed ABC - Stor Press Refill 10 lbs 01/14/2004 01/14/2016 01/14/2022
(E Wing) FL 01 E1008 — C - 85049177 Shawn Lee Casey
07/25/2023 Passed ABC - Stor Press Refill 10 lbs 01/14/2010 01/14/2016 01/14/2022
(E Wing) FL 02 E2006 — WK - 078183 Shawn Lee Casey
07/25/2023 Passed ABC - Stor Press Refill 10 lbs 01/14/2004 01/14/2016 01/14/2022
(E Wing) FL 02 E2008 — SZ - 279167 Shawn Lee Casey
07/25/2023 Passed ABC - Stor Press Refill 10 lbs 01/14/2002 01/14/2014 01/14/2020
(E Wing) FL 02 E2011 (See Darrell in
SPS) — E - 78930589 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2018 01/14/2018 01/14/2018
Main Building (Building 1) Basement
EB002 Mechanical Room — B - 77612383 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2016 01/13/2022 01/13/2016
(E Wing) Ground Floor EG003 (Mechanical
Room) — K - 932295 Shawn Lee Casey 07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2010 01/14/2016 01/14/2022
(Building 18) Ground Floor, (E Wing) Ground
Floor
Electrical Panel Room (Outside by gate) — D - 58909241 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 5 lbs 01/14/2017 01/14/2017 01/14/2017
Building 7 Electrical room — G99674194 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 10 lbs 03/13/2022 03/13/2022 03/13/2022
(Building 6) Basement Electric Shop by back door — F - 9315315 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
(Building 15) FL 02 Elevator Room (next to elevator) — G-46719413 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2023 01/15/2023 01/15/2023
(Building 18) Ground Floor
E Wing Dock Compactor — CC-869310 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 20 lbs 01/14/2014 01/14/2020 01/14/2022
Haz Mat Shop Ext. Storage Bldg. (l) — AU - 163511 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 5 lbs 01/14/2011 01/14/2021 01/14/2021
Haz Mat Shop Ext. Storage Bldg. (.r) — A - 39527154 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 5 lbs 01/14/2015 01/14/2022 01/14/2015
Main Building (Building 1) Ground
Floor Eye Clinic Waiting Area — BS - 843132 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2014 01/13/2020 01/13/2014
63 Main Building (Building 1) FL 01
F1431 @ mechanical room — H09137103 Shawn Lee Casey 07/25/2023 Passed
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
ABC - Cart Refill 10 lbs 03/13/2022 03/13/2022 03/13/2022
Main Building (Building 1) FL 02
F2115 A/C Shop (near front door) — F - 83694184 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 5 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03 F3132 - Work area — WR - 684492 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2004 01/14/2023 01/14/2022
Main Building (Building 1) FL 03 F3136 Hallway — ZK - 216348 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2008 01/14/2014 01/14/2020
Main Building (Building 1) FL 03
F3162 - File Storage Room — BS - 843148 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 03
F-3165 Break Room Lab Area — G - 17271895 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03 F3166 - Glassware — G -17269095 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03 F3168 - Media Prep. — G - 17277903 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03 F3175 Blood Bank — G -17271904 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03
F3176 - Mycobacterium Lab. — G - 17268789 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03
F3180 - Immunology Lab. — BS - 843133 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 03 F3183 Behind exit — C - 31801425 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2016 01/14/2022 01/14/2016
Main Building (Building 1) FL 03
F3183 Near Eye Wash & Vitas 3 — G - 17277882 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03 F3185 - Mycology Lab. — G - 17233630 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03 F3203 - Pathology — BY - 241483 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 03 F3205 - Pathology — H - 514141 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2009 01/14/2015 01/14/2021
Main Building (Building 1) FL 03 F3206 - Pathology — BS - 843151 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2023
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
Main Building (Building 1) FL 03
F3223 - Nuclear Cardiology Scan Room
(or through A3024)
— D -58909829 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 5 lbs 01/14/2017 01/14/2017 01/14/2017
Main Building (Building 1) Basement
FB1 Elev Equip Room (Brown Elevator) — A - 32953631 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2014 01/13/2020 01/13/2014
Main Building (Building 1) FL 01
F/C A1017 Cab - A Wing — B - 77616111 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2016 01/13/2022 01/13/2016
Main Building (Building 1) FL 07 F/C A7005 (Hallway) — F-93115338 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 09 F/C A9029 (lunch area) — F-93115334 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 04
F/C A/B Wing intersection — G-17268788 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 07
F/C A/B Wing intersection (Hallaway across A7000)
— G-17269097 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03 F/C Audiology D3003 — B - 81319338 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2016 01/14/2020 01/14/2016
Main Building (Building 1) FL 03 F/C Audiology D3025 — BS - 843160 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 06 F/C A Wing (A6005) — F-93115328 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 06
F/C A Wing Back (A-6032) — F-93115337 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 09
F/C A Wing back door (Stair #2) across A9022 — F-93115324 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 04
F/C A Wing Fire Cab (A4024) — F -93115330 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 07
F/C A Wing Fire Cab (A7023) — F-93115333 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 02
F/C A Wing Fire Cab Across (A2010) — BS - 843143 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 08
F/C A Wing Fire Cab across A8015 — CE-671394 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
Main Building (Building 1) FL 05
F/C A Wing Fire Cab (Next to A5018) — F-86761831 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) FL 09
F/C A Wing (Outside A9006) — F-93115332 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 06 F/C B6004 (Hallway) — F-93115335 Shawn Lee Casey
07/25/2023 Passed
ABC - Cart Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 06 F/C B6023 — G -17271889 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 07 F/C B7009E (Hallway) — G-17269089 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 07 F/C B7023 (Hallway) — X - 455511 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 08 F/C B8017 — F-93115349 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 04
F/C Blue Elev lobby by (C4003) — AW-283540 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2012 01/14/2018 01/14/2012
Main Building (Building 1) FL 09 F/C B Wing (B9022) — F-83774547 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) FL 08
F/C B Wing breakroom by B8036 — C - 32279293 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2016 01/14/2022 01/14/2016
Main Building (Building 1) FL 01
F/C B Wing (Entrance to Dental Clinic) — BS - 843167 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2014 01/13/2020 01/13/2014
Main Building (Building 1) Ground
Floor F/C B Wing Fire Cab — F - 86761827 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2019 01/13/2019 01/13/2019
Main Building (Building 1) FL 04
F/C B Wing Fire Cab (Across from B4017/
Nursing Station)
— G -17269102 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 01
F/C B Wing Fire Cab (B1002) — CF - 162119 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 20 lbs 01/13/2014 01/13/2020 01/13/2014
Main Building (Building 1) FL 03
F/C B Wing Fire Cab by B3038- Dialysis — BS843129 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 02
F/C B Wing Fire (Cabinet) By (B2032) — G - 17271851 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
Main Building (Building 1) FL 07
F/C B Wing (front) B7004 (Hallway) — F-93115325 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 06
F/C B Wing Nurse's Station B6009E — BZ - 045710 Shawn Lee Casey
07/25/2023 Passed
ABC - Cart Refill 20 lbs 01/14/2014 01/14/2020 01/14/2014
(Building 8) FL 01 F/C by Back Door/
Mechanical Room 107 — K - 926518 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2010 01/15/2016 01/15/2022
(Parking Garage B) Level 05 F/C by back wall — H - 07766511 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 20 lbs 01/15/2022 01/15/2022 01/15/2022
(Parking Garage B) Level 01 F/C by elevator — C - 85049190 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2016 01/15/2022 01/15/2016
(Parking Garage B) Level 01 F/C by elevator — BS - 843121 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2014 01/15/2020 01/15/2014
(Parking Garage B) Level 02 F/C by elevator — BS - 843152 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2014 01/15/2020 01/15/2014
(Parking Garage B) Level 03 F/C by elevator — ZP - 965438 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2008 01/15/2014 01/15/2020
(Parking Garage B) Level 04 F/C by elevator — H - 07776899 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2022 01/15/2022 01/15/2022
(Parking Garage B) Level 05 F/C by elevator — H - 07776896 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2022 01/15/2022 01/15/2022
(Parking Garage B) Level 06 F/C by elevator — H - 07766510 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2022 01/15/2022 01/15/2022
(Parking Garage B) Level 03
F/C by fire main connector — A - 32930603 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2015 01/15/2021 01/15/2015
(Parking Garage B) Level 04
F/C by fire main connector — H - 07766503 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2022 01/15/2022 01/15/2022
(Parking Garage B) Level 05
F/C by fire main connector — H - 07776893 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2022 01/15/2022 01/15/2022
(Parking Garage B) Level 06
F/C by fire main connector — H - 0776898 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2022 01/15/2022 01/15/2022
(Parking Garage B) Level 01 F/C by front entrance — B - 09685955 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2015 01/15/2021 01/15/2015
128 (Parking Garage B) Level 02 F/C by front entrance — AW - 271925 Shawn Lee Casey 07/26/2023 Passed
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
ABC - Stor Press Refill 10 lbs 01/15/2012 01/15/2018 01/15/2012
(Building 8) FL 01 F/C by Rm 117 — V - 901097 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 10 lbs 01/15/2010 01/15/2016 01/15/2022
(Building 8) FL 02 F/C by Room 200/ reception area — F - 86761829 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2019 01/15/2019 01/15/2019
(Building 8) FL 02 F/C by Room 211 — AR - 745118 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 10 lbs 01/15/2011 01/15/2017 01/15/2011
(Building 8) FL 02 F/C by stairwell near room 218 — C - 85049180 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2016 01/15/2022 01/15/2016
(Building 8) FL 01 F/C by stairwell Rom
118 — G - 17268787 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2020 01/15/2020 01/15/2020
(Parking Garage B) Level 01 F/C by starwell 2 — BS - 843142 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2014 01/15/2020 01/15/2014
(Parking Garage B) Level 02 F/C by starwell 2 — G - 17271878 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2020 01/15/2020 01/15/2020
(Parking Garage B) Level 03 F/C by starwell 2 — C - 89222234 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2016 01/15/2022 01/15/2016
(Parking Garage B) Level 04 F/C by starwell 2 — H - 07766504 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2022 01/15/2022 01/15/2022
(Parking Garage B) Level 05 F/C by starwell 2 — AB456185 Shawn Lee Casey
07/26/2023 Passed After Repair
ABC - Stor Press Refill 10 lbs 01/15/2011 01/15/2017 01/15/2023
Reason for failure: (Visual Failure) Need to be replaced
Resolution: Recharge
(Parking Garage B) Level 06 F/C by starwell 2 — H - 07766516 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2022 01/15/2022 01/15/2022
Main Building (Building 1) FL 05
F/C C-5046 Women's Locker inside OR surgical suite
— F-86761811 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) Ground
Floor
F/C Cabinet next to AG009 — F - 86761833 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2019 01/13/2019 01/13/2019
Main Building (Building 1) FL 03
F/C CCU (CICU behind desk) by A3035 — F - 86761799 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) FL 03
F/C C Wing Hallway (2nd door of Chapel)
By (C3026)
— AW - 287026 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2012 01/14/2018 01/14/2012
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
Main Building (Building 1) FL 05
F/C C Wing Hallway (C5048) — F-93115327 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) Ground
Floor
F/C C Wing Hallway (CG009) — F - 86761813 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2019 01/13/2019 01/13/2019
Main Building (Building 1) FL 01
F/C C Wing Storage area (Hallway) by
F1405
— G - 17277904 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2020 01/13/2020 01/13/2020
Main Building (Building 1) FL 03
F/C Dialysis Area (inside Dialysis in cab by entryway to dialysis area)
— F - 86579428 Shawn Lee Casey 07/25/2023 Passed
ABC - Stor Press Refill 5 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) Ground
Floor
F/C Dietetics Kitchen Cabinet DG017 — PF - 141891 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2001 01/13/2018 01/13/2012
Main Building (Building 1) FL 02 F/C D Stair 5 (D2002) — F - 83774517 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) Ground
Floor
F/C D Wing Cabinet Near EMS supply room across DG001
— B - 77612338 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2016 01/13/2022 01/13/2016
Main Building (Building 1) FL 01
F/C D Wing D1034 (Cabinet) — C - 31802885 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2016 01/13/2022 01/13/2016
Main Building (Building 1) FL 05
F/C D Wing East (D5001) — F -93115344 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 05
F/C D Wing East (D5023) — AW-283544 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2012 01/14/2018 01/14/2012
Main Building (Building 1) FL 01
F/C D Wing Hallway (D1004) — YT - 974714 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2007 01/13/2013 01/13/2019
(E Wing) FL 02 F/C E2015 — W - 078183 Shawn Lee Casey
07/25/2023 Passed ABC - Stor Press Refill 10 lbs 01/14/2009 01/14/2016 01/14/2022
(E Wing) Ground Floor F/C EG017 — K - 933069 Shawn Lee Casey
07/25/2023 Passed ABC - Stor Press Refill 10 lbs 01/14/2010 01/14/2016 01/14/2022
(Building 6) FL 01 F/C Engineering Front
Door — B - 6531503 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2016 01/14/2022 01/14/2016
Main Building (Building 1) Ground
Floor
F/C Eye Clinic F Wing Fire (Cabinet) — F - 93115336 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2019 01/13/2019 01/13/2019
159 Main Building (Building 1) FL 01
F/C F1115 Fire (Cabinet) — BS - 843118 Shawn Lee Casey 07/25/2023 Passed
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
ABC - Stor Press Refill 10 lbs 01/13/2014 01/13/2020 01/13/2014
Main Building (Building 1) FL 01
F/C F1175 Fire (Cabinet) (OH) — F - 86761818 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2019 01/13/2019 01/13/2019
Main Building (Building 1) FL 01
F/C F1197 Fire (Cabinet) — G - 17277899 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2020 01/13/2020 01/13/2020
Main Building (Building 1) FL 01
F/C F1216 Fire (Cabinet) — G - 17271883 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2020 01/13/2020 01/13/2020
Main Building (Building 1) FL 01 F/C F1239 Fire Cab — G - 17277890 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2020 01/13/2020 01/13/2020
Main Building (Building 1) FL 01
F/C F1247 Fire (Cabinet) — F - 86761835 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2019 01/13/2019 01/13/2019
Main Building (Building 1) FL 01 F/C F1413 in ER — AC - 487096 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2010 01/13/2016 01/13/2022
Main Building (Building 1) FL 01
F/C F1466 ER (PEC) (get the key out of the lock box)
— F - 97032599 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2020 01/13/2020 01/13/2020
Main Building (Building 1) FL 01
F/C F1477 Fire (Cabinet) ED Door — F - 83774518 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2019 01/13/2019 01/13/2019
Main Building (Building 1) FL 03
F/C F3133M (Right of Room) (Fire Cab in
Radiology)
— F - 86761826 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03
F/C F3167 (Fire Cab by lab sign) hallway — BY - 241495 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2013 01/14/2017 01/14/2013
Main Building (Building 1) FL 03
F/C F3170 (Fire Cab) (across from F3168) — F - 86761809 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) FL 03
F/C F3177 back of room — D -58909236 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 5 lbs 01/14/2017 01/14/2017 01/14/2017
Main Building (Building 1) FL 03 F/C F3177 - Entrance — F - 93115314 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03 F/C F3192 Fire Cab — F - 86761821 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) FL 03
F/C F3222 (Fire Cab) Hallway — G -17271886 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
175 Main Building (Building 1) FL 03
F/C F3238 (Fire Cab) Mammography — F - 83774551 Shawn Lee Casey 07/25/2023 Passed
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) Ground
Floor F/C FG105 (Cabinet) — B - 13732003 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2016 01/13/2022 01/13/2016
Main Building (Building 1) Ground
Floor
F/C FG156 Hallway (Cabinet) — M - 331138 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2010 01/13/2016 01/13/2022
Main Building (Building 1) Ground
Floor
F/C FG210 Eye Clinic (Cabinet) — BS - 843125 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2014 01/13/2020 01/13/2014
Main Building (Building 1) Ground
Floor
F/C FG230 Eye Clinic (Cabinet) — G - 17271892 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2020 01/13/2020 01/13/2020
Main Building (Building 1) Ground
Floor F/C FG 318 GI (Cabinet) — X781735 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2010 03/13/2022 03/13/2022
Main Building (Building 1) FL 03
F/C Fire Cab by X-Ray Hall (F3113, Radiology) — G -17277876 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03
F/C Fire cab in hallway near Radiology — BS - 843130 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2012 01/14/2018 01/14/2012
Main Building (Building 1) FL 03
F/C Fire Cab Near F3244 ultrasound — G -17268773 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
(E Wing) FL 01 F/C Fire Extinguisher
Closet — AT529962 Shawn Lee Casey 07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2011 01/14/2017 01/14/2023
Main Building (Building 1) FL 03
F/C Freight/Supply Elevator across (3006) — BS - 843161 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2012 01/14/2018 01/14/2012
Main Building (Building 1) FL 07
F/C Frieght Elevator Across C7010 — BS-843120 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 01
F/C F wing E/R Hall Fire Cab By (F1425) — G - 17277910 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2020 01/13/2020 01/13/2020
Main Building (Building 1) Ground
Floor
F/C F wing FG250 MH Fire (Door Code 1953) — B - 78586133 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2016 01/13/2022 01/13/2016
Main Building (Building 1) FL 03
F/C F wing Fire Cab (Brown elev. Lobby) — G -17261710 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building
(Building 1) Ground Floor
F/C GI - FG341 Fire (Cabinet) — A - 32909834 Shawn Lee Casey 07/25/2023 Passed
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
ABC - Stor Press Refill 10 lbs 01/13/2015 01/13/2021 01/13/2015
Main Building (Building 1) FL 01
F/C Green Elevator Lobby — F - 949223 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2009 01/13/2016 01/13/2022
Main Building (Building 1) FL 06
F/C Green Elevator Lobby — G-17271903 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 08
F/C Green Elevator Lobby — BS-843149 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 03
F/C Green Elevator Lobby By (C3009) — F - 86756141 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) FL 05
F/C Green Elevator Lobby by C5009 — F-93115348 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 07
F/C Green Elevator Lobby by C7009 — F-93115339 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 10
F/C Green Elevator Lobby by C10017 — BS-8431131 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 02
F/C Green Elevator Lobby (C2007) — BS - 843164 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 04
F/C Green Elevator Lobby (near C4019) — AW-288051 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2012 01/14/2018 01/14/2012
(Building 6) FL 01 F/C Hallway by 1137 — F - 93115346 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
(Building 6) FL 01
F/C Hallway by Fire Alarm, Between 1100 and exterior door
— F - 93115347 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
(Building 23) Ground Floor
F/C Hallway (by NG008) — BK - 31758 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2012 01/14/2018 01/14/2012
(Building 6) FL 01
F/C Hallway by Workroom, Between
1119 and 1127
— F - 93115340 Shawn Lee Casey
07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building (Building 1) FL 03 F/C Hallway (F3131) — BS -843137 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2020 01/14/2014
Main Building (Building 1) FL 03
F/C Hallway (F3159) wall cab — F - 86761819 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
(Building 23) FL 01 F/C Hallway N1001 — F - 86756150 Shawn Lee Casey
07/25/2023 Passed ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
(Building 23) FL 01 F/C Hallway N1008 — F - 86761808 Shawn Lee Casey
07/25/2023 Passed ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
(Building 23) FL 03 F/C Hallway (near
N3003) — B - 04369410 Shawn Lee Casey 07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2015 01/14/2021 01/14/2015
(Building 15) FL 01 F/C i Inside 101 — A - 31197523 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 10 lbs 01/15/2014 01/15/2020 01/15/2014
(Building 15) FL 02 F/C in Hall Across from
205 — AR - 843387 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2011 01/15/2017 01/15/2011
(Building 15) FL 03 F/C In Hall by 300 — Z - 607897 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 10 lbs 01/15/2010 01/15/2016 01/15/2022
(Building 15) FL 04 F/C In Hall by 400 — C - 88855303 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 10 lbs 01/15/2016 01/15/2022 01/15/2016
(Building 15) FL 02 F/C in Hall by Stairwell
215 — C - 85049199 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 5 lbs 01/15/2016 01/15/2022 01/15/2016
(Building 15) FL 05 F/C in Hall by Stairwell
500 — F - 93115342 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2020 01/15/2020 01/15/2020
(Building 15) FL 04 F/C In Hall near 406 — F - 83774527 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 10 lbs 01/15/2019 01/15/2019 01/15/2019
(Building 15) FL 05 F/C in Hallway across from 505 — F - 83774558 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2019 01/15/2019 01/15/2019
(Building 15) FL 01 F/C in hallway by 105 — YN - 989097 Shawn Lee Casey
07/26/2023 Passed ABC - Stor Press Refill 10 lbs 01/15/2015 01/15/2021 01/15/2015
(Building 15) FL 01 F/C in Hallway by exit
(115) — H - 13413655 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2022 01/15/2022 01/15/2022
Main Building (Building 1) FL 06 F/C Main (A6000) — BY-241497 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2013 01/14/2019 01/14/2013
(Building 8) FL 01
F/C Main Entrance Fire Cab by stairwell Rm 100 Bldg. lock code
— C - 85049192 Shawn Lee Casey 07/26/2023 Passed
ABC - Stor Press Refill 10 lbs 01/15/2016 01/15/2022 01/15/2016
Main Building (Building 1) FL 02 F/C Main Fire Cab — BS - 843144 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2014 01/14/2014 01/14/2014
Main Building (Building 1) FL 05
F/C Main Fire Cab (B5000) — BS-843165 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2019 01/14/2019 01/14/2019
Main Building (Building 1) FL 08
F/C Main Fire Cab (B wing) across A8000 — BY-241472 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2013 01/14/2019 01/14/2013
Element of Performance - EP-15
NFPA 10 (2022) 7.2
Joint Commission Standard EC.02.03.05 Element of Performance 15 EP -1 d78ec1a1-470a-4666-b8d1-251f02b38042 | Portable Fire Extinguishers | 07/26/2023
LOCATION DESCRIPTION MODEL BARCODE INSPECTOR
DATE OF TEST RESULT
AGENT TYPE EXT SIZE MFG NEW DATE LAST 6yr
MAINTENANCE LAST 12yr HYDRO
Main Building (Building 1) Ground
Floor
F/C Main Fire Cab (by BG010) — F - 86761832 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/13/2019 01/13/2019 01/13/2019
Main Building (Building 1) FL 04
F/C Main Fire Cab (Near C4000) — F -93115326 Shawn Lee Casey
07/25/2023 Passed
ABC - Stor Press Refill 10 lbs 01/14/2020 01/14/2020 01/14/2020
Main Building…
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